Information Collection

Requests for waiver

IC 200689 under ICR 201612-0910-006 · OMB 0910-0052.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0052 can be found here:

Documents and Forms

Document Name Document Type
Form 2830 Requests for waiver Form and Instruction
2830 Blood Establishment Registration and Product Listing FORM FDA 2830 1-21-15.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Requests for waiver	Agency IC Tracking Number:	CDER

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 607.22, 607.22(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2830	Blood Establishment Registration and Product Listing	FORM FDA 2830 1-21-15.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	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	Previously Approved
Annual Number of Responses for this IC	25	-141	166
Annual IC Time Burden (Hours)	25	-17	42
Annual IC Cost Burden (Dollars)	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.