Information Collection Request
Certification of Identity for Freedom of Information and Privacy Act Requests
ICR 202210-0910-005 · OMB 0910-0832 · Received in OIRA
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Supporting Statement A | 2023-04-28 |
Form FDA 3975 Certification of Identity; Form FDA 3975
0832 SSA 2023 4-28-23clean.docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 226535 | Modified |
Certification of Identity; Form FDA 3975ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/FDA |
| OMB Control No | 0910-0832 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202005-0910-001 |
| Agency Tracking No | ORA |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |