Health Care Professionals Participating at a Hospital

Survey of Health Care Practitioners for Device Labeling Format and Content

Documents and Forms

Document Name Document Type
Attachment E--Sample Scenarios Acuvue.doc Other-Scenarios - Acuvue
Attachment D EIR Standard Content.doc Other-EIR Standard Content

Information Collection (IC) Details

IC Title:	Health Care Professionals Participating at a Hospital	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Scenarios - Acuvue			Attachment E--Sample Scenarios Acuvue.doc		No		Printable Only
Other-EIR Standard Content			Attachment D EIR Standard Content.doc		No		Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.