Public Health Information System

FSIS Form 9540-1, Import Inspection Application
The following statement will appear on screen 1 between “View Application” and above
the “Application” tab.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0583-0094. The time required to complete this
information collection is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information.

Screen 1

FSIS Form 9540-1, Application for Import Inspection (Con’t)
Screen 2

FSIS Form 9540-1, Application for Import Inspection (Con’t)
Screen 3

FSIS Form 9540-1, Application for Import Inspection (Con’t)
Screen 3 (con’t)

FSIS Form 9540-1, Application for Import Inspection (Con’t)
Screen 4

FSIS Form 9540-1, Application for Import Inspection (Con’t)
Screen 5