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Form Date Description Format Contact Info
3719  08/2015 Report of Inspection for Compliance with 21 CFR 589.2000 (CVM) (PDF)  (PDF - 1.8MB) Shannon Jordre
240-402-5607
3719-1  10/2009 Report of Inspection for Compliance with 21 CFR 589.2000 (CVM-1) (PDF)  (PDF - 563KB) Shannon Jordre
240-402-5607
3728  09/2017 Animal Generic Drug User Fee Cover Sheet (HTML)  (HTM - 0KB) Lisa Kable
240- 402-6888
3733  08/2016 Shell Egg Producer Registration (PDF)  (PDF - 724KB) Nancy Bufano
240-402-1493
3733  05/2010 Shell Egg Producer Registration (HTML)  (HTM - 0KB) Nancy Bufano
240-402-1493
3741  06/2016 Registration and Listing for Owners and Operators of Domestic Tobacco Product Establishments (PDF)  (PDF - 889KB) CTP
1-877-CTP-1373
(1-877-287-1373)
3741a  10/2016 Registration and Listing for Owners and Operators of Domestic Deemed Tobacco Product Establishments (PDF)  (PDF - 988KB) CTP
1-877-CTP-1373
(1-877-287-1373)
3742  11/2016 Listing of Ingredients in Tobacco Products (PDF)  (PDF - 1MB) CTP
1-877-CTP-1373
(1-877-287-1373)
3743  03/2017 Tobacco Health Document Submission (PDF)  (PDF - 830KB) CTP
1-877-CTP-1373
(1-877-287-1373)
3744  12/2016 Antimicrobial Animal Drug Distribution Report (PDF)  (PDF - 2.1MB) Sue Dessai
240-276-9075
3744  01/2018 Antimicrobial Animal Drug Distribution Report (HTML)  (HTM - 1KB) Sue Dessai
240-402-5761
3752  04/2013 Pre-Amendment Device Determination Request (PDF)  (PDF - 677KB) DPLC
301-796-5770
3757  06/2016 Menu and Vending Machine Labeling Voluntary Registration (PDF)  (PDF - 114KB) Ashley Rulffes
240-402-2820
3759  04/2011 Abbreviated Reports on Radiation Safety of Non Medical Ultrasonic Products (HTML)  (HTM - 0KB) DRH
301-796-5790
3759  08/2017 Abbreviated Reports on Radiation Safety of Non Medical Ultrasonic Products (PDF)  (PDF - 745KB) DRH
301-796-5790
3760  08/2017 Guide for Preparing Product Reports for Medical Ultrasound Products (PDF)  (PDF - 785KB) DRH
301-796-5790
3779  07/2014 Tobacco Product Violations Reporting (HTML)  (HTM - 0KB) CTP
1-877-CTP-1373
(1-877-287-1373)
3779  12/2017 Tobacco Product Violations Reporting (PDF)  (PDF - 1.2MB) CTP
1-877-CTP-1373
(1-877-287-1373)
3787a  07/2016 Cigarette Report (PDF)  (PDF - 1.5MB) CTP
1-877-CTP-1373
(1-877-287-1373)
3787b  07/2016 Smokeless Tobacco Product Report (PDF)  (PDF - 902KB) CTP
1-877-CTP-1373
(1-877-287-1373)
3787c  07/2016 Roll-Your-Own (RYO) Tobacco Products (PDF)  (PDF - 821KB) CTP
1-877-CTP-1373
(1-877-287-1373)
3787d  08/2013 Tobacco Product Identification Worksheet (HTML)  (HTM - 0KB) CTP
1-877-CTP-1373
(1-877-287-1373)
3787e  08/2013 Cigarette Smoke (ISO Regimen) Report Worksheet (HTML)  (HTM - 0KB) CTP
1-877-CTP-1373
(1-877-287-1373)
3787f  08/2013 Cigarette Smoke Report (Intense Regimen) Worksheet (HTML)  (HTM - 0KB) CTP
1-877-CTP-1373
(1-877-287-1373)
3787g  08/2013 Cigarette Smoke (Other Regimen) Report Worksheet (HTML)  (HTM - 0KB) CTP
1-877-CTP-1373
(1-877-287-1373)
3787h  08/2013 Cigarette Filler Report Worksheet (HTML)  (HTM - 0KB) CTP
1-877-CTP-1373
(1-877-287-1373)
3787i  08/2013 Smokeless Tobacco Product Report Worksheet (HTML)  (HTM - 0KB) CTP
1-877-CTP-1373
(1-877-287-1373)
3787j  08/2013 Roll-Your-Own Tobacco Product Report Worksheet (HTML)  (HTM - 0KB) CTP
1-877-CTP-1373
(1-877-287-1373)
3792  12/2015 Biosimilar User Fee Cover Sheet (HTML)  (HTM - 0KB) CDER Collections at 301.796.7900
3794  08/2013 Generic Drug User Fee Cover Sheet (Instructions)  (PDF - 650KB) CDER Collections at 301.796.7900

Page Last Updated: 03/23/2019
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