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Public Health Authorities; request for EUA dispensing order
Authorization of Medical Products for Use Emergencies
OMB: 0910-0595
IC ID: 191143
OMB.report
HHS/FDA
OMB 0910-0595
ICR 202405-0910-004
IC 191143
( )
Documents and Forms
Document Name
Document Type
0595_Guidance_2019.pdf
Other-Guidance
0595_Guidance_2019.pdf
Other-Guidance
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Public Health Authorities; request for EUA dispensing order
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Guidance
0595_Guidance_2019.pdf
Yes
Yes
Printable Only
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:
1
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
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
1
0
0
0
0
1
Annual IC Time Burden (Hours)
2
0
0
0
0
2
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.