Information Collection

Companies providing information on 6-10 drug products

IC 179901 under ICR 200704-3084-003 · OMB 3084-0140.

Documents and Forms

Document Name Document Type
Brand Name Proposed Special Orders.pdf Other-Order to File Special Report
Generic Proposed Special Orders.pdf Other-Order to File Special Report
Authorized Generic Proposed Special Orders.pdf Other-Order to File Special Report
Sample spreadsheet to Brand Name Drug Companies.pdf Other-Sample spreadsheet to Brand Na
Sample spreadhseet to Generic Drug Companies.pdf Other-Sample spreadsheet to Generic
Sample spreadsheet to Authorized Generic Drug Companies.pdf Other-Sample spreadsheet to Authoriz

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Companies providing information on 6-10 drug products	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Sample spreadsheet to Authorized Generic Drug Companies	Sample spreadsheet to Authorized Generic Drug Companies.pdf	Yes	Yes	Fillable Fileable
Other-Order to File Special Report	Brand Name Proposed Special Orders.pdf	Yes	Yes	Fillable Fileable
Other-Order to File Special Report	Generic Proposed Special Orders.pdf	Yes	Yes	Fillable Fileable
Other-Order to File Special Report	Authorized Generic Proposed Special Orders.pdf	Yes	Yes	Fillable Fileable
Other-Sample spreadsheet to Brand Name Drug Companies	Sample spreadsheet to Brand Name Drug Companies.pdf	Yes	Yes	Fillable Fileable
Other-Sample spreadsheet to Generic Drug Companies	Sample spreadhseet to Generic Drug Companies.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	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 Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	4,600	4,600
Annual IC Cost Burden (Dollars)	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.