OMB control number

Interstate Shellfish Dealer's Certificate

OMB 0910-0021 · HHS/FDA.

OMB 0910-0021

The information collected is used to compile, publish, and distribute a listing of approved sources of State and international certified shellfish dealers/shippers. Individual State food control officials and the food industry use the list to determine certified sources of shellfish. The information collection is also used to collect samples of shellfish along with associated sample metadata. We administer the collection in an effort to help prevent and suppress the spread of communicable diseases through shellfish, which pose a unique public health concern in that the safety of molluscan shellfish directly reflects the cleanliness of the waters where they are grown.

The latest form for Interstate Shellfish Dealer's Certificate expires 2028-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 3038 Interstate Shellfish Dealer's Certificate Form
Form Form FDA 3038 Submission of NSSP Compliance Documentation Form and Instruction
0021 Shellfish SSA June 2025 REV.docx Supporting Statement A
Interstate Shellfish Dealer's Certificate Form
Submission of Samples and Analytical Results
Submission of NSSP Compliance Documentation Form and Instruction

All Historical Document Collections

202408-0910-010	Revision of a currently approved collection	2025-06-26
202205-0910-007 Approved without change	Extension without change of a currently approved collection	2022-05-23
201903-0910-001 Approved without change	Revision of a currently approved collection	2019-04-24
201603-0910-002 Approved without change	Extension without change of a currently approved collection	2016-03-03
201303-0910-004 Approved without change	Extension without change of a currently approved collection	2013-03-25
201001-0910-003 Approved without change	Extension without change of a currently approved collection	2010-01-27
200610-0910-007 Approved without change	Extension without change of a currently approved collection	2006-10-20
200306-0910-002 Approved without change	Extension without change of a currently approved collection	2003-06-12
200006-0910-001 Approved without change	Revision of a currently approved collection	2000-06-01
199708-0910-001 Approved without change	Extension without change of a currently approved collection	1997-08-05
199405-0910-002 Approved without change	Reinstatement with change of a previously approved collection	1994-05-16
198409-0910-002 Approved without change	Reinstatement with change of a previously approved collection	1984-09-10
198107-0910-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-07-17
198004-0910-002 Approved without change	Extension without change of a currently approved collection	1980-04-07
197808-0910-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1978-08-01
197506-0910-002 Approved without change	Extension without change of a currently approved collection	1975-06-17

OMB Details

Interstate Shellfish Dealer's Certificate

Federal Enterprise Architecture: Health - Consumer Health and Safety

Form 3038	Interstate Shellfish Dealer’s Certificate	Fillable Fileable	Form
Form 3038 - p 2	Interstate Shellfish Dealer’s Certificate	Fillable Fileable	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.