Screening and survey - Regulatory Science and Innovation B12 Pediatric Device

Yale-Mayo Clinic Centers of Excellence in Regulatory Science and Innovation B12 Pediatric Device Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0912 can be found here:

Documents and Forms

Document Name Document Type
CERSI Online Survey Script 2-8-23.docx Other-Online screener/survey script
CERSI Online Survey Script 2-8-23.docx Other-Online screener/survey script
CERSI Phone Survey Script 2-8-23.docx Other-Phone screener/survey script
CERSI Phone Survey Script 2-8-23.docx Other-Phone screener/survey script
Medical Device Industry Profile.pdf Other-Medical device industry profil
Medical Device Industry Profile.pdf Other-Medical device industry profil

Information Collection (IC) Details

IC Title:	Screening and survey - Regulatory Science and Innovation B12 Pediatric Device	Agency IC Tracking Number:	CDRH

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online screener/survey script	CERSI Online Survey Script 2-8-23.docx	Yes	Yes	Fillable Fileable
Other-Phone screener/survey script	CERSI Phone Survey Script 2-8-23.docx	Yes	Yes	Fillable Fileable
Other-Medical device industry profile	Medical Device Industry Profile.pdf	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 20

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	67	67
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.