600.12

Adverse Experience Reporting for Licensed Biological Product; and General Records

OMB: 0910-0308

IC ID: 185790

Documents and Forms
Information Collection (IC) Details

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600.12 CBER
 
No Modified
 
Mandatory
 
21 CFR 600.12

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 3500A MEDWATCH FORM FDA 3500A MEDWATCH.pdf Yes Yes Fillable Fileable Signable
Form and Instruction VAERS-1 Vaccine Adverse Event Reporting System VAERS-1 FORM.pdf Yes Yes Fillable Fileable Signable

Health Consumer Health and Safety

 

164 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 6,886 0 0 134 0 6,752
Annual IC Time Burden (Hours) 220,352 0 0 4,288 0 216,064
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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