Cosmetic Product Listing FormPlease enable JavaScript in your browser to complete this form.Product Listing Details - Step 1 of 5Type of Document *InitialChanges to ListingDiscontinuation of ListingAbbreviated renewalIs this a product listing for a small business (optional product listing)?:YesNo(optional product listing)Company Name *(As listed on product label)Company contact phone number *Product webpage linkType of business: *ManufacturerPackerDistributor Parent company name (if applicable)Company Address *(As listed on product label)Image of label (1) Click or drag a file to this area to upload. (Attach images of the front and back product labels to this form)Do you want to add more images? (Image 2)YesNoImage of label (2) Click or drag a file to this area to upload. (Attach images of the front and back product labels to this form)Do you want to add more images? (Image 3)YesNoImage of label (3) Click or drag a file to this area to upload. (Attach images of the front and back product labels to this form)NextPRODUCT CATEGORY CODE(S) * (01) Baby products (a) Baby shampoos. (b) Lotions, oils, powders, and creams. (c) Baby wipes. (d) Other baby products. 1. Leave-on. 2. Rinse-off. (02) Bath preparations (a) Bath oils, tablets, and salts. (b) Bubble baths. (c) Bath capsules. (d) Other bath preparations. (03) Eye makeup preparations (other than children’s eye makeup preparations). (a) Eyebrow pencils. (b) Eyeliners. (c) Eye shadows. (d) Eye lotions. (e) Eye makeup removers. (f) False eyelashes. (g) Mascaras. (h) Eyelash and eyebrow adhesives, glues, and sealants. (i) Eyelash and eyebrow preparations (primers, conditioners, serums, fortifiers). (j) Eyelash cleansers. (k) Other eye makeup preparations. (04) Children’s eye makeup preparations (a) Children’s eyeshadows. (b) Other children’s eye makeup. (05) Fragrance preparations (a) Colognes and toilet waters. (b) Perfumes. (c) Powders (dusting and talcum) (excluding aftershave talc). (d) Other fragrance preparations. (06) Hair preparations (non-coloring). (a) Hair conditioners. 1. Leave-on. 2. Rinse-off. (b) Hair sprays (aerosol fixatives). (c) Hair straighteners. (d) Permanent waves. (e) Rinses (non-coloring). (f) Shampoos (non-coloring). 1. Leave-on. 2. Rinse-off. (g) Tonics, dressings, and other hair grooming aids. (h) Wave sets. (i) Other hair preparations. 1. Leave-on. 2. Rinse-off. (07) Hair coloring preparations. (a) Hair dyes and colors (all types requiring caution statement and patch test). (b) Hair tints. (c) Hair rinses (coloring). 1. Leave-on. 2. Rinse-off. (d) Hair shampoos (coloring). 1. Leave-on. 2. Rinse-off. (e) Hair color sprays (aerosol). (f) Hair lighteners with color. (g) Hair bleaches. (h) Eyelash and eyebrow dyes. (i) Other hair coloring preparations. 1. Leave-on. 2. Rinse-off. (08) Makeup preparations (not eye)(other than makeup preparations for children). (a) Blushers and rouges (all types). (b) Face powders. (c) Foundations. 1. Traditional applications. 2. Airbrush applications. (d) Leg and body paints. 1. Traditional applications. 2. Airbrush applications. (e) Lipsticks and lip glosses. (f) Makeup bases. 1. Traditional applications. 2. Airbrush applications. (g) Makeup fixatives. (h) Other makeup preparations. 1. Traditional applications. 2. Airbrush applications. (09) Makeup preparations for children (not eye). (a) Children’s blushers and rouges (all types). (b) Children’s face paints. (c) Children’s face powders. (d) Children’s foundations. (e) Children’s lipsticks and lip glosses. (f) Children’s color hairsprays. (g) Other children’s makeup. (10) Manicuring preparations. (a) Basecoats and undercoats. (b) Cuticle softeners. (c) Nail creams and lotions. (d) Nail extenders. (e) Nail polishes and enamels. (f) Nail polish and enamel removers. (g) Other manicuring preparations. (11) Oral products. (a) Dentifrices (aerosols, liquids, pastes, and powders). (b) Mouthwashes and breath fresheners (liquids and sprays). (c) Other oral products. (12) Personal cleanliness. (a) Bath soaps and body washes. (b) Deodorants (underarm). 1. Sticks, roll-ons, gels, creams, and wipes. 2. Sprays. (c) Douches. (d) Feminine deodorants. 1. Leave-on. 2. Rinse-off. (e) Disposable wipes. (f) Other personal cleanliness products. 1. Leave-on. 2. Rinse-off. (13) Shaving preparations. (a) Aftershave lotions. (b) Beard softeners. (c) Men's talcum. (d) Pre-shave lotions (all types). (e) Shaving creams (aerosol, brushless, and lather). (f) Shaving soaps (cakes, sticks, etc.). (g) Other shaving preparation products. (14) Skin care preparations (creams, lotions, powder, and sprays). (a) Cleansing (cold creams, cleansing lotions, liquids, and pads). (b) Depilatories. (c) Face and neck (excluding shaving preparations). 1. Leave-on. 2. Rinse-off. (d) Body and hand (excluding shaving preparations). 1. Leave-on. 2. Rinse-off. (e) Foot powders and sprays. (f) Moisturizing. (g) Night. (h) Paste masks (mud packs). (i) Skin fresheners. (j) Other skin care preparations. 1. Leave-on. 2. Rinse-off. (15) Suntan preparations. (a) Suntan gels, creams, and liquids. (b) Indoor tanning preparations. 1. Traditional applications (creams, lotions, etc.). 2. Airbrush applications. 3. Spray applications. 4. Professional airbrush tanning applications. 5. Professional spray tanning applications. (c) Other suntan preparations. (16) Tattoo preparations. (a) Permanent tattoo inks. (b) Temporary tattoo inks. (c) Other tattoo preparations. (17) Other preparations Those preparations that do not fit another category You have selected product code(s):PreviousNextProduct Information (As listed on label) Product Name *Is this product for professional use only? *YesNoDoes this product contain fragrance, flavor or color? *FragranceFlavorFragrance & FlavorNoneIngredient Name (Mention the ingredients present in the product) *Is the facillity where the product is manufactured or processed exempt from registration (for example because it is a small business)? *YesNoFacility FEI:Facility Name:Facility Address:Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPreviousNextAgreement for Cosmetic Product Listing with the US Food and Drug Administration We appreciate your decision to select I3 Consulting to list your cosmetic product or products with the United States Food and Drug Administration. This Agreement describes the scope of our relationship with your company. By signing below and submitting this form to I3 Consulting, your Company agrees to be bound by the terms and conditions listed in this document. 1. Services Provided. Our services will be limited to preparing the SPL file from the data you provided in this form and submitting it to the United States Food and Drug Administration via FDA Direct or Electronic Submission Gateway (ESG). I3 Consulting will not verify your submitted data or product labeling. I3 Consulting provides Electronic Submission assistance only. 2. Client Information. You agree and warrant that all information that your company provides to I3 Consulting, including but not limited to any information necessary to list your cosmetic with the US FDA, is true and accurate. You understand and agree that the information you provide will not be privileged or confidential. 3. Authorization. You authorize I3 Consulting to prepare and submit the SPL file to the United States Food and Drug Administration on behalf of your Company. You also understand and agree that Liberty Management Group Ltd or its associates may prepare the SPL. 4. Limitations. I3 Consulting shall not be liable for any delay in performing its obligations under this agreement if such delay is caused by circumstances beyond Liberty Management Group Ltd's reasonable control. I3 Consulting will not provide you any guarantee or assurance that the US FDA will accept the data or label you submitted. You acknowledge and understand that I3 Consulting will not verify the data or the product labeling you submitted. I agree to the above Terms and Conditions *Yes, I agree.PreviousNextSubmitter Name *FirstLastJob Title *Submitter E-mail *PreviousSubmit