Form EPA Form 8570-1 EPA Form 8570-1 Application for Pesticide, Registration, Amendment, Othe

Please read instructions on reverse before completing form.

Form Approved. OMB No. 2070-0060

Paperwork Reduction Act Notice and Instructions
Paperwork Reduction Act Notice: Public reporting burden for this collection of information is estimated to average 0.85 hour per response,
including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to Director, Collection Strategies Division (2822T), U.S. Environmental Protection Agency, 1200 Pennsylvania Ave., N.W.,
Washington, D.C. 20460.

Instructions: This form is to be used for all applications for new registration, end use reregistration, amendment, resubmission, to applications for
notifications, final printed labeling, reregistration, etc. In order to process an application for a new registration submitted on this form, the following material
must accompany the application:
1.
2.
3.
4.
5.
6.
7.

Certification with Respect to Citation of Data (EPA Form 8570-29). [If not exempted by 40 CFR 152.81 (b) (4)];
Confidential Statement of Formula (EPA Form 8570-4);
Formulator’s Exemption Statement (EPA Form 8570-27);
Five copies of draft labeling;
Three copies of any data submitted;
Authorization letter where applicable;
Matrices where applicable.

Submission of Labeling - Labeling should first be submitted in the form of draft labels with all applications for new registration. Such draft labels may be in

the form of typed label text on 8.5 x 11 inch file. Mockup labels significantly smaller than 8.5 x 11 inches should be mounted on 8.5 x 11 inch paper for

submission.

Submission of Data - Data submitted in support of this application must be submitted in accordance with PR Notice 86-5.

Specific Instructions: Please read the instructions listed below before completing this application. First determine the type of registration action, listed

in Block A, for which you are submitting this application. For applications submitted in connection with New Registration actions, Sections I, III, and IV must

be completed by the applicant. For applications submitted in connection with amended reregistration actions, resubmissions, notifications, reregistrations, etc.,

Sections I, II, and IV must be completed by the applicant.

Block A - Check the appropriate action for which you are submitting this form.

Section I - This section must be completed, as applicable, for all registration actions.
1.
2.
3.
4.
5.

6.

Company/Product Number - Insert your Company Number, if one has been assigned by EPA. This number may have been assigned to you as a basic
registrant, a distributor, or as an establishment. If your product is registered, insert the Product Number.
EPA Product Manager - If known, fill in the name and PM number of the EPA Product Manager.
Proposed Classification - Specify the proposed classification of this product.
Product Name - Enter the complete product name of this pesticide as it will appear on the label. The name must be specific to this product only.
Duplication of names is not permitted among products of the same company. Do not include any brand name or company line designations.
Name and Address of Applicant - The name of the firm or person and address shown in your application is the person or firm to whom the
registration will be issued. If you are acting in behalf of another party, you must submit authorization from the party to act for them in registration
matters. An applicant not residing in the United States must have an authorized agent residing in the United States to act for them in all registration
matters. The name and complete mailing address of such an agent must accompany this application.
Expedited Review - FIFRA section 3(c) 3(b) provides for expedited review of applications for registration, or amendments to existing registrations,
that are similar, or identical to other pesticide products that are currently registered with the EPA. In order for you application to be eligible for
expedited review, you must provide us with the EPA Registration Number and product name of the product you believe is similar to or identical to
your product. The product must be similar or identical in both formulation and labeled uses.

Section II - This section must be completed for all applications submitted to amend the registration only of a currently registered product (Amendment), for
a resubmission in response to an Agency letter, for notifications to the Agency, for the submission of final printed labeling, for reregistration and for any other
action that pertains to a specific EPA-registered product. This section is not to be used for a new application for registration.
1.
Subject of submission - Check the applicable block and provide the Agency letter date if appropriate. Provide a brief explanation of the purpose(s)
for the submission, such as “the addition of a site, pest or crop (specify)”; “amend the Confidential Statement of Formula by . . . ”; “reregistration
submission”; “general label revision of use directions.” Attach a separate page is additional space is needed.
Section III (Packaging and Container Information) - This Section must be completed for all applications submitted in connection with
new registration or applicable amendments.
1.
Type of Packaging - Check the appropriate block if your product will be packaged in the indicated packaging types. Indicate the size of the
individual packets and number per retail container.
2.
Type of Retail Container - Indicate type of container in which product will be marketed.
3.
Location of Net Contents - Indicate the location of the net contents information for your product.
4.
Size(s) of Retail Container - Specify the net contents of all retail containers for your product.
5.
Location of the Use Directions - Indicate the location of the use directions for your product.
6.
Manner in which label is affixed to product - Indicated the method product label is attached to retail container.

Section IV (Contact Point) - This Section must be completed for all applications for Registration actions, i.e., new products registration,

resubmission, “me-too,” reregistration, etc.

1-5. Self-explanatory

6. EPA Use only