FDA 3602 2019-2026 free printable template

1001 and other applicable federal statutes. Signature of person making this Small Business Certification Request must be signed by the person identified in item Date of this Small Business Certification Request MM/DD/YYYY FORM FDA 3602 8/18 Page 1 of 2 EF a. Name of Affiliate b. Taxpayer ID Number c. Gross Receipts or Sales Total Gross Receipts or Sales of All Affiliates sum of lines 1 through 15 sum of lines 16 and 17 PRIVACY ACT NOTICE This notice is provided pursuant to the Privacy Act of...

How to fill out form fda 3602

How to fill out FDA 3602

1. Obtain a blank FDA Form 3602 from the FDA website or relevant agency.
2. Fill in the applicant information including name, address, and contact details in the designated fields.
3. Provide a detailed description of the product to be registered, including its intended use, physical characteristics, and any relevant regulatory classifications.
4. Complete any applicable sections related to manufacturing and quality control, including details of the manufacturing site and processes.
5. If applicable, include information on prior approvals or submissions related to the product.
6. Review all entered information for accuracy and completeness to ensure compliance with FDA requirements.
7. Sign and date the form where indicated to certify that all information provided is correct.
8. Submit the completed FDA Form 3602 to the appropriate FDA office as instructed.

Who needs FDA 3602?

1. Individuals or companies that are manufacturing, distributing, or selling products regulated by the FDA, particularly those requiring registration or notification.
2. Businesses seeking to market medical devices, food products, or pharmaceutical products that fall under FDA jurisdiction.

People Also Ask about fda 3602a

Is there a fee for pre submission to the FDA?

It takes approximately 60-70 days to receive a written FDA response to a pre-submission. There are no fees to submit.

What is 3674?

Form FDA 3674 - Certifications To Accompany Drug, Biological Product, and Device Applications/Submissions.

How much does PMA cost?

Standard FDA medical device user fees for 2022 Application TypeFYE 2022 (USD)FYE 2021 (USD)PMA374,858365,657De Novo112,457109,697Panel-track Supplement281,143274,243180-day Supplement56,22954,8495 more rows

What is FDA user fee?

What are user fees? The FDA collects fees from companies that produce certain products, such as drugs and medical devices, and from some other entities, such as certain accreditation and certification bodies.

What is a FDA Form 3674?

Form FDA 3674--certifications to accompany drug, biological product, and device applications/submissions: guidance for sponsors, industry, researchers, investigators, and food and drug administration staff.

What is the OMB number 0910 0508?

OMB Control Number 0910-0508—Extension This information collection helps support implementation of the Medical Device User Fee and Modernization Act of 2002 (MDUFMA) (Pub. L. 107-250) and FDA's Medical Device User Fee program.

What is the phone number for the FDA small business?

Please contact the nearest ORA district office listed in the ORA Directory or contact FDA Headquarters at 1-888-INFO-FDA (1-888-463-6332 ).

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What is FDA 3602?

FDA 3602 is a form used by the FDA to collect information about medical devices and drugs' post-market safety and effectiveness as part of the FDA's monitoring and regulation activities.

Who is required to file FDA 3602?

Manufacturers and importers of medical devices and drugs are required to file FDA 3602 to report adverse events and other relevant safety information to the FDA.

How to fill out FDA 3602?

To fill out FDA 3602, follow the provided instructions on the form, ensuring that all required fields are completed with accurate and current information regarding the product, the event, and the submitter.

What is the purpose of FDA 3602?

The purpose of FDA 3602 is to facilitate the reporting of adverse events related to medical devices and drugs, thereby ensuring the ongoing safety and effectiveness of these products.

What information must be reported on FDA 3602?

FDA 3602 requires reporting information including the product details, incident description, patient demographics, and any actions taken regarding the product following the adverse event.