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FDA Forms

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Form Date Food and Drugs Administration Forms Format Contact Info
0356h  10/2005 {FDA has OMB approval to use the form until 6/30/2010} Application to Market a New Drug, Biologic or an Antibiotic Drug for Human Use  (PDF - 264KB) CBER MATT at 301-827-2000
CDER Drug Info at 301-796-3400
1571  04/2006 Investigational New Drug Application  (PDF - 221KB) CBER MATT at 301-827-2000
CDER Drug Info at 301-796-3400
1572  05/2006 Statement of Investigator (CDER/CBER)  (PDF - 208KB) CBER MATT at 301-827-2000
CDER Drug Info at 301-796-3400
2252  06/2008 Transmittal of Annual Report for Drugs and Biologics for Human Use  (PDF - 339KB) CBER MATT at 301-827-2000
CDER Drug Info at 301-796-3400
2253  06/2008 Transmittal of Advertisements and Promotional Labeling for Drugs and Biologics for Human Use  (PDF - 351KB) DDMAC
301-796-1200
2567  10/2005 Transmittal of Labels and Circulars  (PDF - 161KB) CBER MATT at 301-827-2000
2626  07/2004 New Drug Application/Biologic Licensing Application (Blue Folder) Archival  (HTML - 14KB) CBER MATT at 301-827-2000
CDER Drug Info at 301-796-3400
2626a  07/2004 New Drug Application/Biologic Licensing Application (Red Folder) Chemistry  (HTML - 14KB) CBER MATT at 301-827-2000
CDER Drug Info at 301-796-3400
2626b  07/2004 New Drug Application/Biologic Licensing Application (Yellow Folder) Pharmacology  (HTML - 14KB) CBER MATT at 301-827-2000
CDER Drug Info at 301-796-3400
2626c  07/2004 New Drug Application/Biologic Licensing Application (Orange Folder) Pharmacokinetic  (HTML - 14KB) CBER MATT at 301-827-2000
CDER Drug Info at 301-796-3400
2626d  07/2004 New Drug Application/Biologic Licensing Application (White Folder) Microbiology  (HTML - 14KB) CBER MATT at 301-827-2000
CDER Drug Info at 301-796-3400
2626e  07/2004 New Drug Application/Biologic Licensing Application (Tan Folder) Clinical Data  (HTML - 14KB) CBER MATT at 301-827-2000
CDER Drug Info at 301-796-3400
2626f  07/2004 New Drug Application/Biologic Licensing Application (Light Green Folder) Statistics  (HTML - 14KB) CBER MATT at 301-827-2000
CDER Drug Info at 301-796-3400
2626h  07/2004 New Drug Application/Biologic Licensing Application (Maroon Folder) Field Submission Chemistry  (HTML - 14KB) CBER MATT at 301-827-2000
CDER Drug Info at 301-796-3400
2656  06/2009 Registration Of Drug Establishment/Labeler Code Assignment (HTML)  (HTM - 0KB) eDRLS@fda.hhs.gov
2830  07/2006 Blood Establishment Registration and Product Listing  (PDF - 312KB) bloodregis@fda.hhs.gov
3356  04/2008 Establishment Registration and Listing for Human Cells, Tissues, and Cellular and Tissue-Based Products (HCT/Ps)  (PDF - 647KB) tissuereg@fda.hhs.gov
3356  04/2008 Establishment Registration and Listing for Human Cells, Tissues, and Cellular and Tissue-Based Products (HCT/Ps) (HTML)  (HTM - 0KB) tissuereg@fda.hhs.gov
3486  04/2008 Biological Product Deviation Report (HTML)  (HTM - 0KB) CBER Program Surveillance Branch
301-827-6220
3486  04/2008 Biological Product Deviation Report  (PDF - 412KB) CBER Program Surveillance Branch
301-827-6220
3613  06/2006 Supplementary Information Certificate to Foreign Government Requests  (PDF - 201KB) Import/Export Team
CBER 301-827-6201 or
CDRH 301-796-7400 or
CVM 240-276-0132
3613a  09/2006 Supplementary Information Certificate of Exportability Requests  (PDF - 403KB) Import/Export Team
CBER 301-827-6201 or
CDRH 301-796-7400 or
CVM 240-276-0132
3613b  06/2006 Supplementary Information Certificate of a Pharmaceutical Product  (PDF - 328KB) Import/Export Team
CBER 301-827-6201 or
CDER 301-827-8940 or
CDRH 301-796-7400 or
CVM 240-276-0132
3613c  06/2006 Supplementary Information Non-Clinical Research Use Only Certificate  (PDF - 311KB) Import/Export Team
CBER 301-827-6201 or
CDRH 301-796-7400 or
CVM 240-276-0132
VAERS-!  02/2009 Vaccine Adverse Event Reporting System  (PDF - 99KB) VAERS
800-822-7967
VARES-1  02/2009 Vaccine Adverse Event Reporting System (HTML)  (HTM - 0KB) VAERS
800-822-7967
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