Information Collection Request

Reporting and Recordkeeping for Electronic Products - General Requirements

ICR 201810-0910-013 · OMB 0910-0025 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FDA 3663 Microwave products (non-oven) Form and Instruction Modified Available
Form FDA 3662 Cephalometric Report Form and Instruction Modified Available
Form FDA 3661 X-Ray Report Form and Instruction Modified Available
Form FDA 3660 Microwave oven Form and Instruction Modified Available
Form FDA 3644 Therapy Ultrasound Product Report Form and Instruction Modified Available
Form FDA 3639 Cabinet X-Ray Product Report Form and Instruction Modified Available
Form FDA 3636 Laser Annual Report Form and Instruction Modified Available
Form FDA 3647 Mercury Vapor Lamp Annual Report (esubmitter) Form and Instruction Modified Available
Form FDA 3647 Mercury Vapor Lamp Annual Report Form and Instruction Modified Available
Form FDA 3646 Mercury Vapor Lamp Product Report Form and Instruction Modified Available
Form FDA 3645 Therapy Ultrasound Annual Report (esubmitter) Form and Instruction Modified Available
Form FDA 3645 Therapy Ultrasound Annual Report Form and Instruction Modified Available
Form FDA 3642 General Correspondence Form and Instruction Modified Available
Form FDA 3147 Application for a Variance from 21 CFR 1040.11(c) for a Laser Light Show, Display, or Device (esubmitter) Form and Instruction Modified Available
Form FDA 3147 Application for a Variance from 21 CFR 1040.11(c) for a Laser Light Show, Display, or Device Form and Instruction Modified Available
Form FDA 3637 Original Equipment Manufacturer (OEM) Report (esubmitter) Form and Instruction Modified Available
Form FDA 3635 Laser Show Notification (esubmitter) Form and Instruction Modified Available
Form FDA 3633 General Variance Request (esubmitter) Form and Instruction Modified Available
Form FDA 3649 Accidental Radiation Occurrence Report (esubmitter) Form and Instruction Modified Available
Form FDA 3649 Accidental Radiation Occurrence Report Form and Instruction Modified Available
Form FDA 2877 Declaration for Imported Electronic Products Subject to Radiation Control Standards Form and Instruction Modified Available
Form FDA 2767 Notice of Availability of Sample Electronic Product Form and Instruction Modified Available
Form FDA 2579 Report of Assembly of a Diagnostic X-Ray System Form and Instruction Modified Available
Form FDA 3631 Sunlamp annual report (esubmitter) Form and Instruction Modified Available
Form FDA 3636 Laser annual report (esubmitter) Form and Instruction Modified Available
Form FDA 3643 MIcrowave oven annual report Form and Instruction Modified Available
Form FDA 3641 Cabinet x-ray annual report (esubmitter) Form and Instruction Modified Available
Form FDA 3638 Diagnostic X-ray annual report (esubmitter) Form and Instruction Modified Available
Form FDA 3634 TV annual report (esubmitter) Form and Instruction Modified Available
Form FDA 3628 General Med X-ray annual report (esubmitter) Form and Instruction Modified Available
Form FDA 3663 Microwave products (non-oven) (esubmitter) Form and Instruction Modified Available
Form FDA 3662 Cephalometric Report (esubmitter) Form and Instruction Modified Available
Form FDA 3661 X-Ray Report (esubmitter) Form and Instruction Modified Available
Form FDA 3629 General abbreviated report (esubmitter) Form and Instruction Modified Available
Form FDA 3801 UV lamps Form and Instruction Modified Available
Form FDA 3660 Microwave oven (esubmitter) Form and Instruction Modified Available
Form FDA 3659 TV (esubmitter) Form and Instruction Modified Available
Form FDA 3644 Ultrasonic therapy (esubmitter) Form and Instruction Modified Available
Form FDA 3646 Mercury vapor lamp (esubmitter) Form and Instruction Modified Available
Form FDA 3630 Sunlamp (esubmitter) Form and Instruction Modified Available
Form FDA 3630 Sunlamp Form and Instruction Modified Available
Form FDA 3640 Laser Light Show (esubmitter) Form and Instruction Modified Available
Form FDA 3640 Laser Light Show Form and Instruction Modified Available
Form FDA 3632 Laser (esubmitter) Form and Instruction Modified Available
Form FDA 3632 Laser Form and Instruction Modified Available
Form FDA 3639 Cabinet X-Ray (esubmitter) Form and Instruction Modified Available
Form FDA 3627 CT X-Ray (esubmitter) Form and Instruction Modified Available
Form FDA 3627 CT X-Ray Form and Instruction Modified Available
Form FDA 3626 Diagnostic X-Ray (esubmitter) Form and Instruction Modified Available
Form FDA 3626 Diagnostic X-Ray Form and Instruction Modified Available
0025_Change Request Memo_Oct. 2018.doc Justification for No Material/Nonsubstantive Change Uploaded 2018-10-26 Available
0025_Supporting Statement_6-12-2017.doc Supporting Statement A Uploaded 2017-06-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedMicrowave products (non-oven)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedCephalometric Report
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedX-Ray Report
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedMicrowave oven
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedTherapy Ultrasound Product Report
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedCabinet X-Ray Product Report
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedLaser Annual Report
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedMercury Vapor Lamp Annual Report (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedMercury Vapor Lamp Annual Report
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedMercury Vapor Lamp Product Report
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedTherapy Ultrasound Annual Report (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedTherapy Ultrasound Annual Report
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedGeneral Correspondence
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedApplication for a Variance from 21 CFR 1040.11(c) for a Laser Light Show, Display, or Device (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedApplication for a Variance from 21 CFR 1040.11(c) for a Laser Light Show, Display, or Device
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedOriginal Equipment Manufacturer (OEM) Report (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedLaser Show Notification (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedGeneral Variance Request (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedAccidental Radiation Occurrence Report (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedAccidental Radiation Occurrence Report
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedDeclaration for Imported Electronic Products Subject to Radiation Control Standards
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedNotice of Availability of Sample Electronic Product
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedReport of Assembly of a Diagnostic X-Ray System
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedSunlamp annual report (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedLaser annual report (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedMIcrowave oven annual report
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedCabinet x-ray annual report (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedDiagnostic X-ray annual report (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedTV annual report (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedGeneral Med X-ray annual report (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedMicrowave products (non-oven) (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedCephalometric Report (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedX-Ray Report (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedGeneral abbreviated report (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedUV lamps
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedMicrowave oven (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedTV (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedUltrasonic therapy (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedMercury vapor lamp (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedSunlamp (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedSunlamp
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedLaser Light Show (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedLaser Light Show
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedLaser (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedLaser
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedCabinet X-Ray (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedCT X-Ray (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedCT X-Ray
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedDiagnostic X-Ray (esubmitter)
5678 Reporting for Electronic Products: General Requirements Form and Instruction ModifiedDiagnostic X-Ray
209387 Third party disclosure for Electronic Products: General Requirements Unchanged
193017 Recordkeeping for Electronic Products: General Requirements Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2020 07/31/2020 07/31/2020
22,995 0 22,995
471,994 0 471,994
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Recordkeeping for Electronic Products: General Requirements
Reporting for Electronic Products: General Requirements FDA 3633, FDA 3643, FDA 3635, FDA 3637, FDA 3147, FDA 3147, FDA 3642, FDA 3645, FDA 3645, FDA 3646, FDA 3647, FDA 3647, FDA 3636, FDA 3639, FDA 3644, FDA 3661, FDA 3662, FDA 3663, FDA 3660, FDA 3662, FDA 3626, FDA 3626, FDA 3627, FDA 3627, FDA 3639, FDA 3632, FDA 3632, FDA 3640, FDA 3640, FDA 3630, FDA 3630, FDA 3646, FDA 2877, FDA 3649, FDA 3649, FDA 3644, FDA 3659, FDA 3660, FDA 3801, FDA 3629, FDA 3661, FDA 3663, FDA 3628, FDA 3634, FDA 3638, FDA 3641, FDA 3636, FDA 3631, FDA 2579, FDA 2767 ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  
Third party disclosure for Electronic Products: General Requirements

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 22,995 22,995 0 0 0 0
Annual Time Burden (Hours) 471,994 471,994 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No