Information Collection

Biosimilar User Fee Cover Sheet (Form FDA 3792) & Annual Survey

IC 202806 under ICR 202112-0910-007 · OMB 0910-0718.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0718 can be found here:

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Information Collection (IC) Details

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IC Title:	Biosimilar User Fee Cover Sheet (Form FDA 3792) & Annual Survey	Agency IC Tracking Number:	CDER

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	120	43	77
Annual IC Time Burden (Hours)	90	33	57
Annual IC Cost Burden (Dollars)	0	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.