Form 3674 pdf-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the 'Name of Sponsor/Applicant/Submitter' in the designated field. Ensure this matches exactly with the application.
  3. Input the 'Date of the Application/Submission' that this certification accompanies.
  4. Fill in the complete 'Address' including number, street, state, and ZIP code for accurate identification.
  5. Provide your 'Telephone and Fax Numbers' including area codes to facilitate communication.
  6. In the 'Product Information' section, specify all relevant names for drugs/biologics or devices as required.
  7. Select the appropriate 'Type of Application/Submission' by checking one of the boxes provided.
  8. If applicable, enter any previously assigned IND/NDA/ANDA/BLA/PMA/HDE/510(k)/PDP number in the corresponding field.
  9. Check one box under 'Certification Statement' based on your assessment regarding clinical trials referenced in your submission.
  10. If you checked Box C, provide any National Clinical Trial (NCT) numbers related to applicable clinical trials.
  11. Sign in the designated area and include your name and title below your signature.
  12. Complete your contact information again for verification purposes and provide the date of certification at the end.

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Form FDA 3674--certifications to accompany drug, biological product, and device applications/submissions: guidance for sponsors, industry, researchers, investigators, and food and drug administration staff.
Certificate of Compliance (CoC): It attests that the product complies with applicable laws, regulations, or industry standards, ensuring safety, quality, and environmental sustainability.
What are Financial Disclosure Forms? The purpose of a Financial Disclosure Form (FDF) is for the PI and Sub-Is to disclose any financial interests they may have in the outcome of the clinical trial.
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.
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.
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FDA may conduct an inspection of your operation for a variety of reasons, such as a routinely scheduled investigation, a survey, or a response to a reported problem. The investigator will present credentials and Notice of Inspection (FDA Form 482) upon arriving at your plant.

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