Information Collection

Mandatory Adverse Event Reporting via ESG

IC 192362 under ICR 201409-0910-012 · OMB 0910-0645.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Mandatory Adverse Event Reporting via ESG	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 310, 314, 514, 600, 803, 1271 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,491,228	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,491,228	1,491,228
Annual IC Time Burden (Hours)	894,737	894,737
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.