Attachment A-09 Form 8570-35

UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
1200 Pennsylvania Ave., N.W.
WASHINGTON, D.C. 20460

OMB Control Nos. 2070-NEW
Expiration Date: XX/XX/XXXX

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-NEW..
Responses to this collection of information are mandatory for certain persons, as specified at 40 CFR 152.81. An agency may not conduct or sponsor, and 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 recordkeeping burden for this collection of information is estimated to
be .25 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.

DATA MATRIX
Date

EPA Reg No./File Symbol

Applicant’s/Registrant’s Name & Address

Product

Page

Ingredient
Guideline Reference Number

Guideline Study Name

MRID Number

Submitter

Status

Note

of

Signature
EPA Form 8570-35 Electronic and Paper versions available.

Name and Title

Date

INSTRUCTIONS FOR DATA MATRIX
INSTRUCTIONS: Identify all data submitted or cited and all submitters from whom permission has been received or to whom offers to pay have been sent by entering sufficient
information in the attached matrix (photocopy and attach additional pages as necessary). Complete all columns; omission of essential information will delay approval of the
registration/reregistration. On each page enter the date, Applicant's/Registrant's name, EPA Registration Number or application file symbol of the product, ingredient, page number,
and total number of pages.
The Data Compensation Form entitled "Certification with Respect to Citation of Data" and the Data Matrix will be publicly available, upon request, after the registration/reregistration of
this product has been granted or once this form is received in response to a Data-Call-In Notice.
Ingredient: Identify the active ingredient(s) in this product for which data are cited. The active ingredient(s) are to be identified by entering the chemical name and the CAS registry
number. Begin a new page for each separate active ingredient for which data are cited. If bridging data from a related chemical or representative test compound are cited, enter the
identity of that chemical/representative test compound including the EPA Registration Number/File Symbol if appropriate.
If the cite-all method is used for all data supporting this particular ingredient, enter "CITE-ALL" in the Guideline Reference Number column and leave the Guideline Study Name column
blank. If the cite-all method is used for a particular Guideline Reference Number enter "CITE-ALL" in the MRID Number column on the line for that Guideline Reference Number. In
either case, enter all submitters to whom offers to pay have been sent on subsequent lines. [Note: if the selective method of support is used and written authorization (letter of
permission) is provided, the individual Guideline Reference Number, Guideline Study Name, and MRID Number columns must still be completed.] Otherwise:
Guideline Reference Number: Enter on separate lines in numerical order the Guideline Reference Numbers from 40 CFR Part 158 for all studies cited to support the
registration/reregistration for this ingredient.
Guideline Study Name: For each Guideline Reference Number cited, enter the corresponding Guideline Study Name.
MRID Number: For each individual study cited in support of a Guideline Reference Number and Guideline Study Name, enter the Master Record Identification (MRID) Number listed
in the Pesticide Document Management System (PDMS). Enter only one MRID Number on each line. Note that more than one MRID Number may be required per Guideline
Reference Number. Note: Occasionally a study required to maintain a registration/reregistration is not associated with a Guideline Reference Number and Guideline Study Name. In
such case, enter the MRID Number(s) for the study(ies).
Submitter: Using the most recent Data Submitters List, identify the Original Data Submitter with their current address for each study cited. The EPA assigned company number or
other abbreviation may be used. Clearly explain any variations (alternate addresses, data owners not on the Data Submitters List, etc.) in footnotes to this table.
Status: Enter one of the following codes for each study cited, as appropriate:
OWN:

I am the Original Data Submitter for this study.

EXC:

I have obtained written permission of the Original Data Submitter to cite this exclusive-use study in support of this application.

PER:

I have obtained the permission of the Original Data Submitter to use this study in support of this application.

OLD:

The study was submitted more than 15 years ago and all periods of compensation have expired.

PL:

The study is in the public literature.

PAY:

GAP:
FOR:

Note:

I have notified in writing the Original Data Submitter or, if the cite-all method is used, all companies listed in the most current Data Submitters List for this
ingredient, and have offered (a) to pay compensation in accordance with FIFRA sections 3(c)(1)(F) and/or 3(c)(2)(B), and (b) to commence negotiations to
determine the amount and terms of compensation, if any, to be paid for the use of the study(ies).
This Guideline data requirement is a data gap as defined in 40 CFR sections 152.83(a) and 152.96.
I am taking the formulator's exemption for this ingredient only. Other columns of this line should be marked "NA". However, if this product is to be
registered/reregistered for additional uses for which the purchased EPA registered ingredient is not supported, additional data must be submitted or cited here to
support those uses.
If additional explanation is needed, enter a footnote number in this column and attach the corresponding explanation.