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Fda media72256APPLICATION FOR A VARIANCE Form Approved: OMB No - fda

Fda media72256APPLICATION FOR A VARIANCE Form Approved: OMB No - fda 2026

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The document is a reporting guide (FORM FDA 3640) issued by the FDA for manufacturers of laser light shows and displays using Class IIIb or IV lasers. It outlines the requirements for reporting radiation safety testing and compliance with federal standards, including necessary documentation, procedures for submitting reports, and guidelines for maintaining safety during laser shows. The guide emphasizes the importance of adhering to regulations, obtaining variances when necessary, and ensuring proper operator training and equipment checks.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Part 1, 'Identification of Manufacturer.' Enter the manufacturer's name, address, and contact details. Ensure that the responsible person’s information is accurate.
Proceed to Part 2, 'Identification of Report.' Indicate whether this is a new or supplemental report and provide the date of submission.
In Part 3, specify the name(s) of the light show or display. This section is crucial for identifying your project.
Complete Part 4 by attaching your variance application or approval letter as required. Confirm that all necessary documents are included.
Continue through Parts 5 to 15, providing detailed information about projection equipment, show venues, effects produced, and safety measures. Use diagrams where necessary to illustrate your setup.

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Versions	Form popularity	Fillable & printable
2023	4.4 Satisfied (46 Votes)
2021	4.8 Satisfied (101 Votes)
2012	4.4 Satisfied (185 Votes)

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