Information Collection

Screening and survey - Regulatory Science and Innovation B12 Pediatric Device

IC 258779 under ICR 202301-0910-016 · OMB 0910-0912.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0912 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CERSI Online Survey Script 2-8-23.docx	Other-Online screener/survey script
CERSI Online Survey Script 2-8-23.docx	Other-Online screener/survey script
CERSI Phone Survey Script 2-8-23.docx	Other-Phone screener/survey script
CERSI Phone Survey Script 2-8-23.docx	Other-Phone screener/survey script
Medical Device Industry Profile.pdf	Other-Medical device industry profil
Medical Device Industry Profile.pdf	Other-Medical device industry profil

IC Title:

Screening and survey - Regulatory Science and Innovation B12 Pediatric Device

Agency IC Tracking Number:

CDRH

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online screener/survey script	CERSI Online Survey Script 2-8-23.docx	Yes	Yes	Fillable Fileable
Other-Phone screener/survey script	CERSI Phone Survey Script 2-8-23.docx	Yes	Yes	Fillable Fileable
Other-Medical device industry profile	Medical Device Industry Profile.pdf	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

Number of Respondents for Small Entity: 20

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	67	67
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.