Information Collection Request

Electronic Submission of Medical Device Registration and Listing

ICR 202206-0910-003 · OMB 0910-0625 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FDA 3673 Identification of initial importers by foreign establishments Form Removed Repair queued
Form FDA 3673 Annual Update of Listing Information Form Removed Repair queued
Form FDA 3673 Annual Update of Changes to US Agent Information Form Removed Available
Form FDA 3673 Initial Registration & Listing Form Removed Repair queued
Form FDA 3673 Registration & listing of devices: REPORTING Form Modified Repair queued
0625 Device Reg and Listing SSA 2022 Ext.docx Supporting Statement A Uploaded 2022-06-28 Repair queued
0625 Change Request to include 0852 GFI MAY 2021.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-05-24 Repair queued

IC Document Collections

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 06/30/2022
220,775 192,343
113,832 102,950
0 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 220,775 192,343 0 0 28,432 0
Annual Time Burden (Hours) 113,832 102,950 0 0 10,882 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No