FORM FDA 3674 Certification of Compliance Under 42 U S C 282(j)(5)(B), with Requirements of Clinical-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the Sponsor/Applicant/Submitter Information section. Enter your name, application date, and contact details including telephone and fax numbers.
  3. In the Product Information section, provide all relevant product names for drugs or devices, ensuring you include any established or proprietary names.
  4. Next, complete the Application/Submission Information section by selecting the type of application and entering any assigned numbers.
  5. In the Certification Statement section, check the appropriate box that reflects your compliance status regarding clinical trials.
  6. If applicable, provide National Clinical Trial (NCT) Numbers for any referenced clinical trials in the designated area.
  7. Finally, ensure to sign and date the form in the Certification Statement section before submitting it.

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The document outlines Form FDA 3454, a financial disclosure certification for clinical investigators as required by 21 CFR Part 54, which mandates the reporting of financial interests that may bias clinical study outcomes.
Though FDA Form 3674 has been required for nearly all data submitted to the FDA since December 2007, it is not nearly as well recognized. The form is a notification of compliance signifying that the trials have been correctly registered and documented on clinicaltrials.gov (CT.
Filing an IND requires completion of 3 sets of forms: 1 detailing the study (FDA Form 1571), 1 providing information about the investigator and study site (FDA Form 1572), and 1 docHubing that the study is registered in the national database of clinical trials (FDA Form 3674).
Form FDA 3454, or the Financial Certification or Disclosure Statement, is used to submit information regarding clinical investigators who participated in the clinical studies. If no clinical studies were performed, simply state: no clinical studies were performed to test this device.
All investigator-initiated clinical trials must register on ClinicalTrials.gov to comply with federal FDA requirements outlined in FDA 42 CFR 11 (Final Rule) and/or other federal agencies and departments policy or requirements. Studies that fall under multiple registration requirements only need to be registered once.

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Certificate of Compliance (CoC): It attests that the product complies with applicable laws, regulations, or industry standards, ensuring safety, quality, and environmental sustainability.

form 3674