Information Collection

Pre-EUA submissions or amendments

IC 191140 under ICR 202504-0910-001 · OMB 0910-0595.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0910-0595_Guidance; Emergency Use Authorization of Medical Products and Related Authorities.pdf	Other-Guidance; Emergency Use Author
0910-0595_Guidance; Emergency Use Authorization of Medical Products and Related Authorities.pdf	Other-Guidance; Emergency Use Author
Pre-EUA-Interactive-Review-Template.pdf	Other-Submission Template
Pre-EUA-Interactive-Review-Template.pdf	Other-Submission Template
Surgical Masks EUA Template.pdf	Other-Submission Template - Surgical
Surgical Masks EUA Template.pdf	Other-Submission Template - Surgical
Ventilator EUA Interactive Review Template.pdf	Other-Submission Template
Ventilator EUA Interactive Review Template.pdf	Other-Submission Template
EUA-Antigen-Monkeypox-Template 2022.docx	Other-Agency Template
EUA-Antigen-Monkeypox-Template 2022.docx	Other-Agency Template
Summary-EUA-Antigen-Template-Monkeypox 2022.docx	Other-Submission Template
Summary-EUA-Antigen-Template-Monkeypox 2022.docx	Other-Submission Template
EUA_Template_Monkeypox.docx	Other-Submission Tmeplate
EUA_Template_Monkeypox.docx	Other-Submission Tmeplate
Summary_EUA_Template_Monkeypox (002).docx	Other-Submission Template
Summary_EUA_Template_Monkeypox (002).docx	Other-Submission Template

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Guidance; Emergency Use Authorization of Medical Products and Related Authorities	Yes	Yes	Printable Only
Other-Submission Template	Yes	Yes	Fillable Fileable
Other-Submission Template - Surgical Masks EUA	Yes	Yes	Fillable Fileable
Other-Submission Template	Yes	Yes	Fillable Fileable
Other-Agency Template	Yes	Yes	Fillable Fileable
Other-Submission Template	Yes	Yes	Fillable Fileable
Other-Submission Tmeplate	Yes	Yes	Fillable Fileable
Other-Submission Template	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	9	-1,992	2,001
Annual IC Time Burden (Hours)	306	-67,728	68,034
Annual IC Cost Burden (Dollars)	0	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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