View Information Collection (IC)
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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
Form FDA 3881_Indications for Use.log
Yes
Yes
Fillable Fileable
Form and Instruction
FDA 3514
CDRH Premarket Review Submission Cover Sheet
Form FDA 3514_CDRH PREMARKET REVIEW SUBMISSION COVER SHEET.log
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 and Withdrawal of Voluntary Consensus Standards
Guidance_Recognition and Withdrawal of Voluntary Consensus Standards.pdf
https://www.fda.gov/regulatory-information/search-fda-guidance-documents/recognition-and-withdrawal-voluntary-consensus-standards
Yes
No
Printable Only
Other-Guidance; Refuse to Accept Policy for 510(k)s
Guidance_Refuse to Accept Policy for 510(k)s.pdf
https://www.fda.gov/regulatory-information/search-fda-guidance-documents/refuse-accept-policy-510ks?utm_source=chatgpt.com
Yes
Yes
Printable Only
Other-eSTAR for summary test reports and data elements
0120_ASCA STR format.docx
Yes
Yes
Fillable Fileable Signable
Other-Guidance; Transition Plan for Medical Devices That Fall Within Enforcement Policies Issued During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency
Guidance_Transition Plan for Medical Devices That Fall Within Enforcement Policies Issued During the Coronavirus Disease 2019 - COVID-19 - Public Health Emergency.pdf
https://www.fda.gov/regulatory-information/search-fda-guidance-documents/transition-plan-medical-devices-fall-within-enforcement-policies-issued-during-coronavirus-disease
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:
16,295
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 %
Requested
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
16,295
0
0
3,625
0
12,670
Annual IC Time Burden (Hours)
469,183
0
0
145,804
0
323,379
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.
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