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Form Date Description Format Contact Info
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  02/2016 Generic Drug 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
3799  06/2012 Publication Request (HTML)  (HTM - 0KB) Marion Allen
240-402-1584
3800  10/2014 FDA Safety Reporting Portal (HTML)  (HTM - 0KB) MEDWATCH
1-800-FDA-1088
3801  06/2014 Guide for Preparing Initial Reports and Model Change Reports on Medical Ultraviolet Lamps and Products Containing Such Lamps (PDF)  (PDF - 1010KB) DRH
301-796-5790
3852  06/2016 Report of Tobacco Product Removals Subject to Tax for Tobacco Product User Fee Assessments  (PDF - 1.1MB) CTP
1-877-CTP-1373
(1-877-287-1373)
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
3881  07/2017 Indications for Use (PDF) **Note: For best form functionality, Right-click 3881 link and click Save Link As… to save to your desktop and then open the file**  (PDF - 1.7MB) Diane Garcia
301-796-6559
3882  08/2014 FDA Scientific Achievement Awards Nomination Package (PDF)  (PDF - 2.1MB) Devin Thomas
240- 402-5263
3890  05/2014 PETNet (HTML)  (HTM - 0KB) Jenny Murphy
240-453-6845
3891  05/2014 Livestock Net (HTML)  (HTM - 0KB) Jenny Murphy
240-453-6845
3906  12/2013 Publication Request CFSAN (PDF)  (HTM - 0KB) CFSAN Publicaiotns
1-888-723-3366
3907  03/2014 Food and Cosmetics Information Center (FCIC) Inquiry (HTML)  (HTM - 0KB) Deborah Price
240-402-1746
3908  09/2016 Outsourcing Facilities for Human Drug Compounding Small Business Establishment Fee Reduction Request (PDF)  (PDF - 1.7MB) CDER Collections
3911  05/2017 Drug Notification to FDA (PDF) **Note: For best form functionality, Right-click 3911 link and click Save Link As… to save to your desktop and then open the file. (Recommended for use with Adobe Acrobat or Pro)**  (PDF - 2.1MB) Drug Notifications
3911  05/2017 Drug Notification to FDA (Instructions Supplement)  (PDF - 162KB) Drug Notifications
3913  09/2013 User Fee Payment Refund Request (PDF)  (PDF - 2.1MB) CDER Collections at 301-796-7900
3914  12/2015 User Fee Payment Transfer Request (PDF)  (PDF - 2.1MB) CDER Collections at 301-796-7900
3926  03/2016 Individual Patient Expanded Access Investigational New Drug Application (IND) (instructions)  (PDF - 123KB) CDER Drug Info at 301-796-3400
3926  02/2016 Individual Patient Expanded Access Investigational New Drug Application (IND) (PDF)**Note: For best form functionality, Right-click 3926 link and click Save Link As… to save to your desktop and then open the file.  (PDF - 2.1MB) CDER Drug Info at 301-796-3400
3951  09/2015 OHI Guest Worker Application (PDF)  (PDF - 1.1MB) Audrey Thomas
301-796-3520

Page Last Updated: 08/19/2017
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