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Orphan Drug Requirements
Orphan Drugs
OMB: 0910-0167
IC ID: 5770
OMB.report
HHS/FDA
OMB 0910-0167
ICR 202312-0910-005
IC 5770
( )
Documents and Forms
Document Name
Document Type
0167 Guidance-Meetings with OPD.pdf
Other-Guidance
0167 Guidance-Meetings with OPD.pdf
Other-Guidance
FDA 4035 FDA Orphan Drug Designation Request Form
0167 FDA-4035.pdf
Form and Instruction
FDA 4035 FDA Orphan Drug Designation Request Form
0167 FDA-4035.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Orphan Drug Requirements
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
21 CFR 316
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Guidance
0167 Guidance-Meetings with OPD.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
FDA 4035
FDA Orphan Drug Designation Request Form
0167 FDA-4035.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,039
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,613
0
0
1,036
0
4,577
Annual IC Time Burden (Hours)
174,289
0
0
50,616
0
123,673
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.