Information Collection

Medical Device Fellowship Program - Application

IC 229539 under ICR 201711-0910-008 · OMB 0910-0780.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0780 can be found here:

Documents and Forms

Document Name Document Type
CDRH Application.pdf Other-CDRH Application

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Medical Device Fellowship Program - Application	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-CDRH Application			CDRH Application.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	250	250
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.