Information Collection Request
Certification of Identity for Freedom of Information and Privacy Act Requests
ICR 202210-0910-005 · OMB 0910-0832 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0910-0832 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form FDA 3975 Certification of Identity; Form FDA 3975 |
Form and Instruction | Modified | Repair queued |
 0832 SSA 2023 4-28-23clean.docx |
Supporting Statement A | Uploaded 2023-04-28 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 226535 |  Certification of Identity; Form FDA 3975 |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/FDA |
| OMB Control No | 0910-0832 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202005-0910-001 |
| Agency Tracking No | ORA |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |