Initial to indicate certification as to information on this page

(full text of certification is on page one).

Date

INSTRUCTIONS: Please type or print in ink. Please read carefully the attached instructions and supply the information requested on this form. 

Use additional sheet(s) if necessary.

2. Case # and Name 3. Date and Type of DCI and Number

4. EPA Product 

Registration

5. I wish to cancel 

this product 

registration 

voluntarily

6. Generic Data 7. Product Specific Data

6a. I am claiming a Generic Data 

Exemption because I obtain the 

active ingredient from the source 

EPA registration number listed 

below.

6b. I agree to satisfy Generic Data

Requirements as indicated on the 

attached form entitled 

"Requirements Status and 

Registrant's Response."

7a. My product is an MUP and I 

agree to satisfy the MUP 

requirement on the attached form

entitled "Requirements Status and

Registrant's Response."

7b. My product is an EUP and I 

agree to satisfy the EUP 

requirement on the attached form 

entitled "Requirements Status and 

Registrant's Response."

OMB Approval 2070-0174

1. Company Name and Address

N/A - Hymexazol

Chemical # and Name: 129107

Hymexazol

07-Oct-2011

GENERIC

ID # GDCI-129107-893

United States Environmental Protection Agency

Washington, D.C. 20460

DATA CALL-IN RESPONSE

Page of 1 1

8. Certification: I certify that the statements made on this form and all attachments are true, accurate, and complete. I acknowledge that any

knowingly false or misleading statement may be punishable by fine, imprisonment or both under applicable law.

Signature and Title of Company's Authorized Representative ______________________________________________________

10. Name of Company

N/A N/A

9. Date

11. Phone Number 
Initial to indicate certification as to information on this page (full text of certification is on page one) Date

13. Phone Number

10. Certification: I certify that the statements made on this form and all attachments are true, accurate, and complete. I acknowledge that any 

knowingly false or misleading statement may be punishable by fine, imprisonment or both under applicable law.

12. Name of Company

11. Date

OMB Approval 2070-0174

United States Environmental Protection Agency 

Washington, D.C. 20460

REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE

INSTRUCTIONS: Please type or print in ink. Please read carefully the attached instructions and supply the information requested on this form. Use additional sheet(s) if necessary.

4. Guideline

Requirement

Number

5. Study Title Progress 

Reports

1 2 3

6. Use 

Pattern

7. Test 

Substance

8. Time

Frame 

(Months)

9. Registrant

Response

P

R

O

T

O

C

O

L

1. Company Name and Address 2. Case # and Name 3. Date and Type of DCI and Number

Signature and Title of Company's Authorized Representative _________________________________________________________________

Terrestrial and Aquatic Nontarget Organisms Data 

Requirements (Conventional Chemical)

Toxicology Data Requirements (Conventional Chemical)

850.2100

850.2300

870.3250

870.6200

870.7800

850.5400

Avian acute oral toxicity test

Avian reproduction test

90-day dermal toxicity

Neurotoxicity screening battery

Immunotoxicity

Algal toxicity, Tiers 1 and II

N/A - Hymexazol

Chemical # and Name: 129107

Hymexazol

07-Oct-2011

GENERIC

ID # GDCI-129107-893

C

C

C

C

C

C

TEP; TGAI

TGAI

TGAI

TGAI

TGAI

TEP; TGAI

12

24

24

8

12

12

Page 1 of 

(3, 7)

(4)

(8)

(5)

(1, 2, 6)

Y

N

N

N

N

N

1
United States Environmental Protection Agency 

Washington, D.C. 20460

FOOTNOTES AND KEY DEFINITIONS FOR GUIDELINE REQUIREMENTS

N/A - Hymexazol

GDCI-129107-893

1

2

3

4

5

6

7

8

Key: Residue of Concern = Residue of Concern; TEP = Typical End Use Product [TEP]; TGAI = Technical Grade Active Ingredient [TGAI]; TGAI/PAIRA = Technical Grade of the Active Ingredient or Pure Active 

Ingredient, Radio Labelled; TGAI, TEP = Technical Grade of the Active Ingredient or Technical End-Use Product; TGAI/PAI = Technical Grade Active Ingredient, Pure Active Ingredient

Registrants may opt to conduct a Tier I study, with the understanding that any adverse effects (even if <25%) will necessitate a Tier II study. A Tier II study should enable the Agency to 

conduct an endangered species assessment for non-target plants.

Per the updated data requirements in 40 CFR 158: a tier I study is required for algal toxicity for all of the following species: Pseudokirchneriella subcapitata, Skeletonema costatum, Navicula 

pelliculosa, and Anabaena flos-aquae. The Ecological Effects Test Guidelines for algal toxicity studies states that ALL of the above species are to be tested, even though it also states "or" 

instead of "and" between the listed species. Since the freshwater green algae, Pseudokirchneriella subcapitata, has been tested, the other 3 species (Skeletonema costatum, Navicula 

pelliculosa, and Anabaena flos-aquae) are required to be tested.

Data is needed on a passerine species.

Data are preferred with the bobwhite quail and mallard duck.

Both acute and subchronic neurotoxicity studies are required and include a functional observational battery, motor activity and neuropathology assessments. The acute neurotoxicty study is 

required to detect possible effects resulting from a single exposure. The subchronic neurotoxicty study is intended to detect possible effects resulting from repeated or long-term exposures.

Although identified as GLN 850.4400 in the Final Work Plan, please note that GLN 850.5400 is the correct guideline study number required for an aquatic non-vascular plant toxicity study.

A protocol, for comment by the Agency, should be submitted prior to study initiation.

A 21/28 day dermal toxicity test is insufficient to identify potential hazards for non-food use pesticides because of the concern for the longer duration exposure associated with this use pattern.

Case # and Name:

DCI Number:

Page: 1 of 1

Footnotes: The following footnotes are referenced in column two (5. Study Title) of the Requirements Status and Registrant's Response form. 

These footnotes apply in addition to any test notes included in 40 CFR Part 158 with respect to the particular data requirement.

Use Categories Key:

C - Terrestrial nonfood crop
United States Environmental Protection Agency 

Washington, D.C. 20460

LIST OF ALL REGISTRANTS SENT THIS DATA CALL-IN NOTICE

Case # and Name: N/A - Hymexazol

Page: 1 of 1

86203 MITSUI CHEMICALS AGRO, INC.

Co. Nr. Company Name Agent For Company

LANDIS INTERNATIONAL, INC. P.O. Box 5126

Address City ZIP

VALDOSTA 316035126

OMB Approval 2070-0174

State

GA

 DCI Number: GDCI-129107-893
LINKS TO FORMS:

The pesticide registration forms that are listed below can be found at:

http://www.epa.gov/opprd001/forms/

Link to Confidential Statement of Formula and Instructions (Form # 8570-4)

http://www.epa.gov/opprd001/forms/8570-4.pdf

Certification of Attempt to Enter Into an Agreement With Registrants for 

Development of Data (Form # 8570-32)

http://www.epa.gov/opprd001/forms/8570-32.pdf

Certification With Respect to Citation of Data (Form # 8570-34)

http://www.epa.gov/opprd001/forms/8570-34.pdf