Application for Research Permit
Privacy Notice Statement
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 section 48 of the Pest Control Product Regulations for the purpose of contacting the applicant in regards to the application and to communicate any decisions and outcomes of the application.
The Privacy Act gives you the rights of access to, correction of and protection of your personal information. For further information about this Privacy statement please contact Health Canada’s Access to Information and Privacy Coordinator by email at firstname.lastname@example.org.
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.
Instructions for completing sections on form
If the product does not yet have a brand name, give the experimental name or identification number used by the manufacturer.
Give the CSA common or proposed common name for the active ingredient. If no common name has been proposed, give the chemical name according to IUPAC or Chemical Abstracts.
Only a sufficient quantity of product (i.e., to treat test area at desired rate) is to be imported.
If the product is being imported, give the points of entry and provide copies of declarations of importation.
Information should resemble that which would appear on an experimental label as required. Application rates should be expressed as volume of active ingredient.
Preharvest interval stated in days.
Indicate purpose of research (i.e., to generate residue, efficacy, environmental or other data).
Indicate exact location, size and number of test sites, including township, county and province, proximity to human habitation and potable water, and provide maps whenever possible.
If new source, provide details.
- 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 a) 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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