FDA - Food and Drug Administration

This section of the manual contains the instructions for entering FDA into the appropriate PGA screens. It is divided by product type.

 

We hosted a webinar on entering FDA, please see this link for the recording: https://www.youtube.com/watch?v=YBaio17nLr8

 

 

 

FDA – Disclaim

 

If your product is flagged for FDA but it does not apply to your product, you can send a disclaimer for FDA.

 

 

Field/Button

Status

Description

Agency

Mandatory

Must be FDA.

Program

Mandatory

FDA

Processing Code

Not used

Not used

Disclaimer

Mandatory

1 Select the appropriate Disclaim Option

A = Product is NOT regulated by this Agency

B = Data is NOT required per Agency Guidance

OK/Cancel

Buttons

Click OK to save the PGA Information and move on to the next screen.  Cancel will cancel and go back to the PGA screen without saving.

 

 

 

 

FDA – Biologics

 

 

 

Field/Button

Status

Description

Agency

Mandatory

Must be FDA.

Program

Mandatory

BIO

Processing Code

Not used

Enter the appropriate Processing Code (ALG, BBA, BDP, BLD, etc)

OK/Cancel

Buttons

Click OK to save the PGA Information and move on to the next screen.  Cancel will cancel and go back to the PGA screen without saving.

 

 

Field/Button

Status

Description

Item Type

Mandatory

Defaulted to P for Product.

Intended Use Code Conditional

Enter Intended Use Code *** If the Intended Use is unknown, you have the option to choose UNKN-Unknown but if not required, leave blank.

Intended Use Description Optional

Intended Use Description is optional

Product Code Qualifier Mandatory

“FDP” (FDA Product)

Product Code Number Mandatory

FDA Product Code Must be equal to 7 characters

Constituent Elements Optional

This is an optional PGA input record that provides data pertaining to Constituent Active Ingredient Qualifier, Name of the Constituent Element, Quantity of Constituent Element, Unit of Measure, and Percent of Constituent Element for the product identified by Product Code Number

Genus Name Optional

Scientific Genus Name of the merchandise being entered.

Species Name Optional

Scientific Species Name of the merchandise being entered.

Sub Species Name Optional

Scientific Sub Species Name of the merchandise being entered.

Source Type Mandatory

Mandatory valid value is 39 (Country of Production) or 30 (Country of Source). 294 (Country of Refusal) is MANDATORY if previously refused.

Country Mandatory

Country of production or source is required for Biologics.

Trade Name / Brand Name Conditional

The make of the product (or component) by manufacturer or distributor from the label or invoice.

Characteristic Description Mandatory

Include proper name (if applicable) OR invoice description here - NOT product code description. ·         *** If the Brand Name is unknown, you have the option to enter Unknown

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product entities screen. Click Del to delete a line.

Entity Role Codes

Mandatory

Select your Entity Role Codes, one at a time. Under Product Entities, enter all mandatory Entities for BIOLOGICS.  (Mandatory entites are marked ***MANDATORY*** in the picklist.) 

HINT: Mandatory entities for BIOLOGICS

           MF            Manufacturer of goods

           DEQ            Shipper

           FD1             FDA Importer (Importer of Record)

           DP               Delivered To Party

Entity ID Type

 

Conditional

Select an Entity ID Type if you have an Entity ID.

Entity Number

Conditional

MANDATORY Only when indicating EPN (EPA Producer Establishment Number)  NOTE, EPN format = NNNNNNAAANNN (N = Number, A = Letter, no dashes).

Name

Conditional

Name of the entity.

Address 1

Conditional

Address 1 of the entity, mandatory if name is entered.

City

Conditional

City of the entity, mandatory if name is entered.

State

Conditional

State of the entity, mandatory if name is entered.

Country

Conditional

Country of the entity, mandatory if name is entered.

Address 2

Conditional

Address 2 of the entity.

Apartment/Suite Number

Conditional

Apartment/Suite Number of the entity.

Postal Code

Conditional

Postal code of the entity, mandatory if name is entered.

Add/Edit/Del

Button

Click Add or Edit to open the Individual Entities screen. Each Entity added must have an Individual Entity added. (This is a point of contact) This CAN be the filer’s contact info. Click Del to delete a line.

 

 

 

Field/Button

Status

Description

Name

Conditional

Name of the individual at the company. MANDATORY for all Roles

Individual Qualifier

Conditional

Individual Qualifier MUST match the Entity Role Code.  

Phone Number

Conditional

Phone number of the individual at the company.

Email

Conditional

Email of the individual at the company.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the affirmations of compliance screen. Click Del to delete a line.

Affirmation of Compliance Code

Conditional

A code used to affirm compliance with FDA requirements.  

Affirmation of Compliance Allowable Description Formats

Conditional

Text describing the information required by the FDA. This could include a number or a country code, etc.

Affirmation of Compliance  Description

Conditional

Enter the Affirmation of Compliance  Description

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the value lot numbers screen. Click Del to delete a line.

Lot Number Qualifier

Conditional

 

Code of the entity that assigned the Lot number. For Biologics the only valid value is: 1 = Manufacturer

Lot Number

 

Conditional

The lot number that the manufacturer/ producer/grower assigned to the product

Lot Production Start Date

Optional

The date when the production for the Lot started.

Lot Production End Date

Optional

The date when the production for the Lot started.

Temperature Qualifier

Optional

Temperature Category being reported for quality control or preservation purposes.

Degree Type

Optional

F = Fahrenheit, C = Celsius , K = Kelvin

Actual Temperature

Optional

Reported temperature.

Location of Temperature Recording

Optional

Identifies recorded temperature is for A = product B = container C = conveyance

PGA Line Value

Mandatory

The value associated with the PGA line number in whole dollars. I

PGA Unit Value

Optional

 

The value of the lowest unit of measure

 

 

Field/Button

Status

Description

Package Quantity

 

Mandatory

Outermost (largest=1) packages to the innermost (smallest=6) packages. The total quantity for the packaging level.

Packaging UOM

Mandatory

Type of packaging / packaging level.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the containers screen. Click Del to delete a line.

Container Number (Equipment ID)

Optional

 

The number of the shipping container as entered in the Bill of Lading.

 

 

Field/Button

Status

Description

Arrival Status

Mandatory

A is the ONLY valid code for FDA: A = Anticipated arrival information.

Anticipated Arrival date

Mandatory

 

Date of the anticipated arrival.

Port No.

Optional

Enter a valid port code.

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the remarks screen. Click Del to delete a line.

Remarks Type Code

Optional

A code indicating the type of remarks. FDA uses either NAM or GEN as its valid values.

Remarks Text

Optional

Free form text relevant to the shipment or the commodity.

 

 

 

 

FDA – Cosmetics

 

Field/Button

Status

Description

Agency

Mandatory

Must be FDA.

Program

Mandatory

COS

Processing Code

Not used

Cosmetics does not require a processing code.

OK/Cancel

Buttons

Click OK to save the PGA Information and move on to the next screen.  Cancel will cancel and go back to the PGA screen without saving.

 

 

Field/Button

Status

Description

Item Type

Mandatory

Defaulted to P for Product.

Intended Use Code Conditional

Enter Intended Use Code *** If the Intended Use is unknown, you have the option to choose UNKN-Unknown but if not required, leave blank.

Intended Use Description Optional

Intended Use Description is optional

Product Code Qualifier Mandatory

“FDP” (FDA Product)

Product Code Number Mandatory

FDA Product Code Must be equal to 7 characters

Source Type Mandatory

Mandatory valid value is 39 (Country of Production) or 30 (Country of Source). 294 (Country of Refusal) is MANDATORY if previously refused.

Country Mandatory

Country of production or source is required for Biologics.

Trade Name / Brand Name Conditional

The make of the product (or component) by manufacturer or distributor from the label or invoice.

Characteristic Description Mandatory

Include proper name (if applicable) OR invoice description here - NOT product code description. ·         *** If the Brand Name is unknown, you have the option to enter Unknown

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product entities screen. Click Del to delete a line.

Entity Role Codes

Mandatory

Select your Entity Role Codes, one at a time. Under Product Entities, enter all mandatory Entities for COSMETICS.  (Mandatory entites are marked ***MANDATORY*** in the picklist.) 

HINT: Mandatory entities for COSMETICS

           MF            Manufacturer of goods

           DEQ            Shipper

           FD1             FDA Importer (Importer of Record)

           DP               Delivered To Party

Entity ID Type

 

Conditional

Select an Entity ID Type if you have an Entity ID.

Entity Number

Conditional

Enter the entity number

Name

Conditional

Name of the entity.

Address 1

Conditional

Address 1 of the entity, mandatory if name is entered.

City

Conditional

City of the entity, mandatory if name is entered.

State

Conditional

State of the entity, mandatory if name is entered.

Country

Conditional

Country of the entity, mandatory if name is entered.

Address 2

Conditional

Address 2 of the entity.

Apartment/Suite Number

Conditional

Apartment/Suite Number of the entity.

Postal Code

Conditional

Postal code of the entity, mandatory if name is entered.

Add/Edit/Del

Button

Click Add or Edit to open the Individual Entities screen. Each Entity added must have an Individual Entity added. (This is a point of contact) This CAN be the filer’s contact info. Click Del to delete a line.

 

 

 

Field/Button

Status

Description

Name

Conditional

Name of the individual at the company. MANDATORY for all Roles

Individual Qualifier

Conditional

Individual Qualifier MUST match the Entity Role Code.  

Phone Number

Conditional

Phone number of the individual at the company.

Email

Conditional

Email of the individual at the company.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the affirmations of compliance screen. Click Del to delete a line.

Affirmation of Compliance Code

Conditional

A code used to affirm compliance with FDA requirements.

Affirmation of Compliance Allowable Description Formats

Conditional

Text describing the information required by the FDA. This could include a number or a country code, etc.

Affirmation of Compliance  Description

Conditional

Enter the Affirmation of Compliance  Description

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the value lot numbers screen. Click Del to delete a line.

Lot Number Qualifier

Conditional

 

Code of the entity that assigned the Lot number. For Biologics the only valid value is: 1 = Manufacturer

Lot Number

 

Conditional

The lot number that the manufacturer/ producer/grower assigned to the product

Lot Production Start Date

Optional

The date when the production for the Lot started.

Lot Production End Date

Optional

The date when the production for the Lot started.

Temperature Qualifier

Optional

Temperature Category being reported for quality control or preservation purposes.

Degree Type

Optional

F = Fahrenheit, C = Celsius , K = Kelvin

Actual Temperature

Optional

Reported temperature.

Location of Temperature Recording

Optional

Identifies recorded temperature is for A = product B = container C = conveyance

PGA Line Value

Mandatory

The value associated with the PGA line number in whole dollars.

PGA Unit Value

Optional

 

The value of the lowest unit of measure

 

 

Field/Button

Status

Description

Package Quantity

 

Mandatory

Outermost (largest=1) packages to the innermost (smallest=6) packages. The total quantity for the packaging level.

Packaging UOM

Mandatory

Type of packaging / packaging level.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the containers screen. Click Del to delete a line.

Container Number (Equipment ID)

Optional

 

The number of the shipping container as entered in the Bill of Lading.

 

 

Field/Button

Status

Description

Arrival Status

Mandatory

A is the ONLY valid code for FDA: A = Anticipated arrival information.

Anticipated Arrival date

Mandatory

 

Date of the anticipated arrival.

Port No.

Optional

Enter a valid port code.

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the remarks screen. Click Del to delete a line.

Remarks Type Code

Optional

A code indicating the type of remarks. FDA uses either NAM or GEN as its valid values.

Remarks Text

Optional

Free form text relevant to the shipment or the commodity.

 

 

 

 

 

 

FDA – Drugs

 

Field/Button

Status

Description

Agency

Mandatory

Must be FDA.

Program

Mandatory

DRU

Processing Code

Mandatory

Choose appropriate Processing code (INV, OTC, PHN, PRE, RND)

OK/Cancel

Buttons

Click OK to save the PGA Information and move on to the next screen.  Cancel will cancel and go back to the PGA screen without saving.

 

 

 

Field/Button

Status

Description

Item Type

Mandatory

Defaulted to P for Product.

Intended Use Code Conditional

Enter Intended Use Code *** If the Intended Use is unknown, you have the option to choose UNKN-Unknown but if not required, leave blank.

 

Prescription (PRE)

                Finished Form:

080                 For Human Medical Use as a Non-Food Product under Controlled Distribution – Prescription (PRE)

970.000        Import for Export

100.000         Importation for Personal Use

155.012         Drug to be used as a constituent part in a Medical Device (Finished Dosage Form Drug)

               Not Finished Form Active Pharmaceutical Ingredient / Bulk Drug Substance:

150.007         Active Pharmaceutical Ingredient / Bulk Drug Substance for processing into a pharmaceutical product

970.000        Import for Export

150.017       Drug to be used as a component in a Medical Device (Active Pharmaceutical Ingredient / Bulk Drug Substance)

Over the Counter (OTC)

                Finished Form:

130                 For Consumer Use as a Non-Food Product – Over the Counter (OTC)

970.000        Import for Export

100.000         Importation for Personal Use

155.012         Drug to be used as a constituent part in a Medical Device (Finished Dosage Form Drug)

 

 

Not finished form: Active Pharmaceutical Ingredient / Bulk Drug Substance:

150.007         Active Pharmaceutical Ingredient / Bulk Drug Substance for processing into a pharmaceutical product

970.000       Import for Export

150.017         Drug to be used as a component in a Medical Device (Active Pharmaceutical Ingredient / Bulk Drug Substance)

 

Pharmaceutical Necessities & Containers (PHN)

No intended use codes for this Commodity Sub-Type

 

Research and Development (INV)

180.009     Chemical for research and development in a pharmaceutical product – clinical trial

or other human/animal use

 

Research and Development (RND)

180.017     Chemical for research and development in a pharmaceutical product – laboratory

                testing only, no human/animal use

Intended Use Description Optional

Intended Use Description is optional

Product Code Qualifier Mandatory

“FDP” (FDA Product)

Product Code Number Mandatory

FDA Product Code Must be equal to 7 characters

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the constituent elements screen. Click Del to delete a line.

Active Ingredient Conditional

If commodity sub-type = PRE, OTC, INV or RND then YES = “Y” if yes, blank (= NO)

Name of Active Ingredient Conditional IF FINISHED: Name of Active Ingredient contained in the dosage form IF ACTIVE PHARMACEUTICAL INGREDIENT/BULK DRUG SUBSTANCE: name of the Active Pharmaceutical Ingredient (API)
Percent of Active Ingredient Conditional

Only needed for Active Pharmaceutical Ingredients otherwise left blank.

Quantity of Active Ingredient Conditional

IF FINISHED – amount of active ingredient per dose IF API/BULK DRUG SUBSTANCE: total volume of API

Unit of Measure Conditional

IF FINISHED: Unit of measure for Quantity of Constituent Element IF API/BULK DRUG SUBSTANCE: Unit of measure for Quantity of Constituent Element

 

 

Field/Button

Status

Description

Source Type Code

Mandatory

Mandatory valid values are 30 (Country of Source) or 39 (Country of Production). 294 (Country of Refusal) if previously refused.

Source Country Mandatory

Country of production or source is required

Trade Name/Brand Name Conditional If Government Agency Program Code = ‘DRU’ and [ if PG01 Intended use code = 150.007 (indicates API/Bulk) or Agency Processing Code = ‘PHN’ OR ‘RND’ ] then Trade/Brand Name of the Drug is optional; otherwise, the Trade/Brand Name of the Drug is MANDATORY.  

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product characteristics screen. Click Del to delete a line.

Characteristic Description

Mandatory

This should be Invoice Description NOT product code description.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product entities screen. Click Del to delete a line.

Entity Role Codes

Mandatory

Select your Entity Role Codes, one at a time. Under Product Entities, enter all mandatory Entities for DRUGS.  (Mandatory entites are marked ***MANDATORY*** in the picklist.) 

For DRU, the mandatory entities are:

MF         Manufacturer of goods (Final producer for the final drug product). If the product is a bulk API, use “MF” as the Entity Role Code (rather than “GD – Producer of API); If the product is in finished form, provide MF of final product and GD for each API.

DEQ       Shipper

FD1        FDA Importer (Importer of Record)

DP          Delivered To Party

 

NOTE: other parties, in addition to those that are Mandatory may be entered

*API – Active Pharmaceutical Ingredient

*** Rules for Finished Dosage Form Drugs ***

IF Intended Use Code =

080 For Human Medical Use as a Non-Food Product under Controlled Distribution – Prescription (PRE) OR

130 For Consumer Use as a Non- Food Product – Over the Counter (OTC)

THEN: must include MF and at least one GD

Entity ID Type

 

Conditional

Select an Entity ID Type if you have an Entity ID. FDA requires Entity Name and Entity Address. Additionally, FDA prefers to use DUNS numbers for identifying the Entity; IF DUNS is not available THEN FEI

Entity Number

Conditional

Enter the entity number

Name

Conditional

Name of the entity.

Address 1

Conditional

Address 1 of the entity, mandatory if name is entered.

City

Conditional

City of the entity, mandatory if name is entered.

State

Conditional

State of the entity, mandatory if name is entered.

Country

Conditional

Country of the entity, mandatory if name is entered.

Address 2

Conditional

Address 2 of the entity.

Apartment/Suite Number

Conditional

Apartment/Suite Number of the entity.

Postal Code

Conditional

Postal code of the entity, mandatory if name is entered.

Add/Edit/Del

Button

Click Add or Edit to open the Individual Entities screen. Each Entity added must have an Individual Entity added. (This is a point of contact) This CAN be the filer’s contact info. Click Del to delete a line.

 

 

 

Field/Button

Status

Description

Name

Conditional

Name of the individual at the company. MANDATORY for all Roles

Individual Qualifier

Conditional

Individual Qualifier MUST match the Entity Role Code.  

Phone Number

Conditional

Phone number of the individual at the company.

Email

Conditional

Email of the individual at the company.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the affirmations of compliance screen. Click Del to delete a line.

Affirmation of Compliance Code

Conditional

A code used to affirm compliance with FDA requirements. *** If LST, Device Listing Number is unknown, you have the option to choose UNKN-Unknown 
 

For Government Program Code = DRU AND Government Processing Code =

  • PHN: Pharmaceutical Necessities & Containers; or
  • RND: Research and Development

THEN Affirmation of Compliance is not required

 

*** R&D products, Import For Export entries, and Personal Importations do not require AofCs ***

 

For Government Program Code = DRU AND Intended Use code =

  • 180.100: Chemical for research and development in a pharmaceutical product – laboratory testing only, no human/animal ingestion; OR
  • 210.000: Importation for Personal Use; OR
  • 970.001: Import For Export

THEN AOC is not required

 

The list of AoC codes mandatory to FDA Drugs Message Sets is below:

Data Element

Code

Description

 

Business Rules

Affirmation of Compliance Code

REG

Drug Registration Number

9N

 

IF Government Agency Program Code = DRU and IF Government Agency Processing Code is PRE or OTC AND Intended Use Code NOT = 180.009 THEN REG IS MANDATORY

 

The list of AoC codes conditional to FDA Drugs Message Sets is below:

Data Element

Code

Description

Syntax

Business Rules

Affirmation of Compliance Code

DA

New Drug Application Number or Abbreviated New Drug Application Number or Therapeutic Biologic

Application Number

6N

IF Government Agency Program Code = DRU AND Government Agency Processing Code = ‘PRE’ AND Intended Use Code NOT = 180.009 THEN DA IS MANDATORY

 

IF Government Agency Program Code = DRU AND Government Agency Processing Code = ‘ ‘OTC’ THEN DA IS OPTIONAL

 

The DA AofC includes all the previous AoC codes, NDA, ANDA and BLA.

DLS

Drug Listing Number

10N

IF  Government Agency Program Code = DRU and IF Government Agency Processing Code is PRE or OTC,AND Intended Use Code NOT = 180.009 THEN DLS IS MANDATORY unless  affirmation “PLR” is declared

IND

Investigational New Drug Number

6N

IF  Government Agency Program Code = DRU and IF Government Agency Processing Code is PRE or OTC or INV AND Intended Use Code = 180.009  THEN IND is MANDATORY

 

The list of AoC codes optional to FDA Drugs Message Sets is below:

Data Element

Code

Description

Syntax

Business Rules

Affirmation of Compliance Code

ERR

Entry Review Requested

Indicator only

ERR is just used as an indicator, no data will follow

HDE

Humanitarian Device Exemption

H followed by 6 digits

IF Government Agency Program Code = DRU THEN HDE IS ALLOWED

UFC

Unacceptable to Foreign Country (Products other than food)

2A

ISO Country code

PLR

Used to identify the shipment as a PLAIR import shipment

Indicator only

Used as an indicator, no data will follow.

LST

Device Listing Number

 

IF Government Agency Program Code = DRU AND Intended Use Code = 150.100  [Component/Constituent Part of a Medical Device] THEN Device Listing is Optional

PM#

Device Premarket Number

Any of the following:

P+6N; 

N+4N, 5N, or 6N;

D+6N;

H+6N;

K+6N;

DEN+6N;

IF Government Agency Program Code = DRU AND Intended Use Code = 150.100 [Component/Constituent Part of a Medical Device] THEN Device Premarket Application is Optional

 IDE

Investigational Device Exemption Number

G+6N OR "NSR"

 

 

Affirmation of Compliance Allowable Description Formats

Conditional

Text describing the information required by the FDA. This could include a number or a country code, etc.

Affirmation of Compliance  Description

Conditional

Enter the Affirmation of Compliance  Description

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the value lot numbers screen. Click Del to delete a line.

Lot Number Qualifier

Conditional

 

Code of the entity that assigned the Lot number.

Lot Number

 

Conditional

The lot number that the manufacturer/ producer/grower assigned to the product

Lot Production Start Date

Optional

The date when the production for the Lot started.

Lot Production End Date

Optional

The date when the production for the Lot started.

Temperature Qualifier

Optional

Temperature Category being reported for quality control or preservation purposes.

Degree Type

Optional

F = Fahrenheit, C = Celsius , K = Kelvin

Actual Temperature

Optional

Reported temperature.

Location of Temperature Recording

Optional

Identifies recorded temperature is for A = product B = container C = conveyance

PGA Line Value

Mandatory

The value associated with the PGA line number in whole dollars.

PGA Unit Value

Optional

 

The value of the lowest unit of measure

 

 

Field/Button

Status

Description

Package Quantity

 

Mandatory

Outermost (largest=1) packages to the innermost (smallest=6) packages. The total quantity for the packaging level.

Packaging UOM

Mandatory

Type of packaging / packaging level.

 

 

 

Field/Button

Status

Description

Arrival Status

Mandatory

A is the ONLY valid code for FDA: A = Anticipated arrival information.

Anticipated Arrival date

Mandatory

 

Date of the anticipated arrival.

Port No.

Optional

Enter a valid port code.

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the remarks screen. Click Del to delete a line.

Remarks Type Code

Optional

A code indicating the type of remarks. FDA uses either NAM or GEN as its valid values.

Remarks Text

Optional

Free form text relevant to the shipment or the commodity.

 

 

 

 

 

 

 

FDA – Food

 

Field/Button

Status

Description

Agency

Mandatory

Must be FDA.

Program

Mandatory

FOO

Processing Code

Mandatory

Choose appropriate Processing code (ADD, CCW, DSU, FEE, NSF, PRO)

OK/Cancel

Buttons

Click OK to save the PGA Information and move on to the next screen.  Cancel will cancel and go back to the PGA screen without saving.

 

 

 

Field/Button

Status

Description

Item Type

Mandatory

Defaulted to P for Product.

Intended Use Code

Optional

Enter Intended Use Code *** If the Intended Use is unknown, you have the option to choose UNKN-Unknown but if not required, leave blank.

 

Intended Use Description Optional

Intended Use Description is optional

Prior Notice Number Conditional

Enter Prior Notice Number if Prior Notice was previously submitted.

Product Code Qualifier Mandatory

“FDP” (FDA Product)

Product Code Number Mandatory

FDA Product Code Must be equal to 7 characters

Genus Name Optional

Scientific Genus Name of the merchandise being entered.

Species Name Optional

Scientific Species Name of the merchandise being entered.

Sub Species Name Optional

Scientific Sub Species Name of the merchandise being entered.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the source processing screen. Click Del to delete a line.

Source Type Code

Mandatory

Source Type Code must be selected using the following logic. 1) IF Government Agency Program Code = FOO and Government Agency Processing Code = NSF then use 262 (Place of growth) ELSE Source Type Code can be 39 (Country of Production). IF Government Agency Program Code = FOO, THEN Country of Shipment CSH is required. IF Government Agency Program Code = FOO then Country of Entry Refusal 294 is required, if previously refused from other country(s)

Source Country Mandatory

Foods require the harvesting or production location of the product.

Trade Name/Brand Name Conditional If Government Agency Program Code = ‘DRU’ and [ if PG01 Intended use code = 150.007 (indicates API/Bulk) or Agency Processing Code = ‘PHN’ OR ‘RND’ ] then Trade/Brand Name of the Drug is optional; otherwise, the Trade/Brand Name of the Drug is MANDATORY.  

 

Field/Button

Status

Description

Trade Name/Brand Name Optional Market, Trade, or Brand Name that describes the food or feed product at each line level

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product characteristics screen. Click Del to delete a line.

Characteristic Description

Mandatory

Common, market or usual name or description, NOT product code description of the product. Free form description of the item.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product entities screen. Click Del to delete a line.

Entity Role Codes

Mandatory

Select your Entity Role Codes, one at a time. Under Product Entities, enter all mandatory Entities for FOOD.  (Mandatory entites are marked ***MANDATORY*** in the picklist.) 

 

NOTE: Entities for entries with previously reported Prior Notice (PNSI), the mandatory entities are:

MF         Manufacturer of goods

DEQ       Shipper

FD1        FDA Importer (Importer of Record)

DP          Delivered To Party

 

** NOTE: to submit PRIOR NOTICE, be sure to provide the additional Entities required to satisfy BTA. **

NOTE: Entities for entries with Prior Notice and without the PNSI, the mandatory entities are:

DEQ       Shipper

DFP        Owner

FD1        FDA Importer 1

PNS        PN Submitter

PNT        PN Transmitter

UC          Ultimate Consignee

 

NOTE: Entities for entries with Prior Notice and without the PNSI, which may be required entities are:

 

MF         Manufacturer of goods

FDC        Consolidator

DFI         Crop Grower

Entity ID Type

 

Conditional

Select an Entity ID Type if you have an Entity ID. FDA requires Entity Name and Entity Address. Additionally, FDA prefers to use DUNS numbers for identifying the Entity; IF DUNS is not available THEN FEI

Entity Number

Conditional

Enter the entity number

Name

Conditional

Name of the entity.

Address 1

Conditional

Address 1 of the entity, mandatory if name is entered.

City

Conditional

City of the entity, mandatory if name is entered.

State

Conditional

State of the entity, mandatory if name is entered.

Country

Conditional

Country of the entity, mandatory if name is entered.

Address 2

Conditional

Address 2 of the entity.

Apartment/Suite Number

Conditional

Apartment/Suite Number of the entity.

Postal Code

Conditional

Postal code of the entity, mandatory if name is entered.

Add/Edit/Del

Button

Click Add or Edit to open the Individual Entities screen. Each Entity added must have an Individual Entity added. (This is a point of contact) This CAN be the filer’s contact info. Click Del to delete a line.

 

 

 

Field/Button

Status

Description

Name

Conditional

Name of the individual at the company. MANDATORY for all Roles

Individual Qualifier

Conditional

Individual Qualifier MUST match the Entity Role Code.  

Phone Number

Conditional

Phone number of the individual at the company.

Email

Conditional

Email of the individual at the company.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the affirmations of compliance screen. Click Del to delete a line.

Affirmation of Compliance Code

Conditional

A code used to affirm compliance with FDA requirements.
 

The below information may be helpful in regards to optional and conditional Affirmation of Compliance codes:

Data Element

Code

Description

Business Rules

Affirmation of Compliance Code

FME

Food Processing Facility Registration Exemption

To be used when Food or Feed is no longer in its natural state or when PFR number is not provided.

 

Either FME or PFR is required in the case of Manufacturer or when consolidator/grower is entered in lieu of manufacturer for food in natural state. If both are submitted, FME is not used by the FDA.

 

RNO

Rail Car Number

Required If MOT = Rail

VFT

Voyage, Trip, Flight Number

If the article of food is arriving by express consignment operator or carrier and neither the PN submitter nor PN transmitter is the express consignment operator or carrier, the express consignment operator or carrier tracking number may be submitted in lieu of the flight number.  Otherwise, VFT is required if MOT = Air

VFT is also required if MOT = Rail or Truck

VES

Vessel Name

Required If MOT = Ocean

PFR  

 Manufacturers food facility  registration number

Manufacturer registration number is required unless FME and Reason code is submitted or consolidator / grower role code is submitted in lieu of manufacturer for food in its natural state.

If both FME and PFR are submitted, FME is not used by the FDA.

 

 

 

 

.

 The list of optional AoC codes for the FDA food Prior Notice Message Set is below:

 

Data Element

Code

Description

Business Rules

 

SFR   

Shippers food facility registration number

Optional

UFR  

Ultimate consignee food facility registration number

Optional

IFR  

Importers food facility registration number

Optional

TFR  

Transmitter food facility registration number

Optional

ORN

Owners food facility registration number-

Optional

SRN  

Submitters food facility registration number

Optional

 

CFR

FDA Consolidator food facility registration number

optional

 

GFR

Growers food facility registration number

optional

 

 

The list of conditional AoC codes for the FDA Food (Non-PN) Message Set is below:

Data Element

Code

Description

Business Rules

 Affirmation of Compliance Code

 

 

 

 

 

 

FCE

Food Canning Establishment Number

IF Government Agency Program Code = FOO AND the product is either LACF or AF THEN FCE may be entered. See Note 1.

SID

Schedule Identifier Number

IF Government Agency Program Code = FOO AND the product is LACF or AF THEN AoC Code ‘SID’ may be entered. See Note 1.

VOL

LACF/AF Volume

IF Government Agency Program Code = FOO AND the product is either LACF or AF THEN VOL IS ALLOWED. See Note 1.

 

 

 

 

 

The list of optional AoC codes for the FDA Food (Non-PN) Message Set is below:

Data Element

Code

Description

Business Rules

 

Affirmation of Compliance Code

CCC

Chinese Ceramic Ware Factory Code

IF  Government Agency Program Code = FOO AND Government Agency Processing Code = CCW THEN CCC IS ALLOWED

 

CCN

Carrier ISO Country Code

ISO Country code

 

CIN

Color Identification Number

IF  Government Agency Program Code = FOO AND Government Agency Processing Code = ADD THEN CIN IS ALLOWED

 

ERR

Entry Review Requested

ERR is just used as an indicator, no data will follow

 

FAP

Food Additive Petition Approval Number

IF  Government Agency Program Code = FOO AND Government Agency Processing Code = ADD THEN FAP IS ALLOWED

 

FCC

French Cheese Facility Certification Number

IF  Government Agency Program Code = FOO AND Government Agency Processing Code = PRO THEN FCC IS ALLOWED

 

 

 

 

 

IBP

Indian Black Pepper Certificate

IF  Government Agency Program Code = FOO AND Government Agency Processing Code = NSF THEN IBP IS ALLOWED

 

IFE

Import For Export

 

 

PKC

Package/Can Code

IF  Government Agency Program Code = FOO THEN PKC IS ALLOWED

 

AIN

Food Additive Identification Number

IF  Government Agency Program Code = FOO AND Government Agency Processing Code = ADD THEN AIN IS ALLOWED

 

JIF

Juice HACCP Importer Firm

IF Government Agency Program Code = FOO AND the product is HACCP THEN JIF IS ALLOWED

 

SIF

Seafood HACCP Importer Firm

IF Government Agency Program Code = FOO  AND the product is HACCP THEN SIF IS ALLOWED

 

 

 

 

 

 

 

Affirmation of Compliance Allowable Description Formats

Conditional

Text describing the information required by the FDA. This could include a number or a country code, etc.

Affirmation of Compliance  Description

Conditional

Enter the Affirmation of Compliance  Description

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the value lot numbers screen. Click Del to delete a line.

Lot Number Qualifier

Conditional

 

Note – for Lot Number Qualifier, if processing code is NSF, Lot Number Qualifier must be 3.  Otherwise Lot Number Qualifier is = 1. (per PGA Supplemental Guide 2.4)

Lot Number

 

Conditional

The lot number that the manufacturer/ producer/grower assigned to the product

Lot Production Start Date

Optional

The date when the production for the Lot started.

Lot Production End Date

Optional

The date when the production for the Lot started.

Temperature Qualifier

Optional

Temperature Category being reported for quality control or preservation purposes.

Degree Type

Optional

F = Fahrenheit, C = Celsius , K = Kelvin

Actual Temperature

Optional

Reported temperature.

Location of Temperature Recording

Optional

Identifies recorded temperature is for A = product B = container C = conveyance

PGA Line Value

Mandatory

The value associated with the PGA line number in whole dollars.

PGA Unit Value

Optional

 

The value of the lowest unit of measure

 

 

Field/Button

Status

Description

Package Quantity

 

Mandatory

Outermost (largest=1) packages to the innermost (smallest=6) packages. The total quantity for the packaging level.

Packaging UOM

Mandatory

Type of packaging / packaging level.

 

 

Field/Button

Status

Description

Arrival Status

Mandatory

A is the ONLY valid code for FDA: A = Anticipated arrival information.

Anticipated Arrival date

Mandatory

 

Date of the anticipated arrival.

Port No.

Optional

Enter a valid port code.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the containers screen. Click Del to delete a line.

Container Number (Equipment ID)

Optional

 

The number of the shipping container as entered in the Bill of Lading.

 

 

Field/Button

Status

Description

Can Dimensions #1/ #2/ #3

Conditional

*NOTE-If container is a rectangle the dimension should be entered in WIDTH, HEIGHT, LENGTH order.  If Cylindrical, the dimensions are in DIAMETER and HEIGHT order.

LACF and Acidified:

Industry Codes: 02-39, 41, 71, & 72

With Process Indicator Code (PIC): Acidified-I, Aseptic-F, Commercially Sterile-E

If the product is LACF, the can measurements (height and diameter) must be provided in CAN DIMENSIONS section unless both the Affirmation of Compliance codes FCE (Food Canning Establishment number) and SID (Schedule Identifier Number) are provided.

If Acidified Food (AF), one of the following must be provided unless FCE and SID are provided:

  1. Can Measurements in PG28 (either height and diameter or height/length, width and thickness
  2. Container Volume (VOL)

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the remarks screen. Click Del to delete a line.

Remarks Type Code

Optional

A code indicating the type of remarks. FDA uses either NAM or GEN as its valid values.

Remarks Text

Optional

Free form text relevant to the shipment or the commodity.

 

 

 

 

 

 

 

FDA – Medical Devices

 

Field/Button

Status

Description

Agency

Mandatory

Must be FDA.

Program

Mandatory

DEV

Processing Code

Mandatory

Enter the Applicable Processing code (NED, or RED)

OK/Cancel

Buttons

Click OK to save the PGA Information and move on to the next screen.  Cancel will cancel and go back to the PGA screen without saving.

 

 

Field/Button

Status

Description

Item Type

Mandatory

Defaulted to P for Product.

Intended Use Code Conditional

Enter Intended Use Code *** If the Intended Use is unknown, you have the option to choose UNKN-Unknown but if not required, leave blank.

Intended Use Description Optional

Intended Use Description is optional

Product Code Qualifier Mandatory

“FDP” (FDA Product)

Product Code Number Mandatory

FDA Product Code Must be equal to 7 characters

Source Type Mandatory

Mandatory valid value is 39 (Country of Production) or 30 (Country of Source). 294 (Country of Refusal) is MANDATORY if previously refused.

Country Mandatory

Country of production or source is required for Medical Devices.

Trade Name / Brand Name Mandatory

Trade/Brand Name of the Medical Device. For example, Zimmer Reusable Tourniquet Cuff.

Characteristic Description Mandatory

Free form description, NOT product code description, of the item, either to supplement the above data elements or in place of the above.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product entities screen. Click Del to delete a line.

Entity Role Codes

Mandatory

Select your Entity Role Codes, one at a time. Under Product Entities, enter all mandatory Entities for MEDICAL DEVICES (Mandatory entites are marked ***MANDATORY*** in the picklist.) 

HINT: Mandatory entities for MEDICAL DEVICES

           MF            Manufacturer of goods

           DEQ            Shipper

           FD1             FDA Importer (Importer of Record)

           DDI           Device Initial Importer

           DP               Delivered To Party

Entity ID Type

 

Conditional

Select an Entity ID Type if you have an Entity ID. For MEDICAL DEVICES the vast majority of registration numbers are FEIs

Entity Number

Conditional

Enter the entity number

Name

Conditional

Name of the entity.

Address 1

Conditional

Address 1 of the entity, mandatory if name is entered.

City

Conditional

City of the entity, mandatory if name is entered.

State

Conditional

State of the entity, mandatory if name is entered.

Country

Conditional

Country of the entity, mandatory if name is entered.

Address 2

Conditional

Address 2 of the entity.

Apartment/Suite Number

Conditional

Apartment/Suite Number of the entity.

Postal Code

Conditional

Postal code of the entity, mandatory if name is entered.

Add/Edit/Del

Button

Click Add or Edit to open the Individual Entities screen. Each Entity added must have an Individual Entity added. (This is a point of contact) This CAN be the filer’s contact info. Click Del to delete a line.

 

 

 

Field/Button

Status

Description

Name

Conditional

Name of the individual at the company. MANDATORY for all Roles

Individual Qualifier

Conditional

Individual Qualifier MUST match the Entity Role Code.  

Phone Number

Conditional

Phone number of the individual at the company.

Email

Conditional

Email of the individual at the company.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the affirmations of compliance screen. Click Del to delete a line.

Affirmation of Compliance Code

Conditional

A code used to affirm compliance with FDA requirements.

Intended Use (see PG01 for definitions)

Import Scenarios

Mandatory Affirmations

Conditional1

Affirmations

Optional Affirmations

081.001

 

·          Standard import of device, accessories, or components regulated as a finished device

·          Import of refurbished device

·          Import of a reprocessed device

DEV, DFE, LST

DI, IRC, LWC, PM#

 

081.002*

Import of a device for domestic refurbishing

DEV, DFE, LST

DI, IRC, LWC, PM#

 

081.003

domestically manufactured device that is part of a medical device convenience kit

DDM, DFE, KIT, LST

DI, IRC, LWC, PM#

 

081.004

foreign manufactured device that is Part of a medical device convenience kit

KIT, DEV, DFE,

LST

PM#, DI, LWC;IRC

 

081.005

Device constituent part for drug-device combination product

DEV, DFE, LST

 

DA, IND

 

140.000

Import of a device for charity

DEV, DFE, LST

DI, IRC, LWC, PM#

 

155.010

 

Component for further manufacturing into a finished medical device

CPT

 

LST, PM#

155.011

Device component for use in a drug-device combination product

CPT

DA, IND

 

170.000

Repair of medical device and re-exportation

DDM, IFE

DFE, DI, LST, IRC, LWC, PM#

 

180.010

Import of research or investigational use in vitro diagnostic device

 

 

 

180.014*

·          Import of a device for non-clinical use/bench testing

·          Import of device sample for customer evaluation

 

 

 

180.0015

Import of a medical device for clinical investigational use

IDE

 

 

920.001

Import of a device that is US goods returned for refund/overstock (to manufacturer)

DDM, LST

DFE, DI, IRC, LWC, PM#

 

920.002*

Import of device that is US goods returned for sale to a third party

DFE, DDM, LST

DI, IRC, LWC, PM#

 

950.001*

Import of a single-use device for domestic reprocessing 

DDM, LST

DFE, DI, IRC, LWC, PM#

 

950.002*

Import of a multi-use device for domestic reprocessing 

 

DDM, DFE, DI, IRC, LST, LWC, PM#

 

970.000

Import for Export:

·          Import of a medical device for further processing and re-exportation

·          Importation of a medical device or accessory for further manufacturing into an export-only medical device

DEV, DFE, IFE, LST

 

 

970.002

Import for Export:

·          Importation of a medical device component for further manufacturing into an export-only medical device

IFE, CPT, DDM, LST

 

 

110.000*

100.000*

940.000*

081.006

·          Public Exhibition/Trade Show

·          Device For Personal Use

·          Compassionate Use/Emergency device

·          Import of a medical device under enforcement discretion

 

 

 

 

 

Affirmation of Compliance Allowable Description Formats

Conditional

Text describing the information required by the FDA. This could include a number or a country code, etc.

Affirmation of Compliance  Description

Conditional

Enter the Affirmation of Compliance  Description

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the value lot numbers screen. Click Del to delete a line.

Lot Number Qualifier

Conditional

 

Code of the entity that assigned the Lot number. For Biologics the only valid value is: 1 = Manufacturer

Lot Number

 

Conditional

The lot number that the manufacturer/ producer/grower assigned to the product

Lot Production Start Date

Optional

The date when the production for the Lot started.

Lot Production End Date

Optional

The date when the production for the Lot started.

Temperature Qualifier

Optional

Temperature Category being reported for quality control or preservation purposes.

Degree Type

Optional

F = Fahrenheit, C = Celsius , K = Kelvin

Actual Temperature

Optional

Reported temperature.

Location of Temperature Recording

Optional

Identifies recorded temperature is for A = product B = container C = conveyance

PGA Line Value

Mandatory

The value associated with the PGA line number in whole dollars.

PGA Unit Value

Optional

 

The value of the lowest unit of measure

 

 

Field/Button

Status

Description

Package Quantity

 

Mandatory

Outermost (largest=1) packages to the innermost (smallest=6) packages. The total quantity for the packaging level.

Packaging UOM

Mandatory

Type of packaging / packaging level.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the containers screen. Click Del to delete a line.

Container Number (Equipment ID)

Optional

 

The number of the shipping container as entered in the Bill of Lading.

 

 

Field/Button

Status

Description

Arrival Status

Mandatory

A is the ONLY valid code for FDA: A = Anticipated arrival information.

Anticipated Arrival date

Mandatory

 

Date of the anticipated arrival.

Port No.

Optional

Enter a valid port code.

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the remarks screen. Click Del to delete a line.

Remarks Type Code

Optional

A code indicating the type of remarks. FDA uses either NAM or GEN as its valid values.

Remarks Text

Optional

Free form text relevant to the shipment or the commodity.

 

 

 

 

 

 

FDA – Radiation

 

Field/Button

Status

Description

Agency

Mandatory

Must be FDA.

Program

Mandatory

RAD

Processing Code

Mandatory

REP

OK/Cancel

Buttons

Click OK to save the PGA Information and move on to the next screen.  Cancel will cancel and go back to the PGA screen without saving.

 

 

 

Field/Button

Status

Description

Item Type

Mandatory

Defaulted to P for Product.

Intended Use Code

Optional

Enter Intended Use Code *** If the Intended Use is unknown, you have the option to choose UNKN-Unknown but if not required, leave blank.

 

Intended Use Description Optional

Intended Use Description is optional

Prior Notice Number Conditional

Enter Prior Notice Number if Prior Notice was previously submitted.

Product Code Qualifier Mandatory

“FDP” (FDA Product)

Product Code Number Mandatory

FDA Product Code Must be equal to 7 characters

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the source processing screen. Click Del to delete a line.

Source Type Code

Mandatory

Source Type Code must be selected using the following logic. 1) IF Government Agency Program Code = FOO and Government Agency Processing Code = NSF then use 262 (Place of growth) ELSE Source Type Code can be 39 (Country of Production). IF Government Agency Program Code = FOO, THEN Country of Shipment CSH is required. IF Government Agency Program Code = FOO then Country of Entry Refusal 294 is required, if previously refused from other country(s)

Source Country Mandatory A two-letter code that identifies the country from where the product was produced, packed or shipped.

 

Field/Button

Status

Description

Trade Name/Brand Name Mandatory Trade/Brand Name of the Radiation-Emitting Device. For example, Sony Laser scanner RM2.
Model Optional The Item Identity Number. This is the Model Number or the Serial Number based on the qualifier entered below
ID Number Qualifier Optional Code identifying the type of Item Identity Number being provided

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product characteristics screen. Click Del to delete a line.

Characteristic Description

Mandatory

Common, market or usual name or description, NOT product code description of the product. Free form description of the item.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product entities screen. Click Del to delete a line.

Entity Role Codes

Mandatory

Select your Entity Role Codes, one at a time. Under Product Entities, enter all mandatory Entities for RADIATION.  (Mandatory entites are marked ***MANDATORY*** in the picklist.) 

 

HINT: Mandatory entities for RADIATION

           MF            Manufacturer of goods

           DEQ            Shipper

           FD1             FDA Importer (Importer of Record)

           DP               Delivered To Party

 

Entity ID Type

 

Conditional

Select an Entity ID Type if you have an Entity ID. FDA requires Entity Name and Entity Address. Additionally, FDA prefers to use DUNS numbers for identifying the Entity; IF DUNS is not available THEN FEI

Entity Number

Conditional

Enter the entity number

Name

Conditional

Name of the entity.

Address 1

Conditional

Address 1 of the entity, mandatory if name is entered.

City

Conditional

City of the entity, mandatory if name is entered.

State

Conditional

State of the entity, mandatory if name is entered.

Country

Conditional

Country of the entity, mandatory if name is entered.

Address 2

Conditional

Address 2 of the entity.

Apartment/Suite Number

Conditional

Apartment/Suite Number of the entity.

Postal Code

Conditional

Postal code of the entity, mandatory if name is entered.

Add/Edit/Del

Button

Click Add or Edit to open the Individual Entities screen. Each Entity added must have an Individual Entity added. (This is a point of contact) This CAN be the filer’s contact info. Click Del to delete a line.

 

 

 

Field/Button

Status

Description

Name

Conditional

Name of the individual at the company. MANDATORY for all Roles

Individual Qualifier

Conditional

Individual Qualifier MUST match the Entity Role Code.  

Phone Number

Conditional

Phone number of the individual at the company.

Email

Conditional

Email of the individual at the company.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the affirmations of compliance screen. Click Del to delete a line.

Affirmation of Compliance Code

Conditional

A code used to affirm compliance with FDA requirements.

List of Affirmation of Compliance codes CONDITIONAL to FDA Radiation Emitting Product Message Sets

 

 

If 2877 is required:

 

Affirmation

Qualifier

Examples and additional information

Additional Affirmations Required

Text on 2877

RA1

date

format MM/YYYY

 

1.Were manufactured prior to the effective date of any applicable standard. Date of Manufacture:____________________________

RA2

text

text is reason for exclusion.  Example: DOD exemption

 

2. Are excluded by the applicability clause or definition in the standard or by FDA written guidance. Specify reason for exclusion:______________

RA3

none

 

 

3. Are personal household goods of an individual entering the U.S. or being returned to a U.S. resident (Limit: 3 of each product type)

RA4*

none

 

 

4. Are property of a party residing outside the U.S. and will be returned to the owner after repair or servicing.

RA5*

text

text is description of the end product.  Example: Laser Diode

 

5. Are components or subassemblies to be used in manufacturing or as replacement parts

RA6

none

 

 

6. Are prototypes intended for ongoing product development by the importing firms, are labeled "FOR TEST/EVALUATION ONLY" and will be exported, destroyed, or held for future testing.- there is a quantity limit for this option-stated on the back of the 2877 (page 2)

RA7*

text

text is description of the end product

 

7.Are being reprocessed in accordance with P.L. 104-134 or other FDA guidance, are labeled "FOR EXPORT ONLY" and will not be sold, distributed or transferred without FDA approval.

RB1*

none

 

If RB1 then ACC (product report accession number) OR ANC (annual report accession number) must be provided.

(ACC+7N or ANC+7N)

B1.Comply with the performance standards- 1.Last annual report or Product/Initial Report

RB2*

text

text is reason the product complies

 

B2.Comply with the performance standards-2. Unknown manufacturer/report number. State reason:

RC1*

none

 

 

C1.Do not comply with performance standards; are being held under a temporary import bond; will not be introduced into commerce, will be used under a radiation protection plan, and will be destroyed or exported under U.S. Customs Supervision when the mission is complete - 1. Research , Investigations/Studies, or Training (Attach Form FDA 766)

RC2

text

text is dates and use restriction

 

C2.Do not comply with performance standards; are being held under a temporary import bond; will not be introduced into commerce, will be used under a radiation protection plan, and will be destroyed or exported under U.S. Customs Supervision when the mission is complete - 1. Trade Show/Demonstration; List dates and use restrictions

RD1*

none

 

 

D1. Do not comply with performance standards; are held and will remain under bond; and will not be introduced into commerce until notification is received from FDA that products have been brought into compliance in accordance with an FDA approved petition.(See Form FDA 766) -1. Approved Petition is attached.

RD2*

none

 

 

D2. Do not comply with performance standards; are held and will remain under bond; and will not be introduced into commerce until notification is received from FDA that products have been brought into compliance in accordance with an FDA approved petition.(See Form FDA 766) -2.Petition request is attached.

RD3

date

date is the date form 766 will be provided, due within 60 days of submission.

 

D3. Do not comply with performance standards; are held and will remain under bond; and will not be introduced into commerce until notification is received from FDA that products have been brought into compliance in accordance with an FDA approved petition.(See Form FDA 766) - 3.Request will be submitted within 60 days.

 

*Annotates that additional information may be needed at time of entry in order for FDA to make a final admissibility decision.

 

 

Affirmation of Compliance Allowable Description Formats

Conditional

Text describing the information required by the FDA. This could include a number or a country code, etc.

Affirmation of Compliance  Description

Conditional

Enter the Affirmation of Compliance  Description

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the value lot numbers screen. Click Del to delete a line.

Lot Number Qualifier

Conditional

 

Note – for Lot Number Qualifier, if processing code is NSF, Lot Number Qualifier must be 3.  Otherwise Lot Number Qualifier is = 1. (per PGA Supplemental Guide 2.4)

Lot Number

 

Conditional

The lot number that the manufacturer/ producer/grower assigned to the product

Lot Production Start Date

Optional

The date when the production for the Lot started.

Lot Production End Date

Optional

The date when the production for the Lot started.

Temperature Qualifier

Optional

Temperature Category being reported for quality control or preservation purposes.

Degree Type

Optional

F = Fahrenheit, C = Celsius , K = Kelvin

Actual Temperature

Optional

Reported temperature.

Location of Temperature Recording

Optional

Identifies recorded temperature is for A = product B = container C = conveyance

PGA Line Value

Mandatory

The value associated with the PGA line number in whole dollars.

PGA Unit Value

Optional

 

The value of the lowest unit of measure

 

 

Field/Button

Status

Description

Package Quantity

 

Mandatory

Outermost (largest=1) packages to the innermost (smallest=6) packages. The total quantity for the packaging level.

Packaging UOM

Mandatory

Type of packaging / packaging level.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the containers screen. Click Del to delete a line.

Container Number (Equipment ID)

Optional

 

The number of the shipping container as entered in the Bill of Lading.

 

 

Field/Button

Status

Description

Arrival Status

Mandatory

A is the ONLY valid code for FDA: A = Anticipated arrival information.

Anticipated Arrival date

Mandatory

 

Date of the anticipated arrival.

Port No.

Optional

Enter a valid port code.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the remarks screen. Click Del to delete a line.

Remarks Type Code

Optional

A code indicating the type of remarks. FDA uses either NAM or GEN as its valid values.

Remarks Text

Optional

Free form text relevant to the shipment or the commodity.

 

 

 

 

 

FDA – Radiation

 

Field/Button

Status

Description

Agency

Mandatory

Must be FDA.

Program

Mandatory

RAD

Processing Code

Mandatory

REP

OK/Cancel

Buttons

Click OK to save the PGA Information and move on to the next screen.  Cancel will cancel and go back to the PGA screen without saving.

 

 

 

Field/Button

Status

Description

Item Type

Mandatory

Defaulted to P for Product.

Intended Use Code

Optional

Enter Intended Use Code *** If the Intended Use is unknown, you have the option to choose UNKN-Unknown but if not required, leave blank.

 

Intended Use Description Optional

Intended Use Description is optional

Prior Notice Number Conditional

Enter Prior Notice Number if Prior Notice was previously submitted.

Product Code Qualifier Mandatory

“FDP” (FDA Product)

Product Code Number Mandatory

FDA Product Code Must be equal to 7 characters

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the source processing screen. Click Del to delete a line.

Source Type Code

Mandatory

Source Type Code must be selected using the following logic. 1) IF Government Agency Program Code = FOO and Government Agency Processing Code = NSF then use 262 (Place of growth) ELSE Source Type Code can be 39 (Country of Production). IF Government Agency Program Code = FOO, THEN Country of Shipment CSH is required. IF Government Agency Program Code = FOO then Country of Entry Refusal 294 is required, if previously refused from other country(s)

Source Country Mandatory A two-letter code that identifies the country from where the product was produced, packed or shipped.

 

Field/Button

Status

Description

Trade Name/Brand Name Mandatory Trade/Brand Name of the Radiation-Emitting Device. For example, Sony Laser scanner RM2.
Model Optional The Item Identity Number. This is the Model Number or the Serial Number based on the qualifier entered below
ID Number Qualifier Optional Code identifying the type of Item Identity Number being provided

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product characteristics screen. Click Del to delete a line.

Characteristic Description

Mandatory

Common, market or usual name or description, NOT product code description of the product. Free form description of the item.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product entities screen. Click Del to delete a line.

Entity Role Codes

Mandatory

Select your Entity Role Codes, one at a time. Under Product Entities, enter all mandatory Entities for RADIATION.  (Mandatory entites are marked ***MANDATORY*** in the picklist.) 

 

HINT: Mandatory entities for RADIATION

           MF            Manufacturer of goods

           DEQ            Shipper

           FD1             FDA Importer (Importer of Record)

           DP               Delivered To Party

 

Entity ID Type

 

Conditional

Select an Entity ID Type if you have an Entity ID. FDA requires Entity Name and Entity Address. Additionally, FDA prefers to use DUNS numbers for identifying the Entity; IF DUNS is not available THEN FEI

Entity Number

Conditional

Enter the entity number

Name

Conditional

Name of the entity.

Address 1

Conditional

Address 1 of the entity, mandatory if name is entered.

City

Conditional

City of the entity, mandatory if name is entered.

State

Conditional

State of the entity, mandatory if name is entered.

Country

Conditional

Country of the entity, mandatory if name is entered.

Address 2

Conditional

Address 2 of the entity.

Apartment/Suite Number

Conditional

Apartment/Suite Number of the entity.

Postal Code

Conditional

Postal code of the entity, mandatory if name is entered.

Add/Edit/Del

Button

Click Add or Edit to open the Individual Entities screen. Each Entity added must have an Individual Entity added. (This is a point of contact) This CAN be the filer’s contact info. Click Del to delete a line.

 

 

 

Field/Button

Status

Description

Name

Conditional

Name of the individual at the company. MANDATORY for all Roles

Individual Qualifier

Conditional

Individual Qualifier MUST match the Entity Role Code.  

Phone Number

Conditional

Phone number of the individual at the company.

Email

Conditional

Email of the individual at the company.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the affirmations of compliance screen. Click Del to delete a line.

Affirmation of Compliance Code

Conditional

A code used to affirm compliance with FDA requirements.

List of Affirmation of Compliance codes CONDITIONAL to FDA Radiation Emitting Product Message Sets

 

 

If 2877 is required:

 

Affirmation

Qualifier

Examples and additional information

Additional Affirmations Required

Text on 2877

RA1

date

format MM/YYYY

 

1.Were manufactured prior to the effective date of any applicable standard. Date of Manufacture:____________________________

RA2

text

text is reason for exclusion.  Example: DOD exemption

 

2. Are excluded by the applicability clause or definition in the standard or by FDA written guidance. Specify reason for exclusion:______________

RA3

none

 

 

3. Are personal household goods of an individual entering the U.S. or being returned to a U.S. resident (Limit: 3 of each product type)

RA4*

none

 

 

4. Are property of a party residing outside the U.S. and will be returned to the owner after repair or servicing.

RA5*

text

text is description of the end product.  Example: Laser Diode

 

5. Are components or subassemblies to be used in manufacturing or as replacement parts

RA6

none

 

 

6. Are prototypes intended for ongoing product development by the importing firms, are labeled "FOR TEST/EVALUATION ONLY" and will be exported, destroyed, or held for future testing.- there is a quantity limit for this option-stated on the back of the 2877 (page 2)

RA7*

text

text is description of the end product

 

7.Are being reprocessed in accordance with P.L. 104-134 or other FDA guidance, are labeled "FOR EXPORT ONLY" and will not be sold, distributed or transferred without FDA approval.

RB1*

none

 

If RB1 then ACC (product report accession number) OR ANC (annual report accession number) must be provided.

(ACC+7N or ANC+7N)

B1.Comply with the performance standards- 1.Last annual report or Product/Initial Report

RB2*

text

text is reason the product complies

 

B2.Comply with the performance standards-2. Unknown manufacturer/report number. State reason:

RC1*

none

 

 

C1.Do not comply with performance standards; are being held under a temporary import bond; will not be introduced into commerce, will be used under a radiation protection plan, and will be destroyed or exported under U.S. Customs Supervision when the mission is complete - 1. Research , Investigations/Studies, or Training (Attach Form FDA 766)

RC2

text

text is dates and use restriction

 

C2.Do not comply with performance standards; are being held under a temporary import bond; will not be introduced into commerce, will be used under a radiation protection plan, and will be destroyed or exported under U.S. Customs Supervision when the mission is complete - 1. Trade Show/Demonstration; List dates and use restrictions

RD1*

none

 

 

D1. Do not comply with performance standards; are held and will remain under bond; and will not be introduced into commerce until notification is received from FDA that products have been brought into compliance in accordance with an FDA approved petition.(See Form FDA 766) -1. Approved Petition is attached.

RD2*

none

 

 

D2. Do not comply with performance standards; are held and will remain under bond; and will not be introduced into commerce until notification is received from FDA that products have been brought into compliance in accordance with an FDA approved petition.(See Form FDA 766) -2.Petition request is attached.

RD3

date

date is the date form 766 will be provided, due within 60 days of submission.

 

D3. Do not comply with performance standards; are held and will remain under bond; and will not be introduced into commerce until notification is received from FDA that products have been brought into compliance in accordance with an FDA approved petition.(See Form FDA 766) - 3.Request will be submitted within 60 days.

 

*Annotates that additional information may be needed at time of entry in order for FDA to make a final admissibility decision.

 

 

Affirmation of Compliance Allowable Description Formats

Conditional

Text describing the information required by the FDA. This could include a number or a country code, etc.

Affirmation of Compliance  Description

Conditional

Enter the Affirmation of Compliance  Description

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the value lot numbers screen. Click Del to delete a line.

Lot Number Qualifier

Conditional

 

Note – for Lot Number Qualifier, if processing code is NSF, Lot Number Qualifier must be 3.  Otherwise Lot Number Qualifier is = 1. (per PGA Supplemental Guide 2.4)

Lot Number

 

Conditional

The lot number that the manufacturer/ producer/grower assigned to the product

Lot Production Start Date

Optional

The date when the production for the Lot started.

Lot Production End Date

Optional

The date when the production for the Lot started.

Temperature Qualifier

Optional

Temperature Category being reported for quality control or preservation purposes.

Degree Type

Optional

F = Fahrenheit, C = Celsius , K = Kelvin

Actual Temperature

Optional

Reported temperature.

Location of Temperature Recording

Optional

Identifies recorded temperature is for A = product B = container C = conveyance

PGA Line Value

Mandatory

The value associated with the PGA line number in whole dollars.

PGA Unit Value

Optional

 

The value of the lowest unit of measure

 

 

Field/Button

Status

Description

Package Quantity

 

Mandatory

Outermost (largest=1) packages to the innermost (smallest=6) packages. The total quantity for the packaging level.

Packaging UOM

Mandatory

Type of packaging / packaging level.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the containers screen. Click Del to delete a line.

Container Number (Equipment ID)

Optional

 

The number of the shipping container as entered in the Bill of Lading.

 

 

Field/Button

Status

Description

Arrival Status

Mandatory

A is the ONLY valid code for FDA: A = Anticipated arrival information.

Anticipated Arrival date

Mandatory

 

Date of the anticipated arrival.

Port No.

Optional

Enter a valid port code.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the remarks screen. Click Del to delete a line.

Remarks Type Code

Optional

A code indicating the type of remarks. FDA uses either NAM or GEN as its valid values.

Remarks Text

Optional

Free form text relevant to the shipment or the commodity.

 

 

 

 

 

 

FDA – Tobacco

 

Field/Button

Status

Description

Agency

Mandatory

Must be FDA.

Program

Mandatory

TOB

Processing Code

Mandatory

·         Enter the appropriate Processing Code (CSU, FFM, INV)

OK/Cancel

Buttons

Click OK to save the PGA Information and move on to the next screen.  Cancel will cancel and go back to the PGA screen without saving.

 

 

 

Field/Button

Status

Description

Item Type

Mandatory

Defaulted to P for Product.

Intended Use Code

Conditional

Enter Intended Use Code *** If the Intended Use is unknown, you have the option to choose UNKN-Unknown but if not required, leave blank.

 

Intended Use Description Optional

Intended Use Description is optional

Product Code Qualifier Mandatory

“FDP” (FDA Product)

Product Code Number Mandatory

FDA Product Code Must be equal to 7 characters

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the source processing screen. Click Del to delete a line.

Source Type Code

Mandatory

For Tobacco, Source Type Code 39 (Country of Production) is required. Other Source Type Codes, 262 (Place of Growth) or HRV (Harvested) or 30 (Country of Source) may be entered, if available. There would be at least one PG06 with source type code of 39. More PG06 records may be repeated for the optional Source Type Codes, 262, HRV or 30.. Additionally, if previously refused, then trade would also provide another PG06 with source type code 294 (Country of Refusal).

Source Country Mandatory Country of production or source is required for Tobacco.

 

Field/Button

Status

Description

Trade Name/Brand Name Conditional If Government Agency Processing Code is INV (Investigational) or CSU (Consumer Use) then trade or brand name is mandatory. If Government Agency Processing Code is FFM (For Further Manufacturing), then trade name/brand name is optional.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product characteristics screen. Click Del to delete a line.

Characteristic Description

Mandatory

Free form invoice description, NOT product code description. This field will capture such information as length, color, and pack count. Under 21 1140.16(b), cigarette packages are required to contain a minimum of 20 cigarettes.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product entities screen. Click Del to delete a line.

Entity Role Codes

Mandatory

Select your Entity Role Codes, one at a time.Under Product Entities, enter all mandatory Entities for TOBACCO.  (Mandatory entites are marked ***MANDATORY*** in the picklist.) 

HINT: Mandatory entities for TOBACCO

           MF            Manufacturer of goods

           DEQ            Shipper

           FD1             FDA Importer (Importer of Record)

           TB                Submitter

           DP               Delivered To Party

Entity ID Type

 

Conditional

Select an Entity ID Type if you have an Entity ID. FDA requires Entity Name and Entity Address. Additionally, FDA prefers to use DUNS numbers for identifying the Entity; IF DUNS is not available THEN FEI

Entity Number

Conditional

Enter the entity number

Name

Conditional

Name of the entity.

Address 1

Conditional

Address 1 of the entity, mandatory if name is entered.

City

Conditional

City of the entity, mandatory if name is entered.

State

Conditional

State of the entity, mandatory if name is entered.

Country

Conditional

Country of the entity, mandatory if name is entered.

Address 2

Conditional

Address 2 of the entity.

Apartment/Suite Number

Conditional

Apartment/Suite Number of the entity.

Postal Code

Conditional

Postal code of the entity, mandatory if name is entered.

Add/Edit/Del

Button

Click Add or Edit to open the Individual Entities screen. Each Entity added must have an Individual Entity added. (This is a point of contact) This CAN be the filer’s contact info. Click Del to delete a line.

 

 

 

Field/Button

Status

Description

Name

Conditional

Name of the individual at the company. MANDATORY for all Roles

Individual Qualifier

Conditional

Individual Qualifier MUST match the Entity Role Code.  

Phone Number

Conditional

Phone number of the individual at the company.

Email

Conditional

Email of the individual at the company.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the affirmations of compliance screen. Click Del to delete a line.

Affirmation of Compliance Code

Conditional

A code used to affirm compliance with FDA requirements.

Affirmation of Compliance Allowable Description Formats

Conditional

Text describing the information required by the FDA. This could include a number or a country code, etc.

Affirmation of Compliance  Description

Conditional

Enter the Affirmation of Compliance  Description

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the value lot numbers screen. Click Del to delete a line.

Lot Number Qualifier

Optional

Includes Lots and/or Batches IF Government Agency Program Code = TOB THEN Lot Number Qualifier = 3

Lot Number

 

Optional

The lot number that the manufacturer/ producer/grower assigned to the product

Lot Production Start Date

Optional

The date when the production for the Lot started.

Lot Production End Date

Optional

The date when the production for the Lot started.

Temperature Qualifier

Optional

Temperature Category being reported for quality control or preservation purposes.

Degree Type

Optional

F = Fahrenheit, C = Celsius , K = Kelvin

Actual Temperature

Optional

Reported temperature.

Location of Temperature Recording

Optional

Identifies recorded temperature is for A = product B = container C = conveyance

PGA Line Value

Mandatory

The value associated with the PGA line number in whole dollars. Line Value is needed for enforcement of User Fee Regulations. Failure to pay user fees makes a product adulterated under Section 902 of the FD&C Act in accordance with Section 919.

PGA Unit Value

Mandatory

The value of the lowest unit of measure

 

 

Field/Button

Status

Description

Package Quantity

 

Mandatory

Outermost (largest=1) packages to the innermost (smallest=6) packages. The total quantity for the packaging level.

Packaging UOM

Mandatory

Type of packaging / packaging level.

 

 

 

Field/Button

Status

Description

Arrival Status

Mandatory

A is the ONLY valid code for FDA: A = Anticipated arrival information.

Anticipated Arrival date

Mandatory

 

Date of the anticipated arrival.

Port No.

Optional

Enter a valid port code.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the remarks screen. Click Del to delete a line.

Remarks Type Code

Optional

A code indicating the type of remarks. FDA uses either NAM or GEN as its valid values.

Remarks Text

Optional

Free form text relevant to the shipment or the commodity.

 

 

 

 

 

FDA – Veterinary Medications

 

Field/Button

Status

Description

Agency

Mandatory

Must be FDA.

Program

Mandatory

VME

Processing Code

Mandatory

Enter the appropriate Processing Code (ADE or ADR)

OK/Cancel

Buttons

Click OK to save the PGA Information and move on to the next screen.  Cancel will cancel and go back to the PGA screen without saving.

 

 

 

Field/Button

Status

Description

Item Type

Mandatory

Defaulted to P for Product.

Intended Use Code

Conditional

Enter Intended Use Code *** If the Intended Use is unknown, you have the option to choose UNKN-Unknown but if not required, leave blank.

 

Intended Use Description Optional

Intended Use Description is optional

Product Code Qualifier Mandatory

“FDP” (FDA Product)

Product Code Number Mandatory

FDA Product Code Must be equal to 7 characters

 

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the constituent elements screen. Click Del to delete a line.

Active Ingredient

Mandatory

Active ingredient = “Y” if yes, blank if no.

Name of Active Ingredient

Mandatory

 

IF Government Agency Program Code = VME AND Government Agency Processing Code = ADR THEN Constituent Active Ingredient Qualifier and Name of the Constituent Element are Mandatory.
Percent of Active Ingredient

Mandatory

 

Either the quantity and Unit of Measurement should be entered OR the Percent Constituent Element should be entered.

Quantity of Active Ingredient

Mandatory

 

Either the quantity and Unit of Measurement should be entered OR the Percent Constituent Element should be entered.

Unit of Measure

Mandatory

 

Enter the unit of measure.

 

 

 

Field/Button

Status

Description

Source Type Code

Mandatory

Mandatory valid values are 30 (Country of Source) or 39 (Country of Production) is MANDATORY. 294 (Country of Refusal) if previously refused

Source Country Mandatory Country of production or source is required for Animal Drugs

 

Field/Button

Status

Description

Trade Name/Brand Name Conditional If Government Agency Program Code = ‘VME’ the Trade/Brand Name of the Animal Drug is MANDATORY.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product characteristics screen. Click Del to delete a line.

Characteristic Description

Mandatory

Free form description, NOT product code description, of the item, either to supplement the above data elements or in place of the above.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the product entities screen. Click Del to delete a line.

Entity Role Codes

Mandatory

Select your Entity Role Codes, one at a time. Under Product Entities, enter all mandatory Entities for VETERINARY MEDICAL.  (Mandatory entites are marked ***MANDATORY*** in the picklist.) 

HINT: Mandatory entities for VETERINARY MEDICAL

           MF            Manufacturer of goods

           DEQ            Shipper

           FD1             FDA Importer (Importer of Record)

           DP               Delivered To Party

Entity ID Type

 

Conditional

Select an Entity ID Type if you have an Entity ID. FDA requires Entity Name and Entity Address. Additionally, FDA prefers to use DUNS numbers for identifying the Entity; IF DUNS is not available THEN FEI

Entity Number

Conditional

Enter the entity number

Name

Conditional

Name of the entity.

Address 1

Conditional

Address 1 of the entity, mandatory if name is entered.

City

Conditional

City of the entity, mandatory if name is entered.

State

Conditional

State of the entity, mandatory if name is entered.

Country

Conditional

Country of the entity, mandatory if name is entered.

Address 2

Conditional

Address 2 of the entity.

Apartment/Suite Number

Conditional

Apartment/Suite Number of the entity.

Postal Code

Conditional

Postal code of the entity, mandatory if name is entered.

Add/Edit/Del

Button

Click Add or Edit to open the Individual Entities screen. Each Entity added must have an Individual Entity added. (This is a point of contact) This CAN be the filer’s contact info. Click Del to delete a line.

 

 

 

Field/Button

Status

Description

Name

Conditional

Name of the individual at the company. MANDATORY for all Roles

Individual Qualifier

Conditional

Individual Qualifier MUST match the Entity Role Code.  

Phone Number

Conditional

Phone number of the individual at the company.

Email

Conditional

Email of the individual at the company.

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the affirmations of compliance screen. Click Del to delete a line.

Affirmation of Compliance Code

Conditional

A code used to affirm compliance with FDA requirements. There must be at least one PG23 record with the AoC code of REG.

Affirmation of Compliance  Description

Conditional

Enter the Affirmation of Compliance  Description

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the value lot numbers screen. Click Del to delete a line.

Lot Number Qualifier

Optional

Includes Lots and/or Batches IF Government Agency Program Code = TOB THEN Lot Number Qualifier = 3

Lot Number

 

Optional

The lot number that the manufacturer/ producer/grower assigned to the product

Lot Production Start Date

Optional

The date when the production for the Lot started.

Lot Production End Date

Optional

The date when the production for the Lot started.

Temperature Qualifier

Optional

Temperature Category being reported for quality control or preservation purposes.

Degree Type

Optional

F = Fahrenheit, C = Celsius , K = Kelvin

Actual Temperature

Optional

Reported temperature.

Location of Temperature Recording

Optional

Identifies recorded temperature is for A = product B = container C = conveyance

PGA Line Value

Mandatory

The value associated with the PGA line number in whole dollars.

PGA Unit Value

Optional

The value of the lowest unit of measure

 

 

Field/Button

Status

Description

Package Quantity

 

Mandatory

Outermost (largest=1) packages to the innermost (smallest=6) packages. The total quantity for the packaging level.

Packaging UOM

Mandatory

Type of packaging / packaging level.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the containers screen. Click Del to delete a line.

Container Number (Equipment ID)

Optional

 

The number of the shipping container as entered in the Bill of Lading.

 

Field/Button

Status

Description

Arrival Status

Mandatory

A is the ONLY valid code for FDA: A = Anticipated arrival information.

Anticipated Arrival date

Mandatory

 

Date of the anticipated arrival.

Port No.

Optional

Enter a valid port code.

 

 

 

Field/Button

Status

Description

Add/Edit/Del

Button

Click Add or Edit to open the remarks screen. Click Del to delete a line.

Remarks Type Code

Optional

A code indicating the type of remarks. FDA uses either NAM or GEN as its valid values.

Remarks Text

Optional

Free form text relevant to the shipment or the commodity.