Application for research authorization - PMRA Forms - Pest Management Regulatory Agency

Privacy notice statement

Health Canada

Collection and use of personal information in this application is in accordance with the federal Privacy Act.

The personal information you provide is collected under the authority of l’alinéa 48 of the Pest Control Product Regulations for the purpose of contacting the applicant in regard to the application and to communicate any decisions and outcomes of the application.

Why are we collecting your personal information?: We require your personal information for the purpose of contacting the applicant in regards to the application and to communicate any decisions or outcomes of the application.
Will we use or share your personal information for any other reason?: Company names are disclosed after the Pest Management Regulatory Agency (PMRA) makes a decision or outcome on an application.
What are your rights?: The Privacy Act gives you the rights of access to, correction of and protection of your personal information. You have a right complain to the Privacy Commissioner of Canada if you feel your personal information has been handled improperly. For more information about these rights, or about how we handle your personal information, please contact the PMRA Information Service.

Instructions

About this online form

For exemptions from research permit requirements see Regulatory Directive Dir98-05.

The purpose of the Research Permit is to allow testing of an unregistered product or testing of unregistered uses of a control product. There must be reportable results of testing of all work carried out under the Research Permit.

Sale of Treated Food - A copy of this application together with the relevant data (toxicology, residue, analytical methodology, etc.) must be submitted to the PMRA if treatment of a food crop or livestock is involved. The applicant will be contacted directly by officials of the PMRA as required.

How to work with this online form

When working with this online form, you can save it to your computer at any time by pressing the 'Save Draft' button at the bottom of the form. This will generate a draft XML file.

You can continue to work on the form in subsequent sessions by loading a draft XML file in the "Load a draft XML file" section, at the top of the form.

Once you have completed the form, press the 'Save Final' button at the bottom of the form to generate a Microsoft Word file.

Instructions for completing sections of this online form

Instruction 1

If the product does not yet have a brand name, give the experimental name or number used by the manufacturer.

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Instruction 2a

For each active ingredient, give the International Organization for Standardization (ISO) common or proposed common name. If no common name has been proposed, give the chemical name according to the International Union of Pure and Applied Chemistry (IUPAC) or Chemical Abstracts Service (CAS).

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Instruction 2b

Give the percent value for each active ingredient.

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Instruction 3

Only a sufficient quantity of product (i.e., to treat test area at desired rate) is to be imported.

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Instruction 4

If the product is being imported, give the points of entry and provide copies of declarations of importation.

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Instruction 5

Information should resemble that which would appear on an experimental label as required. Application rates should be expressed as volume of active ingredient.

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Instruction 6

Preharvest interval stated in days.

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Instruction 7

Indicate purpose of research (i.e., to generate residue, efficacy, environmental or other data).

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Instruction 8

Indicate province/ecozone, size and number of test sites (required before the review can begin). Note: the list of co-operators and exact trial location (including township, county and province, proximity to human habitation and potable water, and provide maps whenever possible) must be submitted to the PMRA prior to the start date of the research trial.

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Instruction 9

If new source, provide details.

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Instruction 10

If the end-use product is new, submit a Product Specification Form (HC6003) as well as Material safety data sheets and other pertinent information on formulation components.
An Experimental label is required for all research conducted with pest control products. Refer to Dir98-05 for details.
Material safety data sheets refer to active ingredients or formulation components as indicated in 10.1 above.
If location of test sites cannot be precisely located by an address, then legible maps may be required, These should be accompanied by information on distance to human habitation, public places, bodies of water or areas sensitive to environmental impact. These maps, when required, must be submitted 2 weeks prior to application of the control product.
Maintain a list of all cooperators and program participants. Indicate the number of individuals involved and their occupations / positions. When research is completed, the company / research establishment must submit a final list of cooperators and program participants.
Indicate whether experimental protocols or references to published protocols have been provided.
Indicate what supporting data (if any) has been submitted to support the request. All data must be organized according to directive PRO98-02. Previously submitted data may be referenced only if it has been submitted in accordance with PRO98-02.

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Form 6006 - Application for research authorization

Privacy notice statement

Security notice: up to Protected B only

Instructions

About this online form

How to work with this online form

Instructions for completing sections of this online form