OMB control number

FDA Adverse Event and Products Experience Reports; Electronic Submissions

OMB 0910-0645 · HHS/FDA.

OMB 0910-0645

This ICR collects both mandatory and voluntary information regarding adverse events associated with FDA-regulated products that are submitted electronically using agency data-collection applications. Because the agency continues to move from a paper/manual submissions process for reporting adverse events to an electronic systems process, the scope of the ICR is limited to those product areas for which an electronic portal has been developed. Respondents include both manufacturers and distributors of FDA products, as well as individual consumers. The information collected enables FDA to identify potential public health threats and implement mitigation strategies as appropriate.

The latest form for FDA Adverse Event and Products Experience Reports; Electronic Submissions expires 2022-06-30 and is listed under ICR 202005-0910-005.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202109-0910-006 No material or nonsubstantive change to a currently approved collection 2021-09-14 Approved without change
202005-0910-005 No material or nonsubstantive change to a currently approved collection 2020-05-14 Approved without change
202001-0910-007 No material or nonsubstantive change to a currently approved collection 2020-01-15 Approved without change
201905-0910-008 Extension without change of a currently approved collection 2019-05-29 Approved without change
201904-0910-001 No material or nonsubstantive change to a currently approved collection 2019-04-02 Approved without change
201810-0910-001 No material or nonsubstantive change to a currently approved collection 2018-10-19 Approved without change
201602-0910-009 Revision of a currently approved collection 2016-02-29 Approved without change
201409-0910-012 No material or nonsubstantive change to a currently approved collection 2014-09-23 Approved without change
201310-0910-003 No material or nonsubstantive change to a currently approved collection 2013-10-28 Approved without change
201306-0910-005 No material or nonsubstantive change to a currently approved collection 2013-06-10 Approved without change
201302-0910-006 Revision of a currently approved collection 2013-02-26 Approved with change
201301-0910-009 Revision of a currently approved collection 2013-01-31 Improperly submitted and continue
201003-0910-004 No material or nonsubstantive change to a currently approved collection 2010-03-29 Approved without change
200906-0910-003 New collection (Request for a new OMB Control Number) 2009-06-19 Approved with change

OMB Details

Voluntary Adverse Event Reporting via the SRP (other than RFR reports)

Federal Enterprise Architecture: Health - Consumer Health and Safety