Information Collection

Original Applications - ODG

IC 214357 under ICR 202011-0910-004 · OMB 0910-0616.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 3674 Certification of Compliance Original Applications - ODG	Form
Guidance.pdf	Other-Guidance
Guidance.pdf	Other-Guidance
FDA 3674 Certification of Compliance Form_3674.pdf	Form
FDA 3674 Certification of Compliance Form_3674.pdf	Form

IC Title:

Agency IC Tracking Number:

CBER

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FDA 3674				Yes	Yes	Fillable Fileable Signable
Other-Guidance					Yes	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,036

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: 70 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,036	1,036
Annual IC Time Burden (Hours)	-777	777
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].