United States securities and exchange commission logo April 8, 2021 Brendan Brennan Chief Financial Officer ICON public limited company South County Business Park Leopardstown Dublin 18, Ireland Re: ICON public limited company Registration Statement on Form F-4 Filed March 31, 2021 File No. 333-254891 Dear Mr. Brennan: This is to advise you that we have not reviewed and will not review your registration statement. Please refer to Rules 460 and 461 regarding requests for acceleration. We remind you that the company and its management are responsible for the accuracy and adequacy of their disclosures, notwithstanding any review, comments, action or absence of action by the staff. Please contact Katherine Bagley at (202) 551-2545 with any questions. Sincerely, Division of Corporation Finance Office of Trade & Services cc: Ross Sturman