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Federal forms, ICRs, and supporting documents

Information Collection Request

Overtime and Holiday Inspection Fees for Small and Very Small Establishments

ICR 202109-0583-002 · OMB 0583-0185 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 5200-16 Overtime and Holiday Inspection Fees for Small and Very Small Establishments Form and Instruction Modified Missing upstream
final NBA response FSIS-2021-0017 09212021.pdf Supplementary Document Uploaded 2021-09-21 Repair queued
supporting statement overtime and holiday inspection fees for small and very small establishments 09202021.docx Supporting Statement A Uploaded 2021-09-20 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
247113 Overtime and Holiday Inspection Fees for Small and Very Small Establishments Form and Instruction Modified
ICR Details
0583-0185 202109-0583-002
Received in OIRA 202105-0583-001
USDA/FSIS
Overtime and Holiday Inspection Fees for Small and Very Small Establishments
Extension without change of a currently approved collection   No
Regular 10/04/2021
  Requested Previously Approved
36 Months From Approved 01/31/2022
3,944 3,944
724 724
0 0
The Food Safety and Inspection Service (FSIS) intends to reduce overtime and holiday inspection fees for small and very small meat, poultry, and egg products establishments. FSIS will collect information on FSIS Form 5200-16, Overtime/Holiday Rate Reduction Form, to determine whether an establishment inspected by FSIS qualifies for an overtime and holiday inspection fee reduction, and, if so, the amount of the reduction. If an establishment experiences any change in qualifying circumstances, it must immediately notify FSIS by resubmitting the attestation form.
None
None
Not associated with rulemaking
  86 FR 37274 07/15/2021
86 FR 54673 10/04/2021
Yes
1
IC Title Form No. Form Name
Overtime and Holiday Inspection Fees for Small and Very Small Establishments 5200-16 Overtime Holiday Rate Reduction Form
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,944 3,944 0 0 0 0
Annual Time Burden (Hours) 724 724 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$6,666
No
    No
    No
No
No
No
Yes
Gina Kouba 202 690-6510 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/04/2021