Information Collection Request

Biological Products; General records and postmarket adverse experience reporting

ICR 202303-0910-016 · OMB 0910-0308 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form VAERS-1 Vaccine Adverse Event Reporting System Form and Instruction Unchanged Available
Form 3500A MEDWATCH Form Unchanged Available
Form 3500A Biological products Reporting Form Unchanged Repair queued
Form VAERS-1 Vaccine Adverse Event Reporting System Form and Instruction Unchanged Available
Form 3500A MEDWATCH Form Unchanged Available
Form 3500A Biological products; Recordkeeping Form Unchanged Repair queued
83-C for 0308 to add Combo Product AER disclosure MARCH 2023.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-03-20 Available
83-C for 0308 to add Combo Product AER disclosure MARCH 2023.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-03-20 Repair queued
0308 BLAs VAERS SSA 2021 EXT.docx Supporting Statement A Uploaded 2021-03-14 Available
0308 BLAs VAERS SSA 2021 EXT.docx Supporting Statement A Uploaded 2021-03-14 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
5877 Biological products Reporting Form and Instruction UnchangedVaccine Adverse Event Reporting System
5877 Biological products Reporting Form UnchangedMEDWATCH
5877 Biological products Reporting Form Unchanged
259220 Postmarketing Safety Reporting for Combination Products New
185787 Biological products; Recordkeeping Form and Instruction UnchangedVaccine Adverse Event Reporting System
185787 Biological products; Recordkeeping Form UnchangedMEDWATCH
185787 Biological products; Recordkeeping Form Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2024 04/30/2024 04/30/2024
715,688 0 715,490
5,914,444 0 5,914,355
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Biological products Reporting 3500A, VAERS-1 ,  
Biological products; Recordkeeping 3500A, VAERS-1 ,  
Postmarketing Safety Reporting for Combination Products

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 715,688 715,490 0 0 198 0
Annual Time Burden (Hours) 5,914,444 5,914,355 0 0 89 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No