Form 3673 Device Registration & Listing Module

Device Registration and Listing Module

Form Number: FDA 3673

OMB Number: 0910- 0625

OMB Expiration Date: 03/31/2012

OMB Burden Statement:

Public reporting burden for this collection of information on Form 3673 is estimated to be 0.50 hours per response for the purpose of firms annually registering their establishment and 0.25 hours per response for the purpose of firms annually listing their devices. These estimates are based on FDA's experience, data from the device registration and listing database, and our estimates of the time needed to complete other previously required forms.

Send comments regarding this burden estimate or another aspect of this collection of information, including suggestions for reducing this burden to:

Department of Health and Human Services

Food and Drug Administration

Office of the Chief Information Officer

1350 Piccard Dr.
Rockville, Maryland 20850

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid Office of Management and Budget (OMB) control number.