Information Collection

503A; Disclosure

IC 241793 under ICR 202512-0910-009 · OMB 0910-0800.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0800 can be found here:

Documents and Forms

Document Name Document Type
0800 503A final std MOU FDA Cleared.pdf Other-Memorandum of Understanding
0800 503A final std MOU FDA Cleared.pdf Other-Memorandum of Understanding
0800 503A GFI 2016.pdf Other-Agency Guidance Document
0800 503A GFI 2016.pdf Other-Agency Guidance Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	503A; Disclosure	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Memorandum of Understanding			0800 503A final std MOU FDA Cleared.pdf		Yes	Yes	Fillable Fileable
Other-Agency Guidance Document			0800 503A GFI 2016.pdf		No		Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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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