Application for Inspection, Accreditation of Laboratories, and Exemptions

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 10,600-1 Domestic Chemical Laboratory Report	Form and Instruction	Modified	Available
Form 10,120-1 Residue Check Sample Results	Form and Instruction	Modified	Available
Form 6200-18 Food Chemistry Check Sample Results	Form and Instruction	Modified	Available
Form 5200-6 Application/Approval for Voluntary Reimbursable Inspection Service	Form	Modified	Available
Form 5200-2 Application for Federal Meat, Poultry, or Import Inspection	Form and Instruction	Modified	Available
Form 10000-8 Information Update Request	Form and Instruction	Modified	Available
Form 10000-7 Laboratory Quality Assurance Division Audit Evaluation Form	Form and Instruction	Modified	Available
Form 9080-3 Establishment Application for Export	Form	Modified	Available
Form FSIS Form 5200-8 Import Request Egg Products	Form	Modified	Available
ICRApplicationInsp,ALab07.doc	Supporting Statement A	Uploaded 2007-12-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
2814	Application for Inspection, Accreditation of Laboratories, and Exemptions	Form and Instruction	Modified	Domestic Chemical Laboratory Report
2814	Application for Inspection, Accreditation of Laboratories, and Exemptions	Form and Instruction	Modified	Residue Check Sample Results
2814	Application for Inspection, Accreditation of Laboratories, and Exemptions	Form and Instruction	Modified	Food Chemistry Check Sample Results
2814	Application for Inspection, Accreditation of Laboratories, and Exemptions	Form	Modified	Application/Approval for Voluntary Reimbursable Inspection Service
2814	Application for Inspection, Accreditation of Laboratories, and Exemptions	Form and Instruction	Modified	Application for Federal Meat, Poultry, or Import Inspection
2814	Application for Inspection, Accreditation of Laboratories, and Exemptions	Form and Instruction	Modified	Information Update Request
2814	Application for Inspection, Accreditation of Laboratories, and Exemptions	Form and Instruction	Modified	Laboratory Quality Assurance Division Audit Evaluation Form
2814	Application for Inspection, Accreditation of Laboratories, and Exemptions	Form	Modified	Establishment Application for Export
2814	Application for Inspection, Accreditation of Laboratories, and Exemptions	Form	Modified	Import Request Egg Products

ICR Details

OMB Control No: 0583-0082	ICR Reference No: 200710-0583-001
Status: Historical Active	Previous ICR Reference No: 200406-0583-001
Agency/Subagency: USDA/FSIS	Agency Tracking No:
Title: Application for Inspection, Accreditation of Laboratories, and Exemptions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/16/2008
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/28/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2011	36 Months From Approved	07/31/2008
Responses	3,348,592	0	3,379,363
Time Burden (Hours)	114,300	0	114,583
Cost Burden (Dollars)	0	0	0

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Abstract: To collect information related to the application for inspection, accreditation of laboratories, and exemptions in meat, poultry, and egg product establishment and plants.

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Authorizing Statute(s): US Code: 21 USC 451, et seq. Name of Law: Poultry Products Inspection Act
   US Code: 21 USC 601, et seq. Name of Law: Federal Meat Inspection Act
   US Code: 21 USC 1031, et seq. Name of Law: Egg Products Inspection Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 53752	09/20/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 244	12/20/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Application for Inspection, Accreditation of Laboratories, and Exemptions	5200-2, 5200-6, 9080-3, 10000-7, 10000-8, FSIS Form 5200-8, 10,600-1, 6200-18, 10,120-1	Establishment Application for Export ,   Import Request Egg Products ,   Laboratory Quality Assurance Division Audit Evaluation Form ,   Information Update Request ,   Application for Federal Meat, Poultry, or Import Inspection ,   Application/Approval for Voluntary Reimbursable Inspection Service ,   Food Chemistry Check Sample Results ,   Residue Check Sample Results ,   Domestic Chemical Laboratory Report

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ICR Summary of Burden

table that charts list of burden

	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	3,348,592	3,379,363	0	-30,771	0	0
Annual Time Burden (Hours)	114,300	114,583	0	-283	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The program adjustment is 114,300 due to this information collection being revised. There is an adjustment decrease of 283 hours from the previously approved burden of 114,583 due to the deletion of FSIS Form 10,110-6 (Official Sample Analytical Results) from the burden.

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Annual Cost to Federal Government: $700,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/28/2007

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