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Annual Update of Changes to US Agent Information
Electronic Submission of Medical Device Registration and Listing
OMB: 0910-0625
IC ID: 202253
OMB.report
HHS/FDA
OMB 0910-0625
ICR 202206-0910-003
IC 202253
( )
Documents and Forms
Document Name
Document Type
Form FDA 3673
Annual Update of Changes to US Agent Information
Form
FDA 3673 FDA 3673
Form FDA 3673 Screen shots.doc
Form
FDA 3673 FDA 3673
Form FDA 3673 Screen shots.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Update of Changes to US Agent Information
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Mandatory
CFR Citation:
21 CFR 807.40
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FDA 3673
FDA 3673
Form FDA 3673 Screen shots.doc
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,615
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
99 %
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
0
0
0
-1,615
0
1,615
Annual IC Time Burden (Hours)
0
0
0
-808
0
808
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.