Information Collection Request
Medical Device User Fee Cover Sheet and Device Facility User Fee Cover Sheet — Form FDA 3601 and Form 3601(a)
ICR 202303-0910-002 · OMB 0910-0511 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0910-0511 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
| Form | Unchanged | Available | |
| Form | Unchanged | Repair queued | |
| Form | Unchanged | Available | |
| Form | Unchanged | Missing upstream | |
| Justification for No Material/Nonsubstantive Change | Uploaded 2023-03-12 | Repair queued | |
| Justification for No Material/Nonsubstantive Change | Uploaded 2023-03-12 | Repair queued | |
| Supporting Statement A | Uploaded 2021-08-16 | Repair queued | |
| Supporting Statement A | Uploaded 2021-08-16 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 6227 | Form | Unchanged | ||
| 6227 | Form | Unchanged | ||
| 259088 | Other-Agency Guidance | New | ||
| 258930 | Other-Statutory Authority | New | ||
| 248796 | Form | Unchanged | ||
| 248796 | Form | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/FDA |
| OMB Control No | 0910-0511 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202107-0910-002 |
| Agency Tracking No | CDRH |
| Date Submitted to OIRA | 2023-03-13 |
| Requested Expiration Date | 1969-12-31 |