Information Collection

3rd PARTY DISCLOSURE: Dissemination of required information by EUA holder or authorized stakeholder

IC 254792 under ICR 202504-0910-001 · OMB 0910-0595.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
21 USC 360bbb-3 FFDCA Section 564.pdf	Other-Statutory Authority - Authoriz
21 USC 360bbb-3 FFDCA Section 564.pdf	Other-Statutory Authority - Authoriz
21 USC 360bbb-3a FFDCA Section 564A.pdf	Other-Statutory Authority - Emergenc
21 USC 360bbb-3a FFDCA Section 564A.pdf	Other-Statutory Authority - Emergenc
21 USC 360bbb-3b FFDCA Section 564B.pdf	Other-Statutory Authority - Products
21 USC 360bbb-3b FFDCA Section 564B.pdf	Other-Statutory Authority - Products

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-Statutory Authority - Authorization for medical products for use in emergencies	Yes	Yes	Fillable Fileable
Other-Statutory Authority - Emergency use of medical products	Yes	Yes	Fillable Fileable
Other-Statutory Authority - Products held for emergency use	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 202

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	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	420	-850	1,270
Annual IC Time Burden (Hours)	2,100	-4,250	6,350
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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