SHIPPERS' OR RECEIVERS' STATEMENT

ICR 197711-0583-001

OMB: 0583-0034

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
102527 Migrated
ICR Details
0583-0034 197711-0583-001
Historical Active 197612-0583-002
USDA/FSIS
SHIPPERS' OR RECEIVERS' STATEMENT
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 11/02/1977
Retrieve Notice of Action (NOA) 11/02/1977
  Inventory as of this Action Requested Previously Approved
01/31/1982 01/31/1982
450 0 0
112 0 0
0 0 0

THIS FORM IS USED TO DOCUMENT PRODUCTS IN VIOLATION OF THE AGRICULTURAL MARKETING ACT ON THE EGG PRODUCTS INSPECTION ACT. AMA IDENTIFIES PRODUCTS MISLABELED OR PRODUCTS NOT GRADED BUT REPRESENTED AS GRADED. EPIA - DOCUMENTEDS SHIPMENT OR RECEIPT OF ILLEGALLY PROCESSED EGG PRODUCTS OR RESTRICTED EGGS.

None
None


No

1
IC Title Form No. Form Name
SHIPPERS' OR RECEIVERS' STATEMENT PY539

  Total Approved 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 450 0 0 0 450 0
Annual Time Burden (Hours) 112 0 0 0 112 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
11/02/1977


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