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And http://www.fda.gov/AboutFDA/AboutThisWebsite/WebsitePolicies/default.htm. FORM FDA 3852 (6/16). Page 1 of 3. PSC Publishing Services (301) ...
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How to fill out HHS FDA Form 3852

01
Obtain the HHS FDA Form 3852 from the FDA website or a designated office.
02
Fill in your personal information in the specified sections, including name, address, and contact details.
03
Provide details about the product you are submitting information on, including its name, description, and intended use.
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Answer any additional questions as required in the form, paying close attention to any instructions provided.
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Review your entries for accuracy and completeness to ensure all necessary fields are filled out.
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Sign and date the form in the required section to certify that the information provided is correct.
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Submit the completed form as instructed, either electronically or via mail, depending on the submission guidelines.

Who needs HHS FDA Form 3852?

01
Individuals or businesses that are submitting information or requesting approval for a product regulated by the FDA are required to fill out HHS FDA Form 3852.
02
Researchers and institutions seeking approval for clinical trials or studies related to FDA-regulated products also need to complete this form.
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HHS FDA Form 3852 is a form used by the U.S. Food and Drug Administration (FDA) to collect information regarding the manufacture and distribution of medical devices and to comply with regulations related to the Import/Export process.
Manufacturers, importers, and exporters of medical devices, as well as responsible parties in the distribution of these devices, are required to file HHS FDA Form 3852.
To fill out HHS FDA Form 3852, the filer must provide accurate information pertaining to the device, including the device's name, the registration number, and details regarding the manufacturer and distribution channels. It's important to follow the specific instructions provided by the FDA on the form.
The purpose of HHS FDA Form 3852 is to ensure that the FDA has accurate and complete information about medical devices to monitor safety and compliance with applicable laws and regulations.
Information that must be reported on HHS FDA Form 3852 includes the device description, manufacturer details, the country of origin, any applicable registration numbers, and specific questions regarding the device's compliance with safety regulations.
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