Information Collection

Orphan Drug Requirements

IC 5770 under ICR 202504-0910-005 · OMB 0910-0167.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 4035 FDA Orphan Drug Designation Request Form Orphan Drug Requirements	Form and Instruction
0167 Guidance-Meetings with OPD.pdf	Other-Guidance
0167 Guidance-Meetings with OPD.pdf	Other-Guidance
FDA 4035 FDA Orphan Drug Designation Request Form 0167 FDA-4035.pdf	Form and Instruction
FDA 4035 FDA Orphan Drug Designation Request Form 0167 FDA-4035.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 316

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
Other-Guidance					Yes	Yes	Fillable Fileable
Form and Instruction	FDA 4035				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,039

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	5,613	5,613
Annual IC Time Burden (Hours)	174,289	174,289
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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