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 - Glyphosate

Chemical # and Name: 417300

Glyphosate

01-Sep-2010

GENERIC

ID # GDCI-417300-886

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)

850.1025

850.1035

850.1045

850.1055

850.1075

850.2100

870.6200

870.7800

Oyster acute toxicity test (shell deposition)

Mysid acute toxicity test

Penaeid acute toxicity test

Bivalve acute toxicity test (embryo larval)

Fish acute toxicity test, freshwater and marine

Avian acute oral toxicity test

Neurotoxicity screening battery

Immunotoxicity

N/A - Glyphosate

Chemical # and Name: 417300

Glyphosate

01-Sep-2010

GENERIC

ID # GDCI-417300-886

E,J,I,C,A,B,Q

E,J,I,C,A,B,Q

E,J,I,C,A,B,Q

E,J,I,C,A,B,Q

E,J,I,C,A,B,Q

E,J,I,C,A,B,Q

E,J,I,C,A,B,Q

E,J,I,C,A,B,Q

TGAI, TEP

TGAI, TEP

TGAI, TEP

TGAI, TEP

TGAI, TEP

TGAI, TEP

TGAI

TGAI

12

12

12

12

12

12

12

24

Page 1 of 

(2, 6)

(2, 4)

(2, 5)

(2, 7)

(1, 2)

(3)

N

N

N

N

N

N

N

N

1
United States Environmental Protection Agency 

Washington, D.C. 20460

FOOTNOTES AND KEY DEFINITIONS FOR GUIDELINE REQUIREMENTS

N/A - Glyphosate

GDCI-417300-886

1

2

3

4

5

6

7

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

Study not required on freshwater fish species, only for marine/estuarine fish species. Data preferred on sheepshead minnow (Cyprinodon variegatus) since data are available for TAI on this 

species. 

Study must be done with a formulation containing the POEA surfactant.

Data are required for a passerine species. A protocol for a passerine study must be submitted for review by the Agency prior to initiating the study.

Data are preferred on oppossum shrimp (America mysis), formerly Mysidopsis bahia.

Data are preferred on brown shrimp (Penaeus aztecus), pink shrimp (Penaeus duorarum), or white shrimp (Penaeus setiferus).

Data are preferred on Eastern oyster (Crassostrea virginica).

Data are preferred on Eastern oyster (Crassostrea virginica), Pacific oyster (C. gigas), Quahog (M. mercenaria), or Bay Mussel (M. edulis).

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:

A - Terrestrial food crop

B - Terrestrial feed crop

C - Terrestrial nonfood crop

E - Aquatic nonfood outdoor use

I - Greenhouse nonfood crop

J - Forestry use

Q - Residential outdoor use
United States Environmental Protection Agency 

Washington, D.C. 20460

LIST OF ALL REGISTRANTS SENT THIS DATA CALL-IN NOTICE

Case # and Name: N/A - Glyphosate

Page: 1 of

85998

19713

81598

35935

4787

86068

46146

70506

524

80967

84229

83520

81142

86277

86530

2749

86828

86461

86794

9468

GLYSORTIA, LLC

DREXEL CHEMICAL COMPANY

ROTAM LIMITED

NUFARM LIMITED

CHEMINOVA A/S

TEXCAN INVESTMENTS & MARKETING 

COMPANY, INC.

ATANOR S.A.

UNITED PHOSPHORUS, INC

MONSANTO COMPANY

MEY CORPORATION

TIDE INTERNATIONAL, USA, INC.

TACOMA AG, LLC

LIBERTAS NOW, INC.

FARMWAY, INC.

AGRILON INTERNATIONAL, LLC

ACETO AGRICULTURAL CHEMICALS CORP

CONSUS CHEMICALS, LLC

TF HOLDINGS I, LLC

NEWAGCO, INC.

RITTER CHEMICAL, LLC

Co. Nr. Company Name Agent For Company

PYXIS REGULATORY 

CONSULTING, INC.

IPM RESOURCES LLC

NUFARM LIMITED

CHEMINOVA INC.

PYXIS REGULATORY 

CONSULTING, INC.

ALBAUGH, INC.

MONSANTO COMPANY

BIOLOGIC, INC.

UNIVERSAL CROP PROTECTION 

ALLIANCE, LLC

BIOLOGIC, INC.

RIVENDELL CONSULTING USA, LLC

PYXIS REGULATORY 

CONSULTING, INC.

46 LAURA DRIVE

P.O. Box 13327

P.O. Box 649

4020 AERIAL CENTER PKWY., STE 103

1600 WILSON BLVD., SUITE 700

4110 136TH ST., NW

P.O. Box 2127

630 FREEDOM BUSINESS CENTER, SUITE 402

1300 I STREET, NW, SUITE 450 EAST

121 S. ESTES DRIVE, SUITE 101

4110 136TH ST. NW

115 OBTUSE HILL ROAD

1000 NORTH WEST STREET, SUITE 1200

P.O. Box 640

1300 CORPORATE CENTER CURVE

4 TRI HARBOR COURT

4110 136TH ST. NW

115 OBTUSE HILL ROAD

4110 136TH ST., NW

4110 136TH STREET, N.W,

Address City ZIP

LEMARS

MEMPHIS

HOCKESSIN

MORRISVILLE

ARLINGTON

GIG HARBOR

VALDOSTA

KING OF PRUSSIA

WASHINGTON

CHAPEL HILL

GIG HARBOR

BROOKFIELD

WILMINGTON

HOCKESSIN

EAGAN

PORT WASHINGTON

GIG HARBOR

BROOKFIELD

GIG HARBOR

GIG HARBOR

51031 

381130327

19707 

27560 

22209 

98332 

316042127

19406 

20005 

27514 

98332 

06804 

19801 

19707 

55121 

11050 

98332 

06804 

98332 

98332 

OMB Approval 2070-0174

State

IA

TN

DE

NC

VA

WA

GA

PA

DC

NC

WA

CT

DE

DE

MN

NY

WA

CT

WA

WA

 DCI Number: GDCI-417300-886

2
United States Environmental Protection Agency 

Washington, D.C. 20460

LIST OF ALL REGISTRANTS SENT THIS DATA CALL-IN NOTICE

Case # and Name: N/A - Glyphosate

Page: 2 of 2

42750

62719

74530

1381

86004

51036

87659

11603

279

100

82633

ALBAUGH INC

DOW AGROSCIENCES LLC

HELM AGRO US, INC.

WINFIELD SOLUTIONS, LLC

REPAR-GLYPHO, LLC

BASF SPARKS LLC

CINMAX INTERNATIONAL, LLC

AGAN CHEM MFG, LTD

FMC CORP. AGRICULTURAL PRODUCTS 

GROUP

SYNGENTA CROP PROTECTION, LLC

SHARDA WORLDWIDE EXPORTS PVT. LTD.

CERES INTERNATIONAL LLC

MANDAVA ASSOCIATES, LLC

BIOLOGIC INC

MAKHTESHIM-AGAN OF NORTH 

AMERICA INC

WAGNER REGULATORY 

ASSOCIATES, INC.

P.O. Box 2127

9330 ZIONSVILLE RD 308/2E

1087 HEARTSEASE DRIVE

P.O. Box 64589

1050 CONN. AVE., NW, STE 1000

P.O. Box 13528

115 OBTUSE HILL RD

3120 HIGHWOODS BLVD., SUITE 100

1735 MARKET ST, RM 1978

410 SWING ROAD, P.O. Box 18300

P.O. Box 640

VALDOSTA

INDIANAPOLIS

WEST CHESTER

ST. PAUL

WASHINGTON

RESEARCH TRIANGLE PARK

BROOKFIELD

RALEIGH

PHILADELPHIA

GREENSBORO

HOCKESSIN

310642127

462681054

19382 

551640589

20036 

277093528

06804 

27604 

19103

274198300

19707 

OMB Approval 2070-0174

GA

IN

PA

MN

DC

NC

CT

NC

PA

NC

DE
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