Emergency Shortages Data Collection System (formerly Emergency Medical Device Shortage Program Survey)

Emergency Shortages Data Collection System

OMB: 0910-0491

IC ID: 6195

Documents and Forms
Document Name
Document Type
Other-Telephone Survey Script
Information Collection (IC) Details

View Information Collection (IC)

Emergency Shortages Data Collection System (formerly Emergency Medical Device Shortage Program Survey)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Telephone Survey Script Emer. Shortages Data Collection Script.doc Yes Yes Printable Only

Health Consumer Health and Safety

 

125 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Requested 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 375 0 0 0 0 375
Annual IC Time Burden (Hours) 188 0 0 0 0 188
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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