Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
MDUFMA Small Business Qualification Certification (Form FDA 3602 and Form FDA 3602A))	Modified	5000	5000	0	Form and Instruction	FDA 3602	MDUFA Small Business Qualification and Certification (In the United States)
	Modified	5000	5000	0	Form and Instruction	FDA 3602A	MDUFA Small Business Qualification and Certification (Outside of United States)
Total burden requested under this ICR:		5000	5000	0
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