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De Novo requests
De Novo Classification Process (Evaluation of Automatic Class III Designation)
OMB: 0910-0844
IC ID: 227824
OMB.report
HHS/FDA
OMB 0910-0844
ICR 202111-0910-009
IC 227824
( )
Documents and Forms
Document Name
Document Type
0844_Supporting Statement_2019.doc
Other-Guidance:De Novo Classificatio
0844_Supporting Statement_2019.doc
Other-Guidance:De Novo Classificatio
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
De Novo requests
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
21 CFR 860.210; 860.220
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Guidance:De Novo Classification Process (Evaluation of Automatic Class III Designation)
0844_Supporting Statement_2019.doc
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
68
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
68
11
0
0
0
57
Annual IC Time Burden (Hours)
12,376
2,116
0
0
0
10,260
Annual IC Cost Burden (Dollars)
0
-6,914
0
0
0
6,914
Documents for IC
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.