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Assurance Case Report (guidance section 6)
Safety Assurance Case
OMB: 0910-0766
IC ID: 211121
OMB.report
HHS/FDA
OMB 0910-0766
ICR 201404-0910-008
IC 211121
( )
Documents and Forms
Document Name
Document Type
Infusion Pump Guidance 3-6-14.doc
Other-Guidance
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Assurance Case Report (guidance section 6)
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
Other-Guidance
Infusion Pump Guidance 3-6-14.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
31
Number of Respondents for Small Entity:
7
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
31
0
31
0
0
0
Annual IC Time Burden (Hours)
3,472
0
3,472
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
