Information Collection

Reporting annual summaries under Right to Try Act

IC 242949 under ICR 202210-0910-018 · OMB 0910-0893.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 5023 Reporting annual summaries under Right to Try Act	Form and Instruction
FDA 5023 Right-to-Try Annual Reporting 0893 Form FDA 5023 Right to Try Annual Summary.pdf	Form and Instruction
FDA 5023 Right-to-Try Annual Reporting 0893 Form FDA 5023 Right to Try Annual Summary.pdf	Form and Instruction

IC Title:

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 300.200

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 and Instruction	FDA 5023	Right-to-Try Annual Reporting	0893 Form FDA 5023 Right to Try Annual Summary.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6

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	Previously Approved
Annual Number of Responses for this IC	6	6
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	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.