Information Collection Request

Medical Devices; Device Tracking

ICR 202312-0910-004 · OMB 0910-0442 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
0442 Device Tracking SSA 2023 EXT.docx Supporting Statement A Uploaded 2023-12-06 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
245903 Medical Device Tracking - Third-Party Disclosure Unchanged
245900 Medical Device Tracking - Recordkeeping Unchanged
245899 Medical Device Tracking - Reporting Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 03/31/2024
613,736 613,736
615,380 615,380
0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Medical Device Tracking - Recordkeeping
Medical Device Tracking - Reporting
Medical Device Tracking - Third-Party Disclosure

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 613,736 613,736 0 0 0 0
Annual Time Burden (Hours) 615,380 615,380 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No