View Information Collection (IC)

View Information Collection (IC)

CDRH Export Certificate (FDA 3613, 3613a, 3613c)
No Modified
Required to Obtain or Retain Benefits

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FDA 3613 Supplementary Information Certificate to Foreign Government Requests FDA-3613.pdf Yes No Fillable Printable
Form and Instruction FDA 3613a Supplementary Information Certificdate of Exportability Requests FDA-3613a.pdf Yes No Fillable Printable
Form and Instruction FDA 3613c Supplementary Information Non-Clinical Research Use Only Certificate FDA-3613c.pdf Yes No Fillable Printable

Health Consumer Health and Safety


6,463 0
Private Sector Businesses or other for-profits
   0 %

  Requested 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 6,463 0 0 372 0 6,091
Annual IC Time Burden (Hours) 12,926 0 0 744 0 12,182
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.