OMB control number

Mammography Standards Quality Act Requirements

OMB 0910-0309 · HHS/FDA.

OMB 0910-0309

This information collection request supports agency rulemaking to update implementing regulations under the Mammography Quality Standards Act of 1992 (MQSA). The revisions are intended to incorporate current science and mammography best practices.

The latest form for Mammography Standards Quality Act Requirements expires 2026-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FDA 3422 Governmental Entity Declaration Form and Instruction
Mammography Standards Quality Act Requirements - Reporting Form and Instruction
Mammography Standards Quality Act Requirements - Reporting Form and Instruction
Mammography Standards Quality Act Requirements - Third-Party Disclosure
Mammography Standards Quality Act Requirements - Recordkeeping
MQSA Revisions Final Rule March 2023

All Historical Document Collections

202507-0910-007	Extension without change of a currently approved collection	2026-03-27
202303-0910-007 Approved without change	Revision of a currently approved collection	2023-03-13
202210-0910-009 Approved without change	Extension without change of a currently approved collection	2022-10-25
202009-0910-010 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-09-23
201907-0910-018 Approved without change	Extension without change of a currently approved collection	2019-09-09
201903-0910-026 Comment filed on proposed rule and continue	Revision of a currently approved collection	2019-03-30
201608-0910-006 Approved without change	Extension without change of a currently approved collection	2016-08-22
201307-0910-001 Approved without change	Extension without change of a currently approved collection	2013-07-03
201006-0910-002 Approved without change	Extension without change of a currently approved collection	2010-06-28
200703-0910-014 Approved without change	Revision of a currently approved collection	2007-03-23
200402-0910-003 Approved without change	Extension without change of a currently approved collection	2004-02-18
200010-0910-004 Approved without change	Extension without change of a currently approved collection	2000-10-31
199710-0910-005 Approved without change	Reinstatement with change of a previously approved collection	1997-10-28
199604-0910-001 Comment filed on proposed rule	Revision of a currently approved collection	1996-04-02
199506-0910-001 Approved without change	New collection (Request for a new OMB Control Number)	1995-06-27

OMB Details

Mammography Standards Quality Act Requirements

Federal Enterprise Architecture: Health - Consumer Health and Safety

Form FDA 3422

Governmental Entity Declaration

Fillable Fileable

Form and instruction

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