3661 Abbreviated Report for X-Ray Tables, etc.

Reporting and Recordkeeping for Electronic Products - General Requirements

FDA_Form 3661 Abbreviated Report for X-Ray Tables, etc

Reporting for Electronic Products - General Requirements

OMB: 0910-0025

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Form Approved: OMB No. 0910-0025
Expiration Date: May 31, 2010

FORM FDA 3661 (7/07)
A Guide for the Submission of an Abbreviated Report on
X-ray Tables, Cradles, Film Changers or Cassette Holders
Intended for Diagnostic Use

Public reporting burden for this collection of information is estimated to average 5 hours per
response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to:
Food and Drug Administration
CDRH (HFZ-342)
2094 Gaither Road
Rockville, MD 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 OMB control number.

FORM FDA 3661 (7/07)

FORM FDA 3661 (7/07)

FORM FDA 3661 (7/07)

FORM FDA 3661 (7/07)

FORM FDA 3661 (7/07)

FORM FDA 3661 (7/07)

FORM FDA 3661 (7/07)


File Typeapplication/pdf
File TitleFDA-3661.indd
File Modified2007-07-10
File Created2007-07-10

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