Information Collection Request

Medical Devices; Reports of Corrections and Removals

ICR 202309-0910-003 · OMB 0910-0359 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form e-Form/Link Device corrections and removals Form and Instruction Modified Repair queued
0359 Corrections and Removals adding form SSA 2023 REV.docx Supporting Statement A Uploaded 2023-09-01 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
5979 Device corrections and removals Form and Instruction Modified
243391 eSubmitter participants Other-eSubmitter screenshots Unchanged
243390 Combination product reports and recordkeeping Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 10/31/2023
1,686 1,686
13,115 13,115
25,850 25,850





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Combination product reports and recordkeeping
Device corrections and removals e-Form/Link Device Correction/Removal Report
eSubmitter participants

table that charts list of burden
  Total Request 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 1,686 1,686 0 0 0 0
Annual Time Burden (Hours) 13,115 13,115 0 0 0 0
Annual Cost Burden (Dollars) 25,850 25,850 0 0 0 0


Reginfo record details
  No