In an acute dermal toxicity study (MRID [number]), groups of (young adult) (strain) (species - rats or rabbits) (#/sex) were dermally exposed to chemical name (% a.i) in (name of vehicle if appropriate) for [#] hours to (% or amount of body surface area) at doses of    x, x, or x   mg/kg bw.  Animals then were observed for [#] days.


Dermal 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 (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 dermal, 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.)