Form FDA 3673 FDA 3673 FDA 3673

Device Registration and Listing Module
Form Number: FDA 3673
OMB Number: 0910-0625
OMB Expiration Date: xx/xx/20xx
OMB Burden Statement:

Public reporting burden for this collection of information on form FDA 3673 is estimated to be 0.50 hours per response for the
purpose of firms annually registering their establishment and 0.50 hours per response for the purpose of firms annually listing
their devices. These estimates are based on FDA's experience, data from the device registration and listing database, and our
estimates of the time needed to complete other previously required forms.
Send comments regarding this burden estimate or another aspect of this collection of information, including suggestions for
reducing this burden to:
FDA PRA Staff,
Three White Flint North, 10A-12M
11601 Landsdown St.
North Bethesda, MD 20852
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a
currently valid Office of Management and Budget (OMB) control number.