Reporting: Requirement for submitting Distributor statements - Form FDA 2301

Records and Reports Concerning Experience with Approved New Animal Drugs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0284 can be found here:

Documents and Forms

Document Name Document Type
Form 2301 Reporting: Requirement for submitting Distributor statements - Form FDA 2301 Form and Instruction
0284 Screenshots.doc Other-Screenshots - Proposed Electro
2301 Transmittal of Periodic reports and Promotional Material Form FDA 2301.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Reporting: Requirement for submitting Distributor statements - Form FDA 2301	Agency IC Tracking Number:	CVM

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 514.80(b)(5)(iii)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2301	Transmittal of Periodic reports and Promotional Material	Form FDA 2301.pdf		No	No	Paper Only
Other-Screenshots - Proposed Electronic Submitter System			0284 Screenshots.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 190	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-19	19
Annual IC Time Burden (Hours)	-40	40
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.