Information Collection

Form FDA 3542a

IC 179904 under ICR 201608-0910-016 · OMB 0910-0513.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0513 can be found here:

Documents and Forms

Document Name Document Type
Form FDA 3542a Form FDA 3542a Form and Instruction
FDA 3542a Patent Information Submitted with the Filing of An NDA, Form FDA 3542a.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form FDA 3542a	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 314.50(h) 21 CFR 314.53

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FDA 3542a	Patent Information Submitted with the Filing of An NDA, Amendment, or Supplement	Form FDA 3542a.pdf		No		Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 241	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	819	256	563
Annual IC Time Burden (Hours)	16,380	5,120	11,260
Annual IC Cost Burden (Dollars)	0	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.