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Applications, amendments, resubmissions using form FDA 3674
Certification to Accompany Drug, Biological Product, and Device Applications or Submissions
OMB: 0910-0616
IC ID: 183054
OMB.report
HHS/FDA
OMB 0910-0616
ICR 202011-0910-004
IC 183054
( )
Documents and Forms
Document Name
Document Type
0616 guidance.pdf
Other-Guidance
0616 guidance.pdf
Other-Guidance
FDA 3674 Certificate of Compliance Under 42 U.S.C. 282(j)(5)(B),
FDA 3674.pdf
Form and Instruction
FDA 3674 Certificate of Compliance Under 42 U.S.C. 282(j)(5)(B),
FDA 3674.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Applications, amendments, resubmissions using form FDA 3674
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FDA 3674
Certificate of Compliance Under 42 U.S.C. 282(j)(5)(B), with Requirements of ClinicalTrials.gov Data Bank
FDA 3674.pdf
Yes
Yes
Fillable Fileable Signable
Other-Guidance
0616 guidance.pdf
Yes
Yes
Printable Only
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:
17,409
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
80 %
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
17,409
0
0
15,359
0
2,050
Annual IC Time Burden (Hours)
5,976
0
0
5,464
0
512
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.