Reporting and Recordkeeping for Electronic Products - General Requirements

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FDA 3662 Reporting for Electronic Products	Form and Instruction	Modified	Available
0025 ss 6-30-2020.pdf	Supporting Statement A	Uploaded 2020-07-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5678	Reporting for Electronic Products	Form and Instruction	Modified
209387	Third party disclosure for Electronic Products		Modified
193017	Recordkeeping for Electronic Products		Modified

ICR Details

OMB Control No: 0910-0025	ICR Reference No: 202006-0910-013
Status: Historical Inactive	Previous ICR Reference No: 201810-0910-013
Agency/Subagency: HHS/FDA	Agency Tracking No: CDRH
Title: Reporting and Recordkeeping for Electronic Products - General Requirements
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 07/07/2020
	Date Received in OIRA: 07/06/2020
Terms of Clearance: Given that no updates have been made to the package, please resubmit as an extension without change.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2020	36 Months From Approved	08/31/2020
Responses	22,995	0	22,995
Time Burden (Hours)	471,994	0	471,994
Cost Burden (Dollars)	0	0	0

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Abstract: To protect the public from unnecessary exposure to radiation from electronic products, FDA must collect certain information from manufacturers and dealers/distributors about electronic products they sell or install. This ICR collects information from electronic product and x-ray manufacturers, importers, and assemblers. These respondents report and maintain information related to the identification of, location of, operational characteristics of, quality assurance programs for, and problem identification and correction of electronic products. The data reported to the Food and Drug Administration (FDA) and the records maintained are used by FDA and industry to make decisions and take actions that protect the public from radiation hazards presented by electronic products. The information collections are either specifically called for in legislation or were developed to aid FDA in performing its obligations under legislation.

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Authorizing Statute(s): US Code: 21 USC 360 Name of Law: FFDCA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 3925	01/23/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 28958	05/14/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Reporting for Electronic Products	FDA 3659, FDA 3645, FDA 3646, FDA 3631, FDA 3647, FDA 3649, FDA 2767, FDA 2877, FDA 3633, FDA 3635, FDA 3637, FDA 3642, FDA 2579, FDA 3644, FDA 3640, FDA 3630, FDA 3626, FDA 3627, FDA 3639, FDA 3632, FDA 3660, FDA 3629, FDA 3661, FDA 3801, FDA 3662, FDA 3663, FDA 3628, FDA 3634, FDA 3638, FDA 3641, FDA 3643, FDA 3636	A Guide for the Submission of an Abbreviated Radiation Safety Report on Cephalometric Devices Intended for Diagnostic Use ,   Abbreviated Reports on Radiation Safety for Microwave Products (Other than Microwave Ovens) ,   Guide for Preparing Annual Reports on Radiation Safety Testing of Electronic Products (General) ,   Guide for Filing Annual Reports for X-Ray Components and Systems ,   LLS Notification ,   Report of Assembly of a Diagnostic X-Ray System ,   Laser OEM Component Report ,   Microwave Oven Products Annual Report ,   Guide for Preparing Annual Reports on Radiation Safety Testing of Laser and Laser Light Show Products ,   Guide for Preparing Annual Reports on Radiation Safety Testing of Sunlamp Products ,   Guide for Preparing Annual Reports on Radiation Safety Testing of Mercury Vapor Lamps ,   Guide for Preparing Annual Reports for Ultrasonic Therapy Products ,   Accidental Radiation Occurrence Report ,   General Correspondence ,   Notice of Availability of Sample Electronic Product ,   A Guide for the Submission of Initial Reports on Diagnostic X-Ray Systems and Their Major Components ,   A Guide for the Submission of Initial Reports on Computed Tomography X-Ray Systems ,   Guide for Filing Annual Reports for X-Ray Components and Systems ,   Declaration for Imported Electronic Products Subject to Radiation Control Standards ,   General Variance Application ,   Guidance for the Submission of Cabinet X-Ray System Reports Pursuant to 21 CFR 1020.40 ,   Guide for Preparing Product Reports for Lasers and Products Containing Lasers ,   Reporting Guide for Laser Light Shows and Displays ,   Guide for Preparing Product Reports on Sunlamps and Sunlamp Products ,   TV Annual Report ,   Mercury Vapor Lamp Products Radiation Safety Report ,   Guide for Preparing Product Reports for Ultrasonic Therapy Products ,   TV Product Report ,   Guidance for Preparing Reports on Radiation Safety of Microwave Ovens ,   Guide for Preparing Initial Reports and Model Change Reports on Medical Ultraviolet Lamps and Products Containing Such Lamps ,   General Abbreviated Report ,   A Guide for the Submission of an Abbreviated Report on X-Ray Tables, Cradles, Film Changers or Cassette Holders Intended for Diagnostic Use
Recordkeeping for Electronic Products
Third party disclosure for Electronic Products

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $3,209,160

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/06/2020

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