3663 Abbreviated Report for Microwave Products

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

FORM FDA 3663 (7/07)
Abbreviated Reports on Radiation Safety for
Microwave Products (Other than Microwave Ovens)

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 3663 (7/07)

FORM FDA 3663 (7/07)

FORM FDA 3663 (7/07)

FORM FDA 3663 (7/07)

FORM FDA 3663 (7/07)

FORM FDA 3663 (7/07)

FORM FDA 3663 (7/07)