APHIS/CDC Form 5: Request for Exemption
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Expired forms available on this website can be used because the revision package is currently under review by Office of Management and Budget.
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 Select Agents and Toxins
1600 Clifton Road NE, Mailstop H21-7
Atlanta, GA 30329
FAX: (404) 718-2096
Email: lrsat@cdc.gov
Page last reviewed: January 21, 2021
Content source: Division of Select Agents and Toxins