CVM Export Certificate (FDA 3613, 3613b)

Export Certificates for FDA Regulated Products

OMB: 0910-0498

IC ID: 188597

Information Collection (IC) Details

View Information Collection (IC)

CVM Export Certificate (FDA 3613, 3613b)
 
No Modified
 
Required to Obtain or Retain Benefits
 
21 CFR 1.101

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FDA 3613 SUPPLEMENTARY INFORMATION CERTIFICATE TO FOREIGN GOVERNMENT REQUESTS Mock up to 3613_02_06_20 (1).pdf Yes Yes Fillable Fileable
Form and Instruction FDA 3613a SUPPLEMENTARY INFORMATION CERTIFICATE OF EXPORTABILITY REQUESTS Mock up to 3613a_02_06_20 _2.pdf Yes Yes Fillable Fileable
Form and Instruction FDA 3613b SUPPLEMENTARY INFORMATION CERTIFICATE OF A PHARMACEUTICAL PRODUCT Mock up to 3613b_02_06_20.pdf Yes Yes Fillable Fileable
Form and Instruction FDA 3613 Request for Certificate Supplementary Information FDA 3613 Export Certs Supplementary Information.pdf Yes Yes Fillable Fileable Signable

Health Consumer Health and Safety

 

1,925 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 1,925 0 0 0 0 1,925
Annual IC Time Burden (Hours) 1,925 0 0 0 0 1,925
Annual IC Cost Burden (Dollars) 336,875 0 0 0 0 336,875

Title Document Date Uploaded
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