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FDA Soy Protein Health Claim Survey Form

A searchable database of companies that have products qualifying for the proposed FDA soy protein health claim is published here at the U.S. Soyfoods Directory Web site. If your company has products that meet the proposed health claim, please enter information in this form and click "Submit" at the end of the form.

Company Name
Address
City
State	Select Alabama Alaska Alberta American Samoa Arizona Arkansas British Columbia California Colorado Connecticut Delaware District Of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Island Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory Other
Zip Code
Contact
Phone Number
Fax Number
Email Address
WWW URL	http://

Products must meet all of the FDA's health claim criteria, which are based on the Reference Amount Customarily Consumed (RACC) as specified by the FDA, for a specific product category:

• 6.25 grams soy protein or more
• Low fat (<=3 grams)
• Low saturated fat (<1 gram)
• Low cholesterol (<=20 mg)
• Sodium value of <=480 mg for individual foods, <=720 mg if the product is classified as a main dish product, and <=960 mg if the product is classified as a meal product
• Foods made with the whole soybean may also qualify for the health claim if they contain no fat in addition to that present in the whole soybean . These would include soy foods such as: tofu, soymilk, soy-based burgers, tempeh, and soy nuts.

Please provide specific information as found on the nutrition label for each product meeting the proposed health claim. Please provide information only for those products which have 3 grams or less of fat.

Product No. 1

Product Category	(Select One) Green Vegetable Soybeans (Edamame) (HVP) Hydrolyzed Vegetable Protein Isolated Soy Protein Lecithin Meat Alternatives (Meat Analogs) Miso Natto Nondairy Soy Frozen Desserts Salad Dressings Soy Cheese Soy Fiber Soy Flakes Soy Flour Soy Grits Soy Pizza Soy Protein Concentrate Soy SauceSoy Sauce Products Soy Yogurt Soy-Based Infant Formula Soy-Based Whipped Toppings Soybeans (Whole, Food Use) Soybeans (Whole, Food Use, Organically Grown) Soybean Candies Soybean Oil Soybean Paste Soymilk Drinks Soymilk PowderProducts Soynut Butter Soynuts Soy Sprouts TamariTamari Products Tempeh TofuTofu Products Tofu Powder Teriyaki SauceTeriyaki Products Textured Soy Protein Yuba OTHER
Brand / Product Name
Variety / Flavor
Point-of-Sale (Location in supermarket)
Serving size (from Nutrition Facts label)
Soy protein content per serving	grams
Total fat content per serving	grams
Saturated fat per serving	grams
Cholesterol per serving	milligrams
Sodium content per serving (if applicable)	milligrams

To end of form

Product No. 2

Product Category	(Select One) Green Vegetable Soybeans (Edamame) (HVP) Hydrolyzed Vegetable Protein Isolated Soy Protein Lecithin Meat Alternatives (Meat Analogs) Miso Natto Nondairy Soy Frozen Desserts Salad Dressings Soy Cheese Soy Fiber Soy Flakes Soy Flour Soy Grits Soy Pizza Soy Protein Concentrate Soy SauceSoy Sauce Products Soy Yogurt Soy-Based Infant Formula Soy-Based Whipped Toppings Soybeans (Whole, Food Use) Soybeans (Whole, Food Use, Organically Grown) Soybean Candies Soybean Oil Soybean Paste Soymilk Drinks Soymilk PowderProducts Soynut Butter Soynuts Soy Sprouts TamariTamari Products Tempeh TofuTofu Products Tofu Powder Teriyaki SauceTeriyaki Products Textured Soy Protein Yuba OTHER
Brand / Product Name
Variety / Flavor
Point-of-Sale (Location in supermarket)
Serving size (from Nutrition Facts label)
Soy protein content per serving	grams
Total fat content per serving	grams
Saturated fat per serving	grams
Cholesterol per serving	milligrams
Sodium content per serving (if applicable)	milligrams

To end of form

Product No. 3

Product Category	(Select One) Green Vegetable Soybeans (Edamame) (HVP) Hydrolyzed Vegetable Protein Isolated Soy Protein Lecithin Meat Alternatives (Meat Analogs) Miso Natto Nondairy Soy Frozen Desserts Salad Dressings Soy Cheese Soy Fiber Soy Flakes Soy Flour Soy Grits Soy Pizza Soy Protein Concentrate Soy SauceSoy Sauce Products Soy Yogurt Soy-Based Infant Formula Soy-Based Whipped Toppings Soybeans (Whole, Food Use) Soybeans (Whole, Food Use, Organically Grown) Soybean Candies Soybean Oil Soybean Paste Soymilk Drinks Soymilk PowderProducts Soynut Butter Soynuts Soy Sprouts TamariTamari Products Tempeh TofuTofu Products Tofu Powder Teriyaki SauceTeriyaki Products Textured Soy Protein Yuba OTHER
Brand / Product Name
Variety / Flavor
Point-of-Sale (Location in supermarket)
Serving size (from Nutrition Facts label)
Soy protein content per serving	grams
Total fat content per serving	grams
Saturated fat per serving	grams
Cholesterol per serving	milligrams
Sodium content per serving (if applicable)	milligrams

To end of form

Product No. 4

Product Category	(Select One) Green Vegetable Soybeans (Edamame) (HVP) Hydrolyzed Vegetable Protein Isolated Soy Protein Lecithin Meat Alternatives (Meat Analogs) Miso Natto Nondairy Soy Frozen Desserts Salad Dressings Soy Cheese Soy Fiber Soy Flakes Soy Flour Soy Grits Soy Pizza Soy Protein Concentrate Soy SauceSoy Sauce Products Soy Yogurt Soy-Based Infant Formula Soy-Based Whipped Toppings Soybeans (Whole, Food Use) Soybeans (Whole, Food Use, Organically Grown) Soybean Candies Soybean Oil Soybean Paste Soymilk Drinks Soymilk PowderProducts Soynut Butter Soynuts Soy Sprouts TamariTamari Products Tempeh TofuTofu Products Tofu Powder Teriyaki SauceTeriyaki Products Textured Soy Protein Yuba OTHER
Brand / Product Name
Variety / Flavor
Point-of-Sale (Location in supermarket)
Serving size (from Nutrition Facts label)
Soy protein content per serving	grams
Total fat content per serving	grams
Saturated fat per serving	grams
Cholesterol per serving	milligrams
Sodium content per serving (if applicable)	milligrams

To end of form

Product No. 5

Product Category	(Select One) Green Vegetable Soybeans (Edamame) (HVP) Hydrolyzed Vegetable Protein Isolated Soy Protein Lecithin Meat Alternatives (Meat Analogs) Miso Natto Nondairy Soy Frozen Desserts Salad Dressings Soy Cheese Soy Fiber Soy Flakes Soy Flour Soy Grits Soy Pizza Soy Protein Concentrate Soy SauceSoy Sauce Products Soy Yogurt Soy-Based Infant Formula Soy-Based Whipped Toppings Soybeans (Whole, Food Use) Soybeans (Whole, Food Use, Organically Grown) Soybean Candies Soybean Oil Soybean Paste Soymilk Drinks Soymilk PowderProducts Soynut Butter Soynuts Soy Sprouts TamariTamari Products Tempeh TofuTofu Products Tofu Powder Teriyaki SauceTeriyaki Products Textured Soy Protein Yuba OTHER
Brand / Product Name
Variety / Flavor
Point-of-Sale (Location in supermarket)
Serving size (from Nutrition Facts label)
Soy protein content per serving	grams
Total fat content per serving	grams
Saturated fat per serving	grams
Cholesterol per serving	milligrams
Sodium content per serving (if applicable)	milligrams

Questions?
Please contact:

Stevens & Associates, Inc.
4816 North Pennsylvania Street
Indianapolis, IN 46205-1744

317-926-6272

Fax: 317-283-8119

Email: info@soyfoods.com

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