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Get Fda Form 2301

TIONAL MATERIAL FOR NEW ANIMAL DRUGS Note: Required by 21 CFR 514.80. Failure to make the reports is a basis for withdrawal of the NADA/ANADA. 1. NADA NO. or ANADA NO. (See Instructions on Back) 2. Name of Applicant 3. Date Report Submitted 4. Date Report Due 5. Drug Trade Name 6. Chemical Name 7. Combined Report (List NADA numbers involved. See Instructions.) 8. Report Period (MM) (DD) (YYYY) (MM) (DD) (YYYY) From: 9. Type of Report (Check One) 6/12/18/24 Month Follow Up To: Annua.

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