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Form Date Description Format Contact Info
3644  08/2017 Guide for Preparing Product Reports for Ultrasonic Therapy Products (PDF)  (PDF - 831KB) DRH
301-796-5790
3645  04/2018 Guide for Preparing Annual Reports for Ultrasonic Therapy Products (PDF)  (PDF - 1.2MB) DRH
301-796-5790
3645  04/2011 Guide for Preparing Annual Reports for Ultrasonic Therapy Products (HTML)  (HTM - 0KB) DRH
301-796-5790
3646  08/2017 Mercury Vapor Lamp Products Radiation Safety Report (PDF)  (PDF - 906KB) DRH
301-796-5790
3646  04/2011 Mercury Vapor Lamp Products Radiation Safety Report (HTML)  (HTM - 0KB) DRH
301-796-5790
3647  04/2018 Guide for Preparing Annual Reports on Radiation Safety Testing of Mercury Vapor Lamps (PDF)  (PDF - 913KB) DRH
301-796-5790
3647  04/2011 Guide for Preparing Annual Reports on Radiation Safety Testing of Mercury Vapor Lamps (HTML)  (HTM - 0KB) DRH
301-796-5790
3649  04/2011 Accidental Radiation Occurrence Report (HTML)  (HTM - 0KB) DRH
301-796-5790
3649  08/2017 Accidental Radiation Occurrence Report (PDF)  (PDF - 786KB) DRH
301-796-5790
3660  07/2007 Guidance for Preparing Reports on Radiation Safety of Microwave Ovens (PDF)  (PDF - 2.5MB) DRH
301-796-5790
3660  04/2011 Guidance for Preparing Reports on Radiation Safety of Microwave Ovens (HTML)  (HTM - 0KB) DRH
301-796-5790
3661  04/2011 A Guide for the Submission of an Abbreviated Report on X-ray Tables, Cradles, Film Changers or Cassette Holders Intended for Diagnostic (HTML)  (HTM - 0KB) DRH
301-796-5790
3661  08/2017 A Guide for the Submission of an Abbreviated Report on X-ray Tables, Cradles, Film Changers or Cassette Holders Intended for Diagnostic Use (PDF)  (PDF - 708KB) DRH
301-796-5790
3662  08/2017 A Guide for Submission of an Abbreviated Radiation Safety Reports on Cephalometric Devices Intended for Diagnostic Use (PDF)  (PDF - 744KB) DRH
301-796-5790
3662  04/2011 A Guide for Submission of an Abbreviated Radiation Safety Reports on Cephalometric Devise Intended for Diagnostic Use (HTML)  (HTM - 0KB) DRH
301-796-5790
3663  08/2017 Abbreviated Reports on Radiation Safety for Microwave Products (Other than Microwave Ovens) (PDF)  (PDF - 755KB) DRH
301-796-5790
3663  04/2011 Abbreviated Reports on Radiation Safety for Microwave Products (Other than Microwave Ovens) (HTML)  (HTM - 0KB) DRH
301-796-5790
3664  03/2011 My Medicine Record (PDF) **Note: For best form functionality, Right-click 3664 link and click Save Link As… to save to your desktop and then open the file  (PDF - 466KB) Kris Baumgartner
240-402-4194
3665  05/2018 Final Consultation for Food Derived From a New Plant Variety (Instructions)  (PDF - 33KB) Dr. Mary Ditto
240-402-1165
3665  05/2018 Final Consultation for Food Derived From a New Plant Variety (Biotechnology Final Consultation) (PDF)  (PDF - 97KB) Dr. Mary Ditto
240-402-1165
3666  02/2019 Early Food Safety Evaluation of a New Protein Produced by a New Plant Variety (New Protein Consultation) (PDF)  (PDF - 103KB) Berhane G. Grimay
240-402-1194
3666  02/2019 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  09/2016 Generally Recognized as Safe (GRAS) Notice (Instructions)  (PDF - 188KB) Berhane G. Grimay
240-402-1194
3667  04/2019 Generally Recognized as Safe (GRAS) Notice (PDF)  (PDF - 182KB) Berhane G. Grimay
240-402-1194
3670  05/2017 MedSun (Medical Product Surveillance Network) (HTML)  (HTM - 0KB) Jill Marion
301- 796-6128
3674  07/2017 Certification of Compliance, under 42 U.S.C. , 282(j)(5)(B), with Requirements of ClinicalTrials.gov Data Bank (42 U.S.C., 282(j)) (Instructions/Supplemental)  (PDF - 153KB) Patrick McNeilly
301- 796-2941
3674  04/2018 Certification of Compliance, under 42 U.S.C. , 282(j)(5)(B), with Requirements of ClinicalTrials.gov (PDF)  (PDF - 2.6MB) Patrick McNeilly
301- 796-2941
3677v  01/2006 Minor Species Index File (MIF) (PDF)  (PDF - 265KB) Dorothy Bailey
240-402-0565
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

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