summary of changes to FSIS Form 5200-2

OMB Control Number: 0583-0153.

Title of Clearance: Public Health Information System. (9 CFR 304.1 and 381.17

Agency Form Number affected by Change Worksheet: FSIS 5200-2.

Summary of Changes: FSIS is amending FSIS Form 5200-2 in order to add Fish of the order Siluriformes and make administrative and formatting changes. The addition of Fish to the form is exempt from the Paper Work Reduction Act (PRA)*. The estimated burden for the form will not change. The amended form:

1. Adds Fish of the order Siluriformes

2. Reorganizes questions to mirror what Grant Curators see on the Public Health Information System Establishment Profile screen.

3. Changes the format to make it easier to electronically submit the form. (Currently, you can fill it out electronically, but have to send in hard copies to the District Office. Now, it can all be sent via email.)

4. Incorporates the updated Privacy Act statement.

5. Revises instructions to make them easier to follow.

6. Adds a Continuation Sheet for more flexibility for adding information about fitness of persons responsibly connected with the applicant.

*As provided by the 2014 Farm Bill (Section 12106(b)(3), referencing Section 1601(c)(2)), FSIS is exempt from filing an information collection request under the Paper Work Reduction Act of 1995 (44 U.S.C. 3501, et. seq.)