Edit, Download, and Sign the MDUFMA User Fees Cover Sheet Instructions
Form
eSign
Add Annotation
Share Form
How do I fill this out?
Filling out the MDUFMA Cover Sheet is simple and can be done online. You will need specific information to complete the form. Follow the detailed instructions below to ensure accurate submission.

How to fill out the MDUFMA User Fees Cover Sheet Instructions?
1
Register online by providing required information such as EIN, DUNS, or Organization Number.
2
Complete the Medical Device User Fee Cover Sheet with application details.
3
Review the draft form before submission.
4
Click the SUBMIT button to obtain your user fee payment identification number.
5
Mail the completed Cover Sheet and payment to the specified address.
Who needs the MDUFMA User Fees Cover Sheet Instructions?
1
Manufacturers submitting a Medical Device Application to the FDA.
2
Organizations required to track fee payments and submissions.
3
Companies needing to comply with FDA regulations.
4
Foreign firms opting for DUNS numbers to register with the FDA.
5
Medical device companies looking for a streamlined submission process.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the MDUFMA User Fees Cover Sheet Instructions along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

Edit your MDUFMA User Fees Cover Sheet Instructions online.
You can edit the PDF directly on PrintFriendly before submission. Use our PDF editor to make any necessary changes or updates to the form fields. Save your edits for a finalized version ready for printing or electronic submission.

Add your legally-binding signature.
Signing your PDF on PrintFriendly is straightforward with our built-in tools. Add your digital signature to the designated field within the PDF editor. Confirm your signature to complete the signing process, ensuring the document is ready for official use.

Share your form instantly.
Share your completed PDF easily on PrintFriendly by using our sharing options. You can send the document via email or download it for sharing through other platforms. Our tool ensures your PDF is shareable in a secure and organized manner.
How do I edit the MDUFMA User Fees Cover Sheet Instructions online?
You can edit the PDF directly on PrintFriendly before submission. Use our PDF editor to make any necessary changes or updates to the form fields. Save your edits for a finalized version ready for printing or electronic submission.
1
Open the PDF in PrintFriendly's PDF editor.
2
Navigate to the fields you need to edit.
3
Make the necessary changes or updates.
4
Review your edits to ensure accuracy.
5
Save the edited document for final use.

What are the instructions for submitting this form?
To submit this form, complete the Medical Device User Fee Cover Sheet and print a copy. Mail the printed cover sheet along with your payment to: US Bank Lock Box, P.O. Box 956733, St. Louis, MO 63195-6733. For courier delivery, send to: US Bank, ATTN: Government Lockbox 956733, 1005 Convention Plaza, St. Louis, MO 63101. Contact the US Bank at 314-418-4821 for any questions about courier delivery. If using wire transfer, ensure all associated fees are covered and include the user fee payment identification number. Mail the application including a copy of the completed cover sheet as the first page to: U.S. Food and Drug Administration, Center for Devices and Radiological Health, Document Mail Center - WO66-G609, 10903 New Hampshire Avenue, Silver Spring, MD 20993-0002. Or to the FDA's Center for Biologics Evaluation and Research at 1401 Rockville Pike, Suite 200 N, HFM-99 (Document Control Room), Rockville, MD 20852-1448. My advice is to thoroughly review your form before submission to avoid any delays.
What is the purpose of this form?
The purpose of the MDUFMA User Fee Cover Sheet is to facilitate the submission of medical device applications to the FDA. This form ensures that all necessary information is collected for the FDA to track fee payments and review submissions efficiently. By completing this form accurately, manufacturers and organizations can streamline the application process and comply with regulatory requirements.

Tell me about this form and its components and fields line-by-line.

- 1. Employer Identification Number (EIN): A unique number assigned to U.S. firms for identification.
- 2. Dun & Bradstreet Number (DUNS): An optional identifier recommended for foreign firms.
- 3. Organization Number: Another identifier option for registration purposes.
- 4. Contact Name: The name of the person to be contacted.
- 5. Company Name: The name of the organization submitting the application.
- 6. Address: The location details of the organization.
- 7. City: The city where the organization is located.
- 8. State: The state where the organization is located.
- 9. Zip Code: The postal code for the organization's address.
- 10. Country: The country where the organization is based.
- 11. Telephone: The contact phone number for the organization.
- 12. Fax: The fax number for the organization.
- 13. E-mail: The contact email address for the organization.
What happens if I fail to submit this form?
Failure to submit this form can result in delays in application review and potential non-compliance with FDA regulations.
- Delayed Review: Your application will not be processed until the form is submitted.
- Regulatory Non-Compliance: Not submitting the form can result in non-compliance with FDA requirements.
- Tracking Issues: Failure to submit the form can make tracking fee payments and applications difficult.
How do I know when to use this form?

- 1. New Device Application: Submit this form when applying for a new medical device approval.
- 2. User Fee Payment: Complete the form to accompany your user fee payment.
- 3. Tracking Submissions: Use the form to track your submissions and fee payments.
Frequently Asked Questions
How do I fill out the MDUFMA Cover Sheet?
Register online, complete the form, review, and submit it.
What information do I need to provide?
EIN, DUNS, or Organization Number, along with company and contact information.
Can I edit the form after filling it out?
Yes, use PrintFriendly's PDF editor to make changes before submission.
How do I sign the PDF?
Add a digital signature using PrintFriendly's built-in signing tools.
Where do I send the completed form?
Mail it to the specified FDA address along with the payment.
Can I track my fee payment and submission?
Yes, use the user fee payment identification number provided.
What if I forget my user fee payment identification number?
Contact the FDA User Fees Financial Support Team for assistance.
How do I share the completed PDF?
Use PrintFriendly's sharing options to email or download the document.
Are there any fees for using PrintFriendly's services?
Check with PrintFriendly for any potential fees related to additional features.
Can I use PrintFriendly for other types of PDF forms?
Yes, PrintFriendly supports a variety of PDF forms for editing and sharing.
Related Documents - MDUFMA Cover Sheet

FDA Recall Audit Check Report Instructions
This file provides detailed instructions for completing the FDA Recall Audit Check Report. It includes information on recall details, program data, audit accounts, and consignee data. Useful for those involved in managing FDA recalls.

Assessment of Abuse Potential of Drugs Guidance for Industry
This document provides guidance for the assessment of abuse potential in drugs. It covers key decision points, recommended studies, and the process for NDA submission. This is crucial for ensuring drug safety and regulatory compliance.

Nurtec ODT Savings Program Terms & Conditions
This document provides detailed terms and conditions for the Nurtec ODT Savings Program. It includes eligibility criteria, instructions for pharmacists, and important disclaimers. Patients using the copay card should adhere to these guidelines to benefit from the program.

Maryland Board of Pharmacy Public Board Meeting Agenda
This file contains the agenda for the Maryland Board of Pharmacy's public board meeting on September 20, 2017. It includes reports from various committees and updates on operations, licensing, compliance, and more. The document is essential for stakeholders to keep track of board activities and decisions.

Abbreviations for Pharma Manufacturers
This file contains a list of manufacturers' abbreviations organized alphabetically, helping users to identify manufacturer names and their corresponding abbreviations.

Pharma-Lagom: Safe and Effective Medication Use
Pharma-Lagom is a comprehensive guide on the risks and benefits of medication use, aimed at promoting safe and effective medication practices. It includes contributions from experts in the Pharmacy Department of Kalaniketan Polytechnic College, Jabalpur. This document also covers recent events and achievements within the department.

Tata Steel Aspiring Engineers Program 2022 Application
This file includes details about Tata Steel's Aspiring Engineers Program 2022. It covers program details, eligibility criteria, and the application process. It also provides information on evaluation, guidelines, and submission deadlines.

Welding Procedure Specification (WPS) PDF Guide
This file is a Welding Procedure Specification (WPS) that provides detailed instructions for welding procedures, joint design, base metals, filler metals, and more. It includes sections for prequalified and qualified-by-testing procedures. This document is essential for ensuring weld quality and consistency.

California Intern Pharmacist Application Instructions
This document provides detailed instructions for applying for an Intern Pharmacist license in California. It covers processing time, required materials, and special cases for expedited review. Ensure all requirements are met to avoid application delays.

Botox Cosmetic Patient Medication Information
This file contains detailed information about Botox Cosmetic (onabotulinumtoxinA). It includes dosage, administration, warnings, precautions, and adverse reactions. The document is intended for healthcare professionals and patients.

Join the Kings Club and Save Instantly with a Kings Club Card
Apply for a Kings Club Card at any of our locations and start saving instantly. Fill out the form in-store or online to receive your card. Enjoy discounts and additional benefits with your Kings Club membership.

Application for Membership - Pharmacy Guild of Australia
This application form is for sole proprietors applying for membership with The Pharmacy Guild of Australia, Queensland Branch. Complete the form to become a member and be bound by the Guild's Constitution and Resolutions. Provide necessary details about your pharmacy and proprietorship.