Information Collection Request

Export Certificates for FDA Regulated Products under U.S.C. Sections 801(e) and 802

ICR 202009-0910-006 · OMB 0910-0498 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FDA 3613c Supplementary Information Non-Clinical Research Use Only Certificate Form and Instruction Unchanged Repair queued
Form FDA 3613b Supplementary Information Certificate of a Pharmaceutical Product Form and Instruction Unchanged Available
Form FDA 3613a Supplementary Information Certificate of Exportability Requests Form and Instruction Unchanged Available
Form FDA 3613 Supplementary Information Certificate to Foreign Government Requests Form and Instruction Unchanged Available
Form 3613f Request for Certificates of a Pharmaceutical Product for CDER Products Form and Instruction Unchanged Available
Form FDA 3613b SUPPLEMENTARY INFORMATION CERTIFICATE OF A PHARMACEUTICAL PRODUCT Form and Instruction Unchanged Available
Form FDA 3613a SUPPLEMENTARY INFORMATION CERTIFICATE OF EXPORTABILITY REQUESTS Form and Instruction Unchanged Available
Form FDA 3613 SUPPLEMENTARY INFORMATION CERTIFICATE TO FOREIGN GOVERNMENT REQUESTS Form and Instruction Unchanged Available
Form FDA 3613g SUPPLEMENTARY INFORMATION CERTIFICATE FOR DEVICE NOT EXPORTED FROM THE UNITED STATES REQUESTS Form and Instruction Modified Available
Form FDA 3613c Supplementary Information Non-Clinical Research Use Only Certificate Form and Instruction Modified Available
Form FDA 3613a Supplementary Information Certificate of Exportability Requests Form and Instruction Modified Available
Form FDA 3613 Supplementary Information Certificate to Foreign Government Requests Form and Instruction Modified Available
0498 Emergency Revision Request SEP 2020.docx Supplementary Document Uploaded 2020-09-16 Available
0498_Supporting Statement.doc Supporting Statement A Uploaded 2018-03-22 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6208 CBER Export Certificate (FDA 3613, 3613b, 3613c) Form and Instruction UnchangedSupplementary Information Non-Clinical Research Use Only Certificate
6208 CBER Export Certificate (FDA 3613, 3613b, 3613c) Form and Instruction UnchangedSupplementary Information Certificate of a Pharmaceutical Product
6208 CBER Export Certificate (FDA 3613, 3613b, 3613c) Form and Instruction UnchangedSupplementary Information Certificate of Exportability Requests
6208 CBER Export Certificate (FDA 3613, 3613b, 3613c) Form and Instruction UnchangedSupplementary Information Certificate to Foreign Government Requests
217014 CDER Export Certificate (FDA 3613f) Form and Instruction UnchangedRequest for Certificates of a Pharmaceutical Product for CDER Products
217014 CDER Export Certificate (FDA 3613f) Other-Screenshots of electronic submission of API Drug Unchanged
188597 CVM Export Certificate (FDA 3613, 3613b) Form and Instruction UnchangedSUPPLEMENTARY INFORMATION CERTIFICATE OF A PHARMACEUTICAL PRODUCT
188597 CVM Export Certificate (FDA 3613, 3613b) Form and Instruction UnchangedSUPPLEMENTARY INFORMATION CERTIFICATE OF EXPORTABILITY REQUESTS
188597 CVM Export Certificate (FDA 3613, 3613b) Form and Instruction UnchangedSUPPLEMENTARY INFORMATION CERTIFICATE TO FOREIGN GOVERNMENT REQUESTS
188596 CDRH Export Certificate (FDA 3613, 3613a, 3613c) Form and Instruction ModifiedSUPPLEMENTARY INFORMATION CERTIFICATE FOR DEVICE NOT EXPORTED FROM THE UNITED STATES REQUESTS
188596 CDRH Export Certificate (FDA 3613, 3613a, 3613c) Form and Instruction ModifiedSupplementary Information Non-Clinical Research Use Only Certificate
188596 CDRH Export Certificate (FDA 3613, 3613a, 3613c) Form and Instruction ModifiedSupplementary Information Certificate of Exportability Requests
188596 CDRH Export Certificate (FDA 3613, 3613a, 3613c) Form and Instruction ModifiedSupplementary Information Certificate to Foreign Government Requests

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2021 6 Months From Approved 04/30/2021
19,431 0 19,431
30,606 0 30,606
3,400,425 0 3,400,425





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
CBER Export Certificate (FDA 3613, 3613b, 3613c) FDA 3613, FDA 3613a, FDA 3613b, FDA 3613c ,   ,   ,  
CDER Export Certificate (FDA 3613f) 3613f
CDRH Export Certificate (FDA 3613, 3613a, 3613c) FDA 3613c, FDA 3613, FDA 3613a, FDA 3613g ,   ,   ,  
CVM Export Certificate (FDA 3613, 3613b) FDA 3613, FDA 3613a, FDA 3613b ,   ,  

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 19,431 19,431 0 0 0 0
Annual Time Burden (Hours) 30,606 30,606 0 0 0 0
Annual Cost Burden (Dollars) 3,400,425 3,400,425 0 0 0 0


Reginfo record details
  No