Information Collection

Consultation/Terminations of notifications

IC 218214 under ICR 202107-0910-010 · OMB 0910-0806.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0806 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3911 Consultation/Terminations of notifications	Form
3911 Drug Notification FDA FORM 3911.pdf	Form
3911 Drug Notification FDA FORM 3911.pdf	Form

IC Title:

Consultation/Terminations of notifications

Agency IC Tracking Number:

CDER

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

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	3911	Drug Notification	FDA FORM 3911.pdf		Yes	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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	500	-28,966	29,466
Annual IC Time Burden (Hours)	500	-5,393	5,893
Annual IC Cost Burden (Dollars)	0	0	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.