Reportable Food (human and animal) Mandatory View

Electronic Data Collection Using MedWatchPlus Portal and Rational Questionnaire--21 CFR 310.305, 314.80, 314.98, 514.80, 600.80, 1271.350 and Part 803

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0645 can be found here:

Documents and Forms

Document Name Document Type
0645 Mandatory pet screenshot 3-11-2010.doc Other-screenshots
guidance 3-11-2010.doc Other-guidance document
FDA 1932 Veterinary Adverse Drug Reaction, Lack of Effectiveness, FORM FDA 1932.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Reportable Food (human and animal) Mandatory View	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-screenshots			0645 Mandatory pet screenshot 3-11-2010.doc	Yes	Yes	Fillable Fileable
Other-guidance document			guidance 3-11-2010.doc	Yes	Yes	Fillable Fileable
Form and Instruction	FDA 1932	Veterinary Adverse Drug Reaction, Lack of Effectiveness, Product Defect Report	FORM FDA 1932.pdf	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	720	720
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.