Allegation Reporting Respondent

Electronic Submission of Allegations of Regulatory Misconduct Associated with Medical Devices

OMB: 0910-0769

IC ID: 211628

Documents and Forms
Document Name
Document Type
Other-null
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Allegation Reporting Respondent
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-null allegation report.pdf Yes Yes Fillable Fileable
Instruction intro_screen_top.png No   Fillable Fileable

Health Consumer Health and Safety

 

700 0
   
Individuals or Households
 
   95 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 700 0 700 0 0 0
Annual IC Time Burden (Hours) 175 0 175 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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