Information Collection Request

Biological Products; General records and postmarket adverse experience reporting

ICR 202102-0910-007 · OMB 0910-0308 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3500A Biological products Reporting Form Modified Missing upstream
Form 3500A Biological products; Recordkeeping Form Modified Missing upstream
0308 BLAs VAERS SSA 2021 EXT.docx Supporting Statement A Uploaded 2021-03-14 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
5877 Biological products Reporting Form Modified
185787 Biological products; Recordkeeping Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 04/30/2021
715,490 620,462
5,914,355 5,732,514
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Biological products Reporting VAERS-1, 3500A MEDWATCH ,   Vaccine Adverse Event Reporting System
Biological products; Recordkeeping 3500A, VAERS-1 MEDWATCH ,   Vaccine Adverse Event Reporting System

table that charts list of burden
  Total Request 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 715,490 620,462 0 0 95,028 0
Annual Time Burden (Hours) 5,914,355 5,732,514 0 0 181,841 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No