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Reporting of Product Deviations by Licensed Manufacturers, Unlicensed Registered Blood Establishments, and Transfusion Services
Reporting of Biological Product Deviations and Human Cells, Tissues, and Cellular and Tissue-Based Product Deviations in Manufacturing
OMB: 0910-0458
IC ID: 178970
OMB.report
HHS/FDA
OMB 0910-0458
ICR 202301-0910-014
IC 178970
( )
Documents and Forms
Document Name
Document Type
Form FDA 3486
Reporting of Product Deviations by Licensed Manufacturers, Unlicensed Registered Blood Establishments, and Transfusion Services
Form and Instruction
FDA 3486 Biological Product Deviation Report
FDA 3486 3-12-20 Secured.pdf
Form and Instruction
FDA 3486 Biological Product Deviation Report
FDA 3486 3-12-20 Secured.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Reporting of Product Deviations by Licensed Manufacturers, Unlicensed Registered Blood Establishments, and Transfusion Services
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
21 CFR 606.171
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FDA 3486
Biological Product Deviation Report
FDA 3486 3-12-20 Secured.pdf
Yes
Yes
Fillable Fileable
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:
2,008
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
95 %
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
13,821
0
0
-32,371
0
46,192
Annual IC Time Burden (Hours)
27,642
0
0
-64,742
0
92,384
Annual IC Cost Burden (Dollars)
0
0
0
-4,157,280
0
4,157,280
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.