CDRH Export Certificate (FDA 3613, 3613a, 3613c and 3613g)

Export Certificates for FDA Regulated Products

OMB: 0910-0498

IC ID: 188596

Documents and Forms

Document Name Document Type
Form FDA 3613 CDRH Export Certificate (FDA 3613, 3613a, 3613c and 3613g) Form and Instruction
FDA 3613 Supplementary Information Certificate to Foreign Government Requests FDA-3613_Stat_Sec_Ext_04-25-24.pdf Form and Instruction
FDA 3613a Supplementary Information Certificate of Exportability Requests FDA-3613a_Stat_Sec_Ext_04-25-24.pdf Form and Instruction
FDA 3613c Supplementary Information Non-Clinical Research Use Only Certificate FDA-3613c_Stat_Sec_Ext_04-25-24.pdf Form and Instruction
FDA 3613g Certificate To Foreign Government For Device Not Exported From the United States Requests FDA-3613g_Stat_Sec_Ext_04-25-2024.pdf Form and Instruction