Information Collection

Dear Healthcare Provider Letter; Improving Communication of Important Safety Information

IC 208657 under ICR 201911-0910-007 · OMB 0910-0754.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0754 can be found here:

Documents and Forms

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Document Name	Document Type

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IC Title:

Dear Healthcare Provider Letter; Improving Communication of Important Safety Information

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 21 CFR 200.5

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

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	13	-12	25
Annual IC Time Burden (Hours)	1,300	-1,200	2,500
Annual IC Cost Burden (Dollars)	159,094	159,094	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.