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FDA Forms Distribution Page for Center for Biologics Evaluation Research (CBER)

The forms provided by this web site are available in several formats. These formats include:

PDF Adobe Acrobat Portable Document Format (PDF) *
MS WORD Microsoft Word
EXCEL Microsoft Excel
WordPerfect WordPerfect
XML Extensible Markup Language
HTML Hypertext Markup Language (HTML)
Fillable Filler Forms

FDA Form # Date Title Format Paper Copy or Contact Info.
356h 04/03 Application to Market a New Drug, Biologic or an Antibiotic Drug for Human Use PDF

WORD
Pamela Pope
301-827-9540
1571 01/03 Investigational New Drug Application {Instructions} PDF

WORD
Mia Prather
Mia.Prather@fda.hhs.gov
1572 01/03 Statement of Investigator {Instructions} PDF

WORD
Mia Prather
Mia.Prather@fda.hhs.gov
2252 04/02 Transmittal of Annual Report for Drugs for Human Use PDF

WORD
Mia Prather
Mia.Prather@fda.hhs.gov
2253 07/02 Transmittal of Advertisements and Promotional Labeling for Drugs and Biologics for Human Use PDF

WORD
Mike Wade
301-827-2828
2567 09/02 Transmittal of Labels and Circulars PDF

WORD
Pamela Pope
301-827-9540
2626 07/04 New Drug Application/Biologic Licensing Application (Blue Folder) Archival Not Yet Electronic GPO
2626a 07/04 New Drug Application/Biologic Licensing Application (Red Folder) Chemistry Not Yet Electronic GPO
2626b 07/04 New Drug Application/Biologic Licensing Application (Yellow Folder) Pharmacology Not Yet Electronic GPO
2626c 07/04 New Drug Application/Biologic Licensing Application (Orange Folder) Pharmacokinetic Not Yet Electronic GPO
2626d 07/04 New Drug Application/Biologic Licensing Application (White Folder) Microbiology Not Yet Electronic GPO
2626e 07/04 New Drug Application/Biologic Licensing Application (Tan Folder) Clinical Data Not Yet Electronic GPO
2626f 07/04 New Drug Application/Biologic Licensing Application (Light Green Folder) Statistics Not Yet Electronic GPO
2626h 07/04 New Drug Application/Biologic Licensing Application (Maroon Folder) Field Submission Chemistry Not Yet Electronic GPO
2830 02/03 Blood Establishment Registration and Product Listing {Instructions} PDF

WORD

Fillable
Janet Ishimoto
301-827-3543
3356 08/04 Establishment Registration and Listing for Human Cells, Tissues, and Cellular and Tissue-Based Products PDF

WORD

Fillable
tissuereg@cber.fda.gov
3397 12/03 User Fee Cover Sheet PDF

WORD
Mike Jones
301-594-2041
3454 02/03 Certification: Financial Interest and Arrangements of Clinical Investigators PDF

WORD
Leah W. Ripper
301-827-5921
3455 02/03 Disclosure: Financial Interest and Arrangements of Clinical Investigators PDF

WORD
Leah W. Ripper
301-827-5921
3486 07/04 Biological Product Deviation Report {Instructions} PDF

WORD

Fillable
Sharon O'Callaghan
301-827-6220
3500 09/03 MedWatch: FDA Medical Product Reporting Program {Instructions} PDF

Fillable
MEDWATCH
1-800-FDA-1088
3500A 09/03 MedWatch: FDA Medical Products Reporting Program - Mandatory {Instructions} PDF MEDWATCH
1-800-FDA-1088
VAERS-1
Vaccine Adverse Event Reporting System PDF VAERS
800-822-7967

1. To download PDF format: If Acrobat is not available on your PC, go to http://www.adobe.com/prodindex/acrobat/readstep.html.

2. By going to http://www.adobe.com/products/acrobat/access_onlinetools.html provides a set of free tools that allow visually disabled users to read documents in Adobe PDF format. These tools convert PDF documents into either HTML or ASCII text which can then be read by many screen reading programs.

3. Microsoft Word files can be viewed with that application or with a document viewer available free from the Microsoft Website: http://www.microsoft.com/downloads/details.aspx?FamilyID=0e56d944-38f6-4eb5-aca6-8bd280d5e6b1&DisplayLang=en.

Edition: September 30, 2004

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