STATEMENT OF INVESTIGATOR

ICR 197705-0910-007

OMB: 0910-0013

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
109311 Migrated
ICR Details
0910-0013 197705-0910-007
Historical Active
HHS/FDA
STATEMENT OF INVESTIGATOR
Extension without change of a currently approved collection   No
Regular
Approved without change 05/26/1977
Retrieve Notice of Action (NOA) 05/23/1977
  Inventory as of this Action Requested Previously Approved
05/31/1982 05/31/1982
700 0 0
2,800 0 0
0 0 0

ONE OF THE CRITERIA FOR GRANTING AN INVESTIGATIONAL NEW DRUG EXEMPTION IS THAT THE INVESTIGATOR BE QUALIFIED TO PERFORM THE INVESTIGATION. THE FORM SHOWS THE QUALIFICATIONS OF THE INVESTIGATOR AND MUST BE ON FILE WITH THE SPONSOR OR BE SUBMITTED TO FDA.

None
None


No

1
IC Title Form No. Form Name
STATEMENT OF INVESTIGATOR FD1573

  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 700 0 0 0 700 0
Annual Time Burden (Hours) 2,800 0 0 0 2,800 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/23/1977


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