Form 8570-28

United States Environmental Protection Agency
Washington, DC 20460

oEPA

Certification of Compliance
with Data Gap Procedures

0MB

Control

Nos.

2070-0060 and 2070-0174
Expiration Date
6/30/2025 and 12/31/2025

(40 CFR 152.96)

Applicant's Name and Address

EPA File Symbol/Registration Number

Product Name

Date of Application

I certify that:
1. I have notified in writing each person on the Pesticide Data
Submitters' List for each active ingredient in this product, m
accordance with the requirements of 40 CFR 152.96; and
2. I have waited 60 days following such written notice; and
3. I have received no response indicating that any person has
submitted a valid study that would satisfy any of the require­
ments for which a data gap is claimed, and therefore, I have no
basis for believing that such data have been submitted to EPA by
any other person.
Paperwork Reduction Act Notice: This collection of information is approved by OMB under the
Paperwork Reduction Act, 44 U.S.C. 3501 et. seq. OMB Control Nos. 2070-0060 and 2070-0174.
Responses to this collection of information are mandatory 40 CFR 158. An agency may not
conduct or sponsor, an a person is not required to respond to, a collection of information unless
it displays a currently valid OMB control number. The public reporting and record keeping
burden for this collection of information is estimated 2 hours per response. Send comments on
the Agency’s need for this information, the accuracy of the provided burden estimates and any
suggested methods for minimizing respondent burden to the Regulatory Support Division
Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW,
Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send
the completed form to this address.

Signature

EPA Form 8570-28

I

Name aod T;,le