Annual Update of Changes to US Agent Information

Electronic Submission of Medical Device Registration and Listing

OMB: 0910-0625

IC ID: 202253

Information Collection (IC) Details

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Annual Update of Changes to US Agent Information
No Unchanged
21 CFR 807.40

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FDA 3673 FDA 3673 Form FDA 3673 Screen shots.doc Yes Yes Fillable Fileable Signable

Health Consumer Health and Safety


1,615 0
Private Sector Businesses or other for-profits
   99 %

  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 1,615 0 0 0 0 1,615
Annual IC Time Burden (Hours) 808 0 0 0 0 808
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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