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Form Date Description Format Contact Info
1995  08/2018 Report of Physical Examination of Cows (PDF)  (PDF - 1.1MB) Esther Lazar
240-402-1485
1996  12/2018 Farm Inspection Report (PDF)  (PDF - 3MB) Esther Lazar
240-402-1485
1997  09/2018 Score Card for Sanitation Inspections of Milk Plants (PDF)  (PDF - 672KB) Esther Lazar
240-402-1485
2096  03/2004 Regulation Certification for New Employee (PDF)  (PDF - 298KB) Vincent Tolino
301-827-5514
2097  01/2003 Regulation Certification for Separating Employees (PDF)  (PDF - 1MB) Vincent Tolino
301-827-5514
2252  03/2018 Transmittal of Annual Report for Drugs and Biologics for Human Use (PDF) At this time, the attached PDF document may not be fully accessible to readers using assistive technology. In the event you are unable to read and/or complete portions of the form, please contact CDER at 301-796-3400 / druginfo@fda.hhs.gov or CBER at 240-402-8020 / Industry.Biologics@fda.hhs.gov  (PDF - 853KB) CBER MATT at 240-402-8020
CDER Drug Info at 301-796-3400
2252  11/2014 Transmittal of Annual Report for Drugs and Biologics for Human Use (Instructions Supplement) (PDF)  (PDF - 116KB) CBER MATT at 240-402-8020
CDER Drug Info at 301-796-3400
2253  03/2018 Transmittal of Advertisements and Promotional Labeling for Drugs and Biologics for Human Use (PDF)  (PDF - 1.7MB) DDMAC
301-796-1200
2253  04/2014 Transmittal of Advertisements and Promotional Labeling for Drugs and Biologics for Human Use (Instructions Supplement)  (PDF - 190KB) DDMAC
301-796-1200
2301  01/2018 Transmittal of Periodic Reports and Promotional Material for New Animal Drugs (HTML)  (HTM - 1KB) Sue Dessai
240-402-5761
2301  03/2018 Transmittal of Periodic Reports and Promotional Material New Animal Drugs (PDF)  (PDF - 1.2MB) Sue Dessai
240-402-5761
2359  10/2018 Milk Plant Inspection Report (PDF)  (PDF - 717KB) Frank Flores
240-402-1494
2359a  10/2011 Dairy Farm Inspection Report (PDF)  (PDF - 468KB) Frank Flores
240-402-1494
2359b  10/2011 Milk Plant Equipment Tests Report (PDF)  (PDF - 387KB) Frank Flores
240-402-1494
2359c  11/2015 Manufacturing Plant Inspection Report (PDF)  (PDF - 733KB) Frank Flores
240-402-1494
2359d  11/2015 Report of Certification (PDF)  (PDF - 708KB) Frank Flores
240-402-1494
2359e  11/2015 Status of Manufacturing Plants (PDF)  (PDF - 645KB) Frank Flores
240-402-1494
2359f  11/2015 Audit Report of IMS Listed Single-Service Containers and/or Closures for Milk and/or Milk Products Manufacturers (PDF)  (PDF - 654KB) Frank Flores
240-402-1494
2359h  10/2018 Interstate Milk Shipper Check-Rating Report (PDF)  (PDF - 1.5MB) Frank Flores
240-402-1494
2359i  10/2018 Interstate Milk Shipper Report (PDF)  (PDF - 1.6MB) Frank Flores
240-402-1494
2359j  10/2013 Milk Sanitation Rating Report (PDF)  (PDF - 738KB) Frank Flores
240-402-1494
2359k  10/2013 Status of Raw Milk for Pasteurization (PDF)  (PDF - 1.2MB) Frank Flores
240-402-1494
2359l  10/2018 Status of Milk Plants (PDF)  (PDF - 171KB) Frank Flores
240-402-1494
2359m  10/2018 Milk Plant, Receiving Station or Transfer Station NCIMS HACPP System Audit Report (PDF)  (PDF - 1.2MB) Frank Flores
240-402-1494
2359n  10/2013 NCIMS HACCP System Regulatory Agency Review Report (PDF)  (PDF - 570KB) Frank Flores
240-402-1494
2359o  10/2013 Permission for Publication Interstate Milk Shipper’s Listing (PDF)  (PDF - 659KB) Frank Flores
240-402-1494
2359p  10/2013 NCIMS Aseptic Processing and Packaging Program Critical Listing Elements (PDF)  (PDF - 649KB) Frank Flores
240-402-1494
2399  10/2008 Dairy Plant Sampling - Raw & Pasteurized Milk (PDF)  (PDF - 571KB) Frank Flores
240-402-1494
2399a  10/2011 Bulk Milk Hauler/Sampler Evaluation Report (PDF)  (PDF - 428KB) Frank Flores
240-402-1494
2399b  10/2008 Milk Tank Truck Inspection Report (PDF)  (PDF - 427KB) Frank Flores
240-402-1494

Page Last Updated: 04/22/2019
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