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Get And Sign FORM FDA 3147 Application For A Variance From 21 CFR 10 4011 c For A Laser Light Show, Display Or Device

21 CFR 1040. 11 c FOR A LASER LIGHT SHOW DISPLAY OR DEVICE Form Approved OMB No* 0910-0025 Expiration Date August 31 2023 See Page 4 for PRA Statement. DOCKET NUMBER NOTE No laser light show projection system or device may vary from compliance with 21 CFR 1040. 11 c in design or use without the approval of this application in accordance with 21 CFR 1010. 4. INSTRUCTIONS 1. Check all applicable boxes enter the requested information and sign this form* 4. For more information regarding this form...

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