User Fee Payment Refund Request --Form FDA 3913

Electronic User Fee Payment Form Requests

OMB: 0910-0805

IC ID: 218309

Information Collection (IC) Details

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User Fee Payment Refund Request --Form FDA 3913
No New

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Form FDA 3913 User Fee Payment Refund Request Form_3913.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety


1,700 0
Private Sector Businesses or other for-profits
   95 %

  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 1,700 0 1,700 0 0 0
Annual IC Time Burden (Hours) 680 0 680 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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