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Medical Product Reporting Network (MedSun)
Adverse Event Program for Medical Devices (Medical Product Safety Network (MedSun))
OMB: 0910-0471
IC ID: 37668
OMB.report
HHS/FDA
OMB 0910-0471
ICR 202005-0910-012
IC 37668
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0471 can be found here:
2023-06-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FDA 3670
Medical Product Reporting Network (MedSun)
Form and Instruction
FDA 3670 MedSun
FDA e-Form 3670 MedSun.pdf
medsun.fda.gov/FDA/
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Medical Product Reporting Network (MedSun)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Form and Instruction
FDA 3670
MedSun
FDA e-Form 3670 MedSun.pdf
https://medsun.fda.gov/FDA/
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:
300
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
99 %
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
5,400
0
0
1,650
0
3,750
Annual IC Time Burden (Hours)
2,700
0
0
-113
0
2,813
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.