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Form Date Description Format Contact Info
1815  10/2015 Certificate/ Transmittal for an Application (PDF)  (PDF - 602KB) Esther Lazar
240-402-1485
1993  10/2015 Application for Permit to Ship or Transport Milk and/or Cream into US (PDF)  (PDF - 727KB) Esther Lazar
240-402-1485
1994  10/2015 Report of Tuberculin Tests of Cattle (PDF)  (PDF - 686KB) Esther Lazar
240-402-1485
1995  10/2015 Report of Physical Examination of Cows (PDF)  (PDF - 1.1MB) Esther Lazar
240-402-1485
1996  10/2015 Farm Inspection Report (PDF)  (PDF - 3MB) Esther Lazar
240-402-1485
1997  10/2015 Score Card for Sanitation Inspections of Milk Plants (PDF)  (PDF - 648KB) Esther Lazar
240-402-1485
2359  10/2011 Milk Plant Inspection Report (PDF)  (PDF - 449KB) Robert Hennes
240-402-2175
2359a  10/2011 Dairy Farm Inspection Report (PDF)  (PDF - 468KB) Robert Hennes
240-402-2175
2359b  10/2011 Milk Plant Equipment Tests Report (PDF)  (PDF - 387KB) Robert Hennes
240-402-2175
2359c  11/2015 Manufacturing Plant Inspection Report (PDF)  (PDF - 733KB) Robert Hennes
240-402-2175
2359d  11/2015 Report of Certification (PDF)  (PDF - 708KB) Robert Hennes
240-402-2175
2359e  11/2015 Status of Manufacturing Plants (PDF)  (PDF - 645KB) Robert Hennes
240-402-2175
2359f  11/2015 Audit Report of IMS Listed Single-Service Containers and/or Closures for Milk and/or Milk Products Manufacturers (PDF)  (PDF - 654KB) Robert Hennes
240-402-2175
2359h  10/2011 Interstate Milk Shipper Check-Rating Report (PDF)  (PDF - 589KB) Robert Hennes
240-402-2175
2359i  10/2013 Interstate Milk Shipper Report (PDF)  (PDF - 1.1MB) Robert Hennes
240-402-2175
2359j  10/2013 Milk Sanitation Rating Report (PDF)  (PDF - 738KB) Robert Hennes
240-402-2175
2359k  10/2013 Status of Raw Milk for Pasteurization (PDF)  (PDF - 1.2MB) Robert Hennes
240-402-2175
2359l  10/2011 Status of Milk Plants (PDF)  (PDF - 614KB) Robert Hennes
240-402-2175
2359m  10/2013 Milk Plant, Receiving Station or Transfer Station NCIMS HACPP System Audit Report (PDF)  (PDF - 745KB) Robert Hennes
240-402-2175
2359n  10/2013 NCIMS HACCP System Regulatory Agency Review Report (PDF)  (PDF - 570KB) Robert Hennes
240-402-2175
2359o  10/2013 Permission for Publication Interstate Milk Shipper’s Listing (PDF)  (PDF - 659KB) Robert Hennes
240-402-2175
2359p  10/2013 NCIMS Aseptic Processing and Packaging Program Critical Listing Elements (PDF)  (PDF - 649KB) Robert Hennes
240-402-2175
2399  10/2008 Dairy Plant Sampling - Raw & Pasteurized Milk (PDF)  (PDF - 571KB) Robert Hennes
240-402-2175
2399a  10/2011 Bulk Milk Hauler/Sampler Evaluation Report (PDF)  (PDF - 428KB) Robert Hennes
240-402-2175
2399b  10/2008 Milk Tank Truck Inspection Report (PDF)  (PDF - 427KB) Robert Hennes
240-402-2175
2399c  10/2011 Farm Bulk Tank Milk Sampling Inspection Record (PDF)  (PDF - 713KB) Robert Hennes
240-402-2175
2399d  10/2008 Dairy Plant - Milk Sample Collector Evaluation Record (PDF)  (PDF - 457KB) Robert Hennes
240-402-2175
2400  03/2001 Cultural Procedures - General Requirements (PDF)  (PDF - 8KB) William W. Northeimer, Ph.D.
708-924-0629
2400a  03/2001 Milk Laboratory Evaluation Form: Standard Plate Count, Coliform, and Simplified Count Methods (PDF)  (PDF - 8KB) William W. Northeimer, Ph.D.
708-924-0629
2400a-1  03/2001 Milk Laboratory Evaluation Form: Spiral Plate Count Methods (PDF)  (PDF - 85KB) William W. Northeimer, Ph.D.
708-924-0629
2400b-1  03/2001 MLEF Detection of Inhibitory Substances in Milk Bacillus Stearothermophilus (PDF)  (PDF - 8KB) William W. Northeimer, Ph.D.
708-924-0629
2400b-3  03/2001 MLEF Detection of Inhibitory Substances in Milk Delvotest 5 Pack (PDF)  (PDF - 8KB) William W. Northeimer, Ph.D.
708-924-0629
2400d  03/2001 MLEF Direct Microscopic Somatic Cell Count (PDF)  (PDF - 8KB) William W. Northeimer, Ph.D.
708-924-0629
2400h  03/2001 Optical Somatic Cell Count (PDF)  (PDF - 8KB) William W. Northeimer, Ph.D.
708-924-0629
2400h-1  03/2001 MLEF Electronic Somatic Cell Count Foss 250/300/360/400 (PDF)  (PDF - 8KB) William W. Northeimer, Ph.D.
708-924-0629
2400h-2  03/2001 MLEF Electronic Somatic Cell Count Bentley Somacount 150/300/500 (PDF)  (PDF - 8KB) William W. Northeimer, Ph.D.
708-924-0629
2400h-3  03/2001 MLEF Electronic Somatic Cell Count Fossmatic 5000 (PDF)  (PDF - 8KB) William W. Northeimer, Ph.D.
708-924-0629
2400i  03/2001 Pasteurized Milk Containers (PDF)  (PDF - 8KB) William W. Northeimer, Ph.D.
708-924-0629
2400j  03/2001 Phosphatase Test (PDF)  (PDF - 8KB) William W. Northeimer, Ph.D.
708-924-0629
2400k  03/2001 MLEF Flat Lid Methods (PDF)  (PDF - 68KB) William W. Northeimer, Ph.D.
708-924-0629
2400l  03/2001 MLEF Disintegration Method for Paper, etc. (PDF)  (PDF - 45KB) William W. Northeimer, Ph.D.
708-924-0629
2400m  03/2001 MLEF Dairy Waters (PDF)  (PDF - 8KB) William W. Northeimer, Ph.D.
708-924-0629
2400n  10/2013 Appendix N Bulk Milk Tanker Screening Procedures - General Requirements  (PDF - 720KB) William Northeimer, PhD
708-924-0629
2541  12/2010 Food Canning Registration (HTML)  (HTM - 0KB) LACF Coordinator
301/436-2411
2541  11/2014 Food Canning Registration (PDF)  (PDF - 671KB) LACF Coordinator
LACF@FDA.HHS.GOV
2541  06/2013 Food Canning Registration (Instructions-PDF)  (HTML - 0KB) LACF Coordinator
LACF@FDA.HHS.GOV
2541  06/2013 Food Canning Registration (Instructions-HTML)  (PDF - 1.4MB) LACF Coordinator
240-402-2411
2541d  01/2016 Food Process Filing For Low-Acid Retorted Method  (PDF - 1.1MB) LACF Coordinator
240-402-2411
2541e  01/2016 Food Process Filing For Acidified Method  (PDF - 1.1MB) LACF Coordinator
240-402-2411
2541f  01/2016 Food Process Filing For Water Activity/Formulation Control Method  (PDF - 1.1MB) LACF Coordinator
240-402-2411
2541g  01/2016 Food Process Filing For Low-Acid Aseptic Systems  (PDF - 934KB) LACF Coordinator
240-402-2411
2591  08/2001 Inspection Summary Equipment Evaluation (PDF)  (PDF - 378KB) Bruce Kummer
240-402-2142
3038  06/2013 Interstate Shellfish Dealer's Certificate {Not for public use, only for approved State shellfish officials to log into to set up a shellfish shipper user account to be able to fill out and submit the FDA 3038 electronically} (HTML)  (HTM - 0KB) Charlotte Epps
240-402-2154
3038  04/2016 Interstate Shellfish Dealer's Certificate (PDF)  (PDF - 660KB) Charlotte Epps
240-402-2154
3479  03/2016 Notification for a Food Contact Substance Formulation (PDF)  (PDF - 2.6MB) Elizabeth Furukawa
650-529-9908
3480  03/2016 Notification For New Use Of A Food Contact Substance (Instructions)  (PDF - 95KB) Elizabeth Furukawa
650-529-9908
3480  03/2016 Notification For New Use Of A Food Contact Substance (PDF)  (PDF - 311KB) Elizabeth Furukawa
650-529-9908
3480a  03/2016 Amendment to an Existing Food Contact Notification Pre-Notification Consultation Food Master File (Instructions)  (PDF - 64KB) Elizabeth Furukawa
650-529-9908
3480a  03/2016 Amendment to an Existing Food Contact Notification Pre-Notification Consultation Food Master File (PDF)  (PDF - 154KB) Elizabeth Furukawa
650-529-9908
3500  10/2015 MedWatch: The FDA Safety Information and Adverse Reporting Program (PDF)  (PDF - 3.5MB) MEDWATCH
1-800-FDA-1088
3500A  10/2015 MedWatch: The FDA Safety Information and Adverse Event Reporting Program - Mandatory (PDF)  (PDF - 2.7MB) MEDWATCH
1-800-FDA-1088
3502  01/2001 Importer Seafood HACCP Report (HTML)  (HTM - 0KB) Roshelle King
301-436-1416
3503  08/2014 Food Additive Petition Submission (PDF)  (PDF - 112KB) Berhane G. Girmay, Ph.D
240-402-1194
3503  08/2014 Food Additive Petition Submission (Instructions)  (PDF - 35KB) Berhane G. Girmay, Ph.D.
240-402-1194
3519  11/2015 FDA National Registry Report (PDF)  (PDF - 1.2MB) Stephen Hughes
240-402-2833
3520  11/2015 Release Record and Agreement - Permission to Publish in National Registry (PDF)  (PDF - 1.2MB) Stephen Hughes
240-402-2833
3537  02/2011 Food Facility Registration (HTML)  (HTM - 0KB) FDA Industry Systems Help Desk
800-216-7331
301-575-0156
3537  11/2014 Food Facility Registration (PDF)  (PDF - 1.8MB) FDA Industry Systems Help Desk
800-216-7331
301-575-0156
3537a  11/2008 Cancellation of Food Facility Registration (HTML)  (HTM - 0KB) FDA Industry Systems Help Desk
800-216-7331
301-575-0156
3537a  11/2014 Cancellation of Food Facility Registration (PDF)  (PDF - 665KB) Industry Systems Help Desk
800-216-7331
301-575-0156
3540  05/2007 Prior Notice Submission (HTML)  (HTM - 0KB) Prior Notice Center
866-521-2297
3570  01/2011 Model Small Business Nutrition Labeling Exemption Notice (HTML)  (HTM - 0KB) SBusiness
240-402-2375
3570  10/2014 Model Small Business Nutrition Labeling Exemption Notice (PDF)  (PDF - 1.7MB) Sbusiness
240-402-2375
3613d  06/2015 Office of Cosmetics and Colors “Certificate” (Exports) Application (PDF)  (PDF - 710KB) Export Team
3613d  03/2012 Office of Cosmetics and Colors “Certificate” Export Application (HTML)  (HTM - 0KB) Export Team
3613e  03/2012 Food Export Certificate Application (HTML)  (HTM - 0KB) Export Team
3613e  06/2015 Food Export Certificate Application (PDF)  (PDF - 727KB) Export Team
3665  05/2015 Final Consultation for Food Derived From a New Plant Variety (Biotechnology Final Consultation) (PDF)  (PDF - 96KB) Dr. Mary Ditto
240-402-1165
3665  05/2015 Final Consultation for Food Derived From a New Plant Variety (Instructions)  (PDF - 33KB) Dr. Mary Ditto
240-402-1165
3666  11/2015 Early Food Safety Evaluation of a New Protein Produced by a New Plant Variety (New Protein Consultation) (PDF)  (PDF - 93KB) Berhane G. Grimay
240-402-1194
3666  11/2015 Early Food Safety Evaluation of a New Protein Produced by a New Plant Variety New Protein Consultation (Instructions)  (PDF - 32KB) Berhane G. Grimay
240-402-1194
3667  05/2016 Generally Recognized as Safe (GRAS) Notice (Instructions)  (PDF - 32KB) Berhane G. Grimay
240-402-1194
3667  05/2016 Generally Recognized as Safe (GRAS) Notice (PDF)  (PDF - 137KB) Berhane G. Grimay
240-402-1194
3733  05/2010 Shell Egg Producer Registration (HTML)  (HTM - 0KB) Nancy Bufano
240-402-1493
3733  08/2014 Shell Egg Producer Registration (PDF)  (PDF - 722KB) Nancy Bufano
240-402-1493
3757  07/2010 Menu and Vending Machine Labeling Voluntary Registration (PDF)  (PDF - 73KB) Ashley Rulffes
240-402-2820
3799  06/2012 Publication Request (HTML)  (HTM - 0KB) Marion Allen
240-402-1584
3800  10/2014 FDA Safety Reporting Portal (HTML)  (HTM - 0KB) Debra Street
240-402-1817
3880  05/2015 Electronic Submission Gateway for New Dietary Ingredient Notification (NDIN) Submission (HTM)  (HTM - 0KB) Office of Dietary Supplement Programs
(855) 543-3784
240-402-2375
3907  03/2014 Food and Cosmetics Information Center (FCIC) Inquiry (HTML)  (HTM - 0KB) Deborah Price
240-402-1746

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