Certification of Identity for Freedom of Information and Privacy Act Requests

ICR 202210-0910-005

OMB: 0910-0832

Federal Form Document

Forms and Documents

Document Name	Status
Form FDA 3975 Certification of Identity; Form FDA 3975 Form and Instruction	Modified
0832 SSA 2023 4-28-23clean.docx Supporting Statement A	2023-04-28

IC Document Collections

IC ID	Document Title	Status
226535	Certification of Identity; Form FDA 3975 Form and Instruction	Modified