OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Public Health Information System

IC 196167 under ICR 201504-0583-001 · OMB 0583-0153.

Documents and Forms
Document Name
Document Type
Other-screens-Transfer Certificate
Other-screens-Product List
Other-screens-Application for Return
Other-screen shots
Other-screen shots
Other-screen shots
Other-screen shots
Form
Form
Form
Form and Instruction
Form
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Public Health Information System
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-screens-Application for Return of Exported Product PHIS Sscreen shots 9010-1 030211.pdf Yes Yes Fillable Fileable
Form and Instruction FSIS 9010-1 Application for the Return of Exported Products to the United States FSIS 9010-1 Application for the Return of Exported Products to the United States_v8RE508.pdf Yes No Fillable Printable
Form 5200-6 Application/Approval for Voluntary Inspection FSIS 5200-6.pdf Yes Yes Fillable Fileable
Form 5200-15 Hours of Operations FSIS 5200-15 Hours of Operation Request Approval .pdf Yes Yes Fillable Fileable
Other-screens-Transfer Certificate Transfer certificate with OMB.docx Yes Yes Fillable Fileable
Form 9080-4 Meat, Poultry, and Egg Product List FSIS 9080-4.pdf Yes No Fillable Printable
Other-screens-Product List 9080-4 product list screen shots OMB statement March 1 2011.docx Yes Yes Fillable Fileable
Form and Instruction 9080-3 Establishment Application for Export FSIS 9080-3 ESTABLISHMENT APPLICATION FOR EXPORT OF _v8508.pdf Yes No Fillable Printable
Form 9060-6 Application for Export Certificate FSIS 9060-6 .pdf Yes No Fillable Printable
Other-screen shots 9010-1 Application for Return of Exported Goods.pdf Yes Yes Fillable Fileable
Other-screen shots 9080-3 Establishment Application for Export.pdf Yes Yes Fillable Fileable
Other-screen shots 9060-6 Application for Export of Goods In Lieu of Consolidated Split.pdf Yes Yes Fillable Fileable
Other-screen shots 9060-6 Application for Export of Goods.pdf Yes Yes Fillable Fileable
Form and Instruction 5200-2 Application for Federal Inspection FSIS FORM 5200-2 - APPLICATION FOR FEDERAL INSPECTION (04-09-2015).pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

6,067 2,750
   
Private Sector Businesses or other for-profits
 
   95 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 865,480 0 0 0 0 865,480
Annual IC Time Burden (Hours) 145,481 0 0 0 0 145,481
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
summary of changes to FSIS Form 5200-2 Summary of the changes from the current FSIS Form 5200.docx 04/23/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.