In an acute oral toxicity study (MRID [number]), groups of (fasted), (age) (strain) (species) (#/sex) were given a single oral dose of chemical name (% a.i.) in (name of vehicle) at doses of x, x, or x mg/kg bw and observed for (#) days.
Oral LD50 Males = mg/kg bw (95% C.I. if available)
Females = mg/kg bw (95% C.I. if available)
Combined = mg/kg bw (95% C.I. if available)
[or note if no mortality occurred, note if limit test]
(Chemical name) is of (LOW, SLIGHT, MODERATE, HIGH) Toxicity based on the LD50 in (males or females which ever is lower) [include EPA Toxicity Category I, II, III or IV if joint review]. Label comment if applicable.
Include only major treatment related clinical signs, body weight or necropsy signs including onset and/or duration if any or the following statement: There were no treatment related clinical signs, necropsy findings or changes in body weight. Note if there was a NOAEL for clinical findings (for Acute reference dose consideration during subsequent risk assessment.)