Information Collection

NDA Closeout Report

IC 279111 under ICR 202602-0925-003 · OMB unassigned.

Documents and Forms

Document Name Document Type
Form 1 Application NDA Closeout Report Form
1 Application NDA Data Access Closeout Report_121525.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NDA Closeout Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Form	1	Application	NDA Data Access Closeout Report_121525.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 941	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	941	941
Annual IC Time Burden (Hours)	471	471
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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