Information Collection

Accreditation of Laboratories, Transactions, and Exemptions

IC 2814 under ICR 202303-0583-003 · OMB 0583-0082.

Documents and Forms

Document Name Document Type
Form 10,000-7 Accreditation of Laboratories, Transactions, and Exemptions Form
10,000-7 Laboratory Quality Assurance Response and Coordination S FSIS 10,000-7 Laboratory Quality Assurance Response and Coordination Staff Audit Evaluation Form_v6.5RE508.pdf Form
10,000-7 Laboratory Quality Assurance Response and Coordination S FSIS 10,000-7 Laboratory Quality Assurance Response and Coordination Staff Audit Evaluation Form_v6.5RE508.pdf Form
10,120-1a Proficiency Testing PR Sample Result FSIS 10120-1a Proficiency Testing PT Sample Result_ver6.5re508s.pdf Form and Instruction
10,120-1a Proficiency Testing PR Sample Result FSIS 10120-1a Proficiency Testing PT Sample Result_ver6.5re508s.pdf Form and Instruction
10,120-1B Microbiology Form FSIS 10120-1b Microbiology Form._ver6.5re508pdf.pdf Form and Instruction
10,120-1B Microbiology Form FSIS 10120-1b Microbiology Form._ver6.5re508pdf.pdf Form and Instruction
10,120-1c Proficiency Testing PT FSIS 10120-1c Proficiency Testing PT t_ver6.5re508s.pdf Form and Instruction
10,120-1c Proficiency Testing PT FSIS 10120-1c Proficiency Testing PT t_ver6.5re508s.pdf Form and Instruction
10,120-1d Proficiency Testing PT FSIS 10120-1d Proficiency Testing PT_ver6.5re508.pdf Form and Instruction
10,120-1d Proficiency Testing PT FSIS 10120-1d Proficiency Testing PT_ver6.5re508.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Accreditation of Laboratories, Transactions, and Exemptions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 381.17 9 CFR 320.1(b) 9 CFR 351.4 9 CFR 590.200 9 CFR 590.580 9 CFR 303.1 9 CFR 362.3 9 CFR 381.10 9 CFR 307.4 9 CFR 381.37 9 CFR 381.175(b) 9 CFR 352.3

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10,000-7	Laboratory Quality Assurance Response and Coordination Staff Audit Evaluation Form	FSIS 10,000-7 Laboratory Quality Assurance Response and Coordination Staff Audit Evaluation Form_v6.5RE508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	10,120-1a	Proficiency Testing PR Sample Result	FSIS 10120-1a Proficiency Testing PT Sample Result_ver6.5re508s.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	10,120-1B	Microbiology Form	FSIS 10120-1b Microbiology Form._ver6.5re508pdf.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	10,120-1c	Proficiency Testing PT	FSIS 10120-1c Proficiency Testing PT t_ver6.5re508s.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	10,120-1d	Proficiency Testing PT	FSIS 10120-1d Proficiency Testing PT_ver6.5re508.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26,120	Number of Respondents for Small Entity: 17,000

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,393,874	-46	3,393,920
Annual IC Time Burden (Hours)	113,458	-13	113,471
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.