User Fee Payment Transfer Request--Form FDA 3914

Electronic User Fee Payment Form Requests

OMB: 0910-0805

IC ID: 218311

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User Fee Payment Transfer Request--Form FDA 3914
No Modified

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Form FDA 3914 Transfer Request Transfer_Request_Form FDA 3914.pdf Yes Yes Fillable Fileable Signable

Health Consumer Health and Safety


194 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 194 0 0 -677 0 871
Annual IC Time Burden (Hours) 49 0 0 -169 0 218
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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