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Form Approved: OMB No. 09100025 Expiration Date: August 31, 2023FORM FDA 3662 (09/20) A Guide for the Submission of an Abbreviated Radiation Safety Report on Cephalometric Devices Intended for Diagnostic
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Access the FDA Form 3662 0920 either online or from a healthcare provider.
02
Read the instructions carefully before filling out the form.
03
Fill in all required fields accurately and legibly.
04
Provide all relevant information related to the medical device or product being reported.
05
Include any supporting documentation or additional information as requested.
06
Review the completed form for any errors or missing information.
07
Submit the form to the appropriate FDA office or department according to the instructions provided.
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03
Individuals or organizations reporting adverse events related to medical devices
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What is form fda 3662 0920?
Form FDA 3662 0920 is a form used by the Food and Drug Administration (FDA) to collect information on adverse events and product problems.
Who is required to file form fda 3662 0920?
Manufacturers, distributors, and importers of FDA-regulated products are required to file form FDA 3662 0920.
How to fill out form fda 3662 0920?
Form FDA 3662 0920 can be filled out online through the FDA's electronic submission system or submitted via mail or fax.
What is the purpose of form fda 3662 0920?
The purpose of form FDA 3662 0920 is to report adverse events and product problems associated with FDA-regulated products.
What information must be reported on form fda 3662 0920?
Information such as the name of the product, date of the event, description of the event, and contact information for the reporter must be reported on form FDA 3662 0920.
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