Information Collection

Form FDA 3542a

IC 179904 under ICR 201908-0910-017 · OMB 0910-0513.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 3542a Form FDA 3542a	Form and Instruction
FDA 3542a Patent Declaration With Filing of NDA or Supplement Form FDA 3542a Patent Declaration With Filing Exp 2019.pdf	Form and Instruction

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 314.53 21 CFR 314.50(h)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FDA 3542a	Patent Declaration With Filing of NDA or Supplement	Form FDA 3542a Patent Declaration With Filing Exp 2019.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 310

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	646	-173	819
Annual IC Time Burden (Hours)	9,690	-6,690	16,380
Annual IC Cost Burden (Dollars)	852,720	852,720	0

Documents for IC

table that charts IC Documents
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.