APHIS/CDC Form 5: Request for Exemption

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The APHIS/CDC Form 5, Request for Exemption, is used by an entity to request an exemption from the select agent regulations for an investigational product. Registered entities request an exemption through eFSAP.

Animal and Plant Health Inspection Service
Division of Agricultural Select Agents and Toxins
4700 River Road Unit 2, Mailstop 22, Cubicle 1A07
Riverdale, MD 20737
FAX: (301) 734-3652
Email: DASAT@usda.gov

Centers for Disease Control and Prevention
Division of Regulatory Science and Compliance
1600 Clifton Road NE, Mailstop H21-4
Atlanta, GA 30329
FAX: (404) 718-2096
Email: lrsat@cdc.gov

Guidance Document for the Completion of APHIS/CDC Form 5 [PDF – 82 KB]