Information Collection Request

Orphan Drugs

ICR 202504-0910-005 · OMB 0910-0167 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FDA 4035 FDA Orphan Drug Designation Request Form Form and Instruction Modified Available
83C_0167_Executive Order 14168_Form FDA 4035.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-15 Available
83C_0167_Executive Order 14168_Form FDA 4035.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-15 Available
0167 Orphan Drugs Part 316 SSA 2023.docx Supporting Statement A Uploaded 2023-12-19 Available
0167 Orphan Drugs Part 316 SSA 2023.docx Supporting Statement A Uploaded 2023-12-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
5770 Orphan Drug Requirements Form and Instruction ModifiedFDA Orphan Drug Designation Request Form
5770 Orphan Drug Requirements Other-Guidance Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2027 01/31/2027 01/31/2027
5,613 0 5,613
174,289 0 174,289
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Orphan Drug Requirements FDA 4035

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,613 5,613 0 0 0 0
Annual Time Burden (Hours) 174,289 174,289 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No