Certification to Accompany Drug, Biological Product, and Device Applications or Submissions

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FDA 3674 Certification of Compliance	Form	Modified	Available
Form FDA 3674 Certification of Compliance	Form	Modified	Available
Form FDA 3674 Certification of Compliance	Form	Removed	Available
Form 3674 Certification of Compliance	Form	Removed	Available
Form FDA 3674 Certification of Compliance	Form	Removed	Available
Form FDA 3674 Certification of Compliance	Form	Removed	Available
Form FDA 3674 Certification of Complicance	Form	Removed	Available
Form FDA 3674 Certification of Compliance	Form	Removed	Available
Form FDA 3674 Certification of Compliance	Form	Modified	Available
Form FDA 3674 Certification of Compliance	Form	Modified	Available
Form FDA 3674 Certification of Compliance	Form	Modified	Available
Form FDA 3674 Certification of Compliance	Form	Modified	Repair queued
Form FDA 3674 Certification of Compliance	Form	Modified	Available
0616_Supporting Statement_Jan. 2018.docx	Supporting Statement A	Uploaded 2018-01-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
214358	BE Supplements/Amendments - ODG	Form	Modified	Certification of Compliance
214358	BE Supplements/Amendments - ODG	Other-Guidance	Modified
214357	Original Applications - ODG	Form	Modified	Certification of Compliance
214357	Original Applications - ODG	Other-Guidance	Modified
214356	New Marketing Applications (includes PMAs, HDEs, Supplements and 510(k)s expected to contain clinical data)	Form	Removed	Certification of Compliance
214356	New Marketing Applications (includes PMAs, HDEs, Supplements and 510(k)s expected to contain clinical data)	Other-Guidance	Removed
214355	Efficacy Supplements/Resubmissions (BLA Only)	Form	Removed	Certification of Compliance
214355	Efficacy Supplements/Resubmissions (BLA Only)	Other-Guidance	Removed
214353	Clinical Amendments to Marketing Applications	Form	Removed	Certification of Compliance
214353	Clinical Amendments to Marketing Applications	Other-Guidance	Removed
199621	New Marketing Applications/Resubmissions (NDA/BLA)	Form	Removed	Certification of Compliance
199621	New Marketing Applications/Resubmissions (NDA/BLA)	Other-Guidance	Removed
199620	Clinical Protocol Amendments (IND)	Form	Removed	Certification of Complicance
199620	Clinical Protocol Amendments (IND)	Other-Guidance	Removed
199619	New Applications (IND)	Form	Removed	Certification of Compliance
199619	New Applications (IND)	Other-Guidance	Removed
199618	Efficacy Supplements/Resubmissions - CDER and CBER	Form	Modified	Certification of Compliance
199618	Efficacy Supplements/Resubmissions - CDER and CBER	Other-Guidance	Modified
199617	Clinical Amendments to Marketing Applications - CDER and CBER	Form	Modified	Certification of Compliance
199617	Clinical Amendments to Marketing Applications - CDER and CBER	Other-Guidance	Modified
199616	New Marketing Applications/Resubmissions - CDER, CBER and CDRH	Form	Modified	Certification of Compliance
199616	New Marketing Applications/Resubmissions - CDER, CBER and CDRH	Other-Guidance	Modified
183055	Clinical Protocol Amendments (IND) - CDER and CBER	Form	Modified	Certification of Compliance
183055	Clinical Protocol Amendments (IND) - CDER and CBER	Other-Guidance	Modified
183054	New Applications (IND) - CDER and CBER	Form	Modified	Certification of Compliance
183054	New Applications (IND) - CDER and CBER	Other-Guidance	Modified

ICR Details

OMB Control No: 0910-0616	ICR Reference No: 201801-0910-004
Status: Historical Active	Previous ICR Reference No: 201412-0910-013
Agency/Subagency: HHS/FDA	Agency Tracking No: CROSS CENTER
Title: Certification to Accompany Drug, Biological Product, and Device Applications or Submissions
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/27/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/23/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	36 Months From Approved	03/31/2018
Responses	21,427	0	20,712
Time Burden (Hours)	7,175	0	7,119
Cost Burden (Dollars)	0	0	0

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Abstract: This ICR collects information which will be submitted to FDA with new investigational and marketing applications/submissions and certain additional submissions to such applications for human drugs, biological products, and medical devices. It will be used by the FDA to confirm that sponsors/applicants/submitters have complied with the certification provisions in section 402(j)(5)(B) of the Public Health Service Act with regard to any applicable clinical trials referenced in the investigational or marketing applications/submissions with which the certification is submitted. FDA has developed Form FDA 3674 to facilitate the certification process for sponsors and provide FDA a means of correlating the clinical trials contained in the applications/submissions to FDA with the information contained in the ClinicalTrials.gov data bank.

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Authorizing Statute(s): US Code: 42 USC 282 Name of Law: Public Health Service Act
   PL: Pub.L. 110 - 85 VIII Name of Law: Food and Drug Administration Amendments Act of 2007
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 44417	09/22/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 1363	01/11/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
BE Supplements/Amendments - ODG	FDA 3674	Certification of Compliance
Clinical Amendments to Marketing Applications	FDA 3674	Certification of Compliance
Clinical Amendments to Marketing Applications - CDER and CBER	FDA 3674	Certification of Compliance
Clinical Protocol Amendments (IND)	FDA 3674	Certification of Complicance
Clinical Protocol Amendments (IND) - CDER and CBER	FDA 3674	Certification of Compliance
Efficacy Supplements/Resubmissions (BLA Only)	3674	Certification of Compliance
Efficacy Supplements/Resubmissions - CDER and CBER	FDA 3674	Certification of Compliance
New Applications (IND)	FDA 3674	Certification of Compliance
New Applications (IND) - CDER and CBER	FDA 3674	Certification of Compliance
New Marketing Applications (includes PMAs, HDEs, Supplements and 510(k)s expected to contain clinical data)	FDA 3674	Certification of Compliance
New Marketing Applications/Resubmissions (NDA/BLA)	FDA 3674	Certification of Compliance
New Marketing Applications/Resubmissions - CDER, CBER and CDRH	FDA 3674	Certification of Compliance
Original Applications - ODG	FDA 3674	Certification of Compliance

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	21,427	20,712	0	0	715	0
Annual Time Burden (Hours)	7,175	7,119	0	0	56	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/23/2018

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