Reportable Food (human and animal) Voluntary View

Electronic Submission of FDA Adverse Event Reports and Other Safety Information Using the Electronic Submission Gateway and the Safety Reporting Portal

⚠️ Notice: This information collection may be referencing outdated material.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
guidance 3-11-2010.doc Other-guidance
FDA 1932a Veterinary Adverse Drug Reaction, Lack of Effectiveness Form FDA 1932a 3-11-2010.pdf Form and Instruction

Information Collection (IC) Details

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

Is this a Common Form? No		IC Status: Removed

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-guidance			guidance 3-11-2010.doc		Yes	No	Printable Only
Form and Instruction	FDA 1932a	Veterinary Adverse Drug Reaction, Lack of Effectiveness or Product Defect Report	Form FDA 1932a 3-11-2010.pdf		Yes	No	Fillable Fileable

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 %

	Program Change Due to Agency Discretion	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.