Information Collection

Withdrawal of de novo request

IC 227791 under ICR 202404-0910-004 · OMB 0910-0844.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0844_De Novo Classification Process (Evaluation of Automatic Class III Designation).pdf	Other-De Novo Classification Process
0844_Acceptance Review for De Novo Classification Requests.pdf	Other-Acceptance Review for De Novo
0844_Electronic Submission Template for Medical Device De Novo Requests.pdf	Other-Electronic Submission Template

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 21 CFR 860.250

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-De Novo Classification Process (Evaluation of Automatic Class III Designation)	0844_De Novo Classification Process (Evaluation of Automatic Class III Designation).pdf	Yes	No	Printable Only
Other-Acceptance Review for De Novo Classification Requests	0844_Acceptance Review for De Novo Classification Requests.pdf	Yes	No	Printable Only
Other-Electronic Submission Template for Medical Device De Novo Requests	0844_Electronic Submission Template for Medical Device De Novo Requests.pdf	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	5	5

Documents for IC

table that charts IC Documents
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.