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Initial Registration
Electronic Submission of Medical Device Registration and Listing
OMB: 0910-0625
IC ID: 202251
OMB.report
HHS/FDA
OMB 0910-0625
ICR 201201-0910-005
IC 202251
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0625 can be found here:
2022-06-29 - Extension without change of a currently approved collection
2021-05-25 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form FDA 3673
Initial Registration
Form
FDA 3673 3673
Form_FDA_3673 Screen shots.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Initial Registration
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FDA 3673
3673
Form_FDA_3673 Screen shots.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,162
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
99 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,162
0
0
2,162
0
0
Annual IC Time Burden (Hours)
1,081
0
0
1,081
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.