Request for Exemption of Select Agents and Toxins for Public Health or Agricultural Emergency or Investigational / Experimental Product (APHIS/CDC Form 5)
Overview
An entity may apply for an exemption from the requirements of 7 CFR 331, 9 CFR 121, or 42 CFR 73 in order to: (a) use an investigational product that is, bears, or contains select agents or toxins, or, (b) provide a response to a public health or agricultural emergency. This exemption request (APHIS/CDC Form 5) should be sent to either APHIS or CDC for consideration by fax, mail, or email:
| Animal and Plant Health Inspection Service Agricultural Select Agent Program 4700 River Road Unit 2, Mailstop 22, Cubicle 1A07 Riverdale, MD 20737 FAX: 301-734-3652 E-mail: Agricultural.Select.Agent.Program@aphis.usda.gov |
Centers for Disease Control and Prevention Division of Select Agents and Toxins 1600 Clifton Road NE, Mailstop A-46 Atlanta, GA 30333 FAX: 404-718-2096 E-mail: lrsat@cdc.gov |
This webpage contains general information on this process including a link to the APHIS/CDC Form 5 (Request for Exemption of Select Agents and Toxins for Public Health or Agricultural Emergency or Investigational / Experimental Product).
Download
- Fillable PDF:
APHIS/CDC Form 5
(PDF 101K) - Print Only PDF:
APHIS/CDC Form 5
(PDF 44K)
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