Information Collection

Laboratories

IC 203693 under ICR 201404-0583-001 · OMB 0583-0158.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0583-0158 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form F-0008 PEPRLab Self-Assessment Checklist Laboratories	Form
Form 10,110-2 Application for FSIS Accredited Laboratory Program Laboratories	Form
Form 10,110-2 Rev Application for FSIS Accredited Laboratory Program Laboratories	Form
F-0008 PEPRLab Self-Assessment Checklist PEPRLab Form F-0008 04 Self Assessment Checklist (2).doc	Form
10,110-2 Application for FSIS Accredited Laboratory Program ALP Application Form 071112.docx	Form
10,110-2 Rev Application for FSIS Accredited Laboratory Program FSIS 10,110-2 Application for Accreditation_vRE508.pdf	Form

IC Title:

Laboratories

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 9 CFR 590.580 9 CFR 439

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	F-0008	Yes	Yes	Fillable Printable
Form	10,110-2	Yes	Yes	Fillable Printable
Form	10,110-2	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

Number of Respondents for Small Entity: 20

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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