Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
54.4(b)--Clinical Investigators Third Party Disclosure Modified 7106 1208 0
Certification--54.4(a)(1) and (a)(2)--Form FDA 3454 Modified 1000 1000 0 Form 3454 FDA Form 3454
Disclosure--54.4(a)(3)--Form FDA 3455 Modified 100 500 0 Form 3455 FDA Form 3455
Recordkeeping--54.6 Modified 1000 250 0
Total burden requested under this ICR: 9206 2958 0  
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