View Information Collection (IC)
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Agenda
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Premarket Notification Submissions
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
21 CFR 807, subpart E (807.81-807.100 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FDA 3881
Indications for Use
FDA-3881.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
FDA 3514
CDRH Premarket Review Submission Cover Sheet
FDA-3514.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
FDA 4062
electronic Submission Template and Resource (eSTAR)
eSTAR (static) FDA 4062.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
FDA 4078
IVD electronic Submission Template and Resource (eSTAR)
IVD eSTAR (static) FDA 4078.pdf
Yes
Yes
Fillable Fileable Signable
Other-guidance
Recognition of Standards and Withdrawal.docx
Yes
No
Printable Only
Other-guidance
RTA guidance.pdf
Yes
Yes
Printable Only
Other-eSTAR for summary test reports and data elements
0120_ASCA STR format.docx
Yes
Yes
Fillable Fileable Signable
Other-Agency Guidance
COVID-Transition-Enforcement-Guidance MARCH 2023.pdf
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:
3,800
Number of Respondents for Small Entity:
1,050
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
12,670
0
0
3,671
0
8,999
Annual IC Time Burden (Hours)
323,379
0
0
4,210
0
319,169
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.