Dietary supplements, food for special dietary use, infant formula, & medical foods

Food and Cosmetic Export Certificate Applications Process

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0793 can be found here:

Documents and Forms

Document Name Document Type
Form Form FDA 3613e Dietary supplements, food for special dietary use, infant formula, & medical foods Form
Form FDA 3613e Food Export Certificate Application Form FDA 3613e.pdf www.fda.gov/downloads/aboutfda/reportsmanualsforms/forms/ucm052399.pdf Form

Information Collection (IC) Details

IC Title:	Dietary supplements, food for special dietary use, infant formula, & medical foods	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form FDA 3613e	Food Export Certificate Application	Form FDA 3613e.pdf	http://www.fda.gov/downloads/aboutfda/reportsmanualsforms/forms/ucm052399.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,129	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,129	2,129
Annual IC Time Burden (Hours)	3,194	3,194
Annual IC Cost Burden (Dollars)	21,290	21,290

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.