Get Hhs Form Fda 3674 2024-2025

Filling out the HHS Form FDA 3674 online is an essential step for compliance with the requirements for the ClinicalTrials.gov Data Bank. This guide provides clear, step-by-step instructions tailored to help users navigate through each section with ease.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. In the sponsor/applicant/submitter information section, provide the full name of the sponsor, applicant, or submitter exactly as it appears on the relevant application or submission.
3. Enter the date of the application or submission in the appropriate field.
4. Fill in the complete address, including street address, city, state, and ZIP code of the sponsor/applicant/submitter, along with the telephone and fax numbers including the country code if applicable.
5. For product information, specify any and all available established names, proprietary and/or chemical names for drugs/biologics, or common/usual names and models for devices.
6. Identify the type of application or submission by checking the appropriate box and providing the associated number if previously assigned by the FDA.
7. Provide the serial number assigned to the application or submission if one exists; otherwise, leave this field blank.
8. In the certification section, check the appropriate box to indicate whether the requirements of the relevant statutes apply based on the clinical trial data included in the submission.
9. If you selected the applicable box, provide the National Clinical Trial numbers for the relevant clinical trials, ensuring you only enter the number itself.
10. Complete the certification section by including the name and title of the person signing the form, their contact information, and sign it in the designated area.
11. Finally, save your changes, download, print, or share the completed form as necessary.

Complete the HHS Form FDA 3674 online today to ensure compliance with regulatory requirements.