Information Collection

CDRH 513(g) Requests

IC 197892 under ICR 201804-0910-001 · OMB 0910-0705.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0705 can be found here:

Documents and Forms

Document Name Document Type
guidance 513(g) Requests.pdf Instruction
0705_Agency Guidance_eCopy.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CDRH 513(g) Requests	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Instruction			guidance 513(g) Requests.pdf		Yes	No	Printable Only
Instruction			0705_Agency Guidance_eCopy.pdf		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 114	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	114	114
Annual IC Time Burden (Hours)	1,368	1,368
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.