Information Collection

Prescription Drug Marketing: Reporting

IC 43602 under ICR 202502-0910-009 · OMB 0910-0435.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3911 Prescription Drug Marketing: Reporting	Form
Form 3911 Drug Notification Prescription Drug Marketing: Reporting	Form
FDA-form-3911_instructions_04-05-2024.pdf www.fda.gov/about-fda/reports-manuals-forms/forms	Instruction
FDA-form-3911_instructions_04-05-2024.pdf www.fda.gov/about-fda/reports-manuals-forms/forms	Instruction
3911 Drug Notification FDA-3911_Dyn_Sec_Ext_04-09-2024.pdf www.fda.gov/about-fda/reports-manuals-forms/forms	Form
3911 Drug Notification FDA-3911_Dyn_Sec_Ext_04-09-2024.pdf www.fda.gov/about-fda/reports-manuals-forms/forms	Form

IC Title:

Agency IC Tracking Number:

CDER

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 203

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3911			https://www.fda.gov/about-fda/reports-manuals-forms/forms	Yes	Yes	Fillable Fileable
Instruction				https://www.fda.gov/about-fda/reports-manuals-forms/forms	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 140

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
	Approved	Previously Approved
Annual Number of Responses for this IC	8,323	8,323
Annual IC Time Burden (Hours)	2,080	2,080
Annual IC Cost Burden (Dollars)	0	0

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.

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