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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
Food Process Filing for Acidified Method (Form FDA 2541e)
Note: There are separate process filing forms for each of the following: Food Process Filing for Low-Acid Retorted Method (Form FDA 2541d); Food Process Filing
for Acidified Method (Form FDA 2541e); Food Process Filing for Water Activity/Formulation Control Method (Form FDA 2541f); and Food Process Filing for LowAcid Aseptic Systems (Form FDA 2541g).
USE FDA INSTRUCTIONS ENTITLED "Instructions for Paper Submission of Form FDA 2541e (Food Process Filing for Acidified Method)”
Date Received by FDA _ _ /_ _/_ _ _ _ (MM/DD/YYYY) (FDA USE ONLY)
Food Canning Establishment (FCE) Number: _ _ _ _ _ _
Submission Identifier (SID) 20_ _-_ _-_ _/_ _ _ (YYYY-MM-DD/SSS)
A. Product Information:
Note: Section A.1 (Food Product Group) requests optional information.
1. (Optional) Select one Food Product Group. If there is no single best Food Product Group that applies, select Other.
Aquaculture Seafood (e.g., farming of aquatic organisms including fish, mollusks, crustaceans, etc.);
Bakery Products (canned brown bread, bakery glazes); Beans, Corn, or Peas (Select one):
Berry/Citrus/Core Fruit (Select one):
Beverage Base;
botanical teas);
Berry/Citrus/Core Fruit;
Dairy (milk-based);
Cheese (does not include soy cheese or imitation dairy);
Cocoa;
Coffee/Teas (excluding herbal and
Engineered Seafood (e.g., shelf-stable imitation crab, surimi, etc.);
Fishery (other aquatic (e.g., alligator, cuttlefish, frog legs, squid, etc.));
Fruit as a Vegetable (Select one):
Fruit as a Vegetable (e.g., eggplant, pumpkin, etc.)
Fungi (e.g., mushrooms, pleurotus, truffles, etc.);
Gravies/Sauces (spaghetti sauce, mushroom gravy);
Imitation/Pit/Mixed /Subtropical Fruit (Select one):
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Beans, Corn, Peas - Fresh Succulent;
Dietary Supplement and/or herbal and botanical teas;
Dressings/Condiments (e.g., salad dressing, chutney, salsa, pepper sauce, etc.);
Fishery (finfish)
Beans or Peas - Dry or Mature Soaked;
Berry/Citrus/Core Fruit as a Jam, Jelly, Preserve, Drink, Syrup, Topping;
Breakfast Foods (liquid form – ready-to-eat, such as porridge, gruel);
Crustacean (e.g., crab, shrimp, lobster, etc.);
Baby Food (infant/junior foods including infant formula);
Fruit as a Vegetable Juice or Drink (e.g., eggplant juice, pumpkin juice, etc.);
Gelatin, Pudding Filling for Pies, Pie Filling (liquid form ready-to-eat such as apple pie filling, etc.);
Imitation Dairy (includes soy-based products);
Imitation/Pit/Mixed/Subtropical Fruit;
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Imitation/Pit/Mixed/Subtropical Fruit as a Jam, Jelly, Preserve, Drink, Syrup, Topping;
Form FDA 2541e
Draft Issued for Comment Only. Do Not Use to Submit a Process Filing to FDA
Leafy/Stem Vegetables (Select one):
Leafy/Stem Vegetable;
Leafy/Stem Vegetable as a Juice or Drink (e.g., spinach juice, etc.);
Meal Replacement/Medical Foods (e.g., supplemental liquid nutrition, etc.);
Mixed Vegetables (Select one):
Meat Products (Exotic Meat (emu, elk, etc.));
Mixed Vegetables (e.g., carrots and peas, etc);
Mixed Vegetables as a Juice or Drink (e.g., carrot and green bean juice, etc.);
Multiple Food (one container with a separate compartment for each product item. e.g., lasagna dinner, chop suey dinner, etc.);
Pet Food (e.g., dog/cat food, etc.);
Noodle/Pasta;
Nut Spread and Nut Topping;
Other Vegetables;
Rice, Wheat, Oat or Grain (liquid form – ready-to-eat such as grits);
Root and Tuber Vegetables (Select one):
Shelled Egg;
Mixed Fishery (e.g., seafood salad, etc..);
Root/Tuber Vegetables (e.g., carrots, leeks, potatoes, etc.);
Shellfish (e.g., clams, mussels, oysters, etc.);
Soup ;
Root/Tuber Vegetables as a Juice or Drink (e.g., carrot juice, etc.);
Sweet Goods/Dessert (liquid form – ready-to-eat, such as pudding);
Vegetable Protein Products (e.g., imitation meat analog); Vine/Other Fruit (Select one):
Vine/Other Fruit;
Vine/Other Fruit as a Jam, Jelly, Preserve, Drink, Syrup, Topping;
Wine Cooler;
Other
2. Enter Product Name (e.g., salsa (mild, medium, hot), artichokes (marinated), peppers (red or green), etc.).
3. What is the form of the product?
Chunks (e.g., chunks, nuggets, etc.)
Cut
Diced
Fillet
French Cut
Liquid (i.e., all liquid no solids)
On the Cob
Paste/Puree
Pieces
Round/Spheres
Shredded/Julienne
Sliced (e.g., slices, quarters, strips, etc.)
Spears/Stalks
Whole
Other (Enter product form) _____________________________________________________________
4. What is the packing medium?
Brine
Cream/Sauce/Gravy
Oil
Solid (no packing medium)
Syrup
Water
None (i.e., the product is all liquid)
Other (Enter packing medium) ___________________________________________________________
Continue to Section B.
__________________________________________________________________________________________________________________________________________________________________
B. Governing Regulation: (Select one)
1.
Acidified (Product is an acidified food and is governed by 21 CFR 108.25 and 21 CFR Part 114)
2.
Voluntary (The processor has concluded that the product is not an acidified food. The processor is voluntarily submitting process information about the product to facilitate FDA
determinations regarding the regulatory status of the product.) If you select this choice, attach documentation to support the determination that the product is not an acidified food. If the product appears to
be a fermented food, include a detailed process flow diagram of fermentation processes, including the pH at each step.
(Attach document) ________________________________________________________________________________
Continue to Section C.
______________________________________________________________________________________________________________________
C. Container Type: (Select one)
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Page 2
Form FDA 2541e
Draft Issued for Comment Only. Do Not Use to Submit a Process Filing to FDA
Note: If the product is not packaged in one of the container types identified below, select “Other”.
1.
2.
3.
Aluminum/Tinplate/Steel Can
a) What is the shape of the container? (Select one)
Cylindrical
Irregular (Attach a picture or schematic) _________________________________________________________________
Rectangular
Other (Attach a picture or schematic) ______________________________________________________
b) How many pieces are used to construct the container? (Select one or more choices, as applicable)
i.
2-pieces – Do you use perforated divider plates?
Yes
No
ii.
3-pieces – Do you use perforated divider plates?
Yes
No How is the side seam sealed? (Select one)
Cemented
Welded
Ceramic/Glass
a) What is the shape of the container? (Select one)
Cylindrical
Irregular (Attach a picture or schematic) _____________________________________________________________
Other (Attach a picture or schematic) _______________________________________________________
b) Do you use perforated divider plates?
Yes
No
c) Is overpressure used during the processing of the product to maintain container integrity?
Yes (Continue to c.i)
No (Continue to c.ii-c.iv)
i. What is the total overpressure used during processing? _ _._ (enter in pounds per square inch gauge (psig)) (Continue to Section D)
ii. What is the percent (%) headspace? _ _._
iii. What is the minimum initial temperature? _ _ _._ (enter in Fahrenheit)
iv. What is the vacuum? _ _._ (enter in inches of mercury (Hg))
Oval
Rectangular
Flexible Pouch
a) What is the shape of the container? (Select one)
Flat pouch
Gable top
Gable top/side gusseted
Gusseted
Irregular (Attach a picture or schematic) __________________________________________________________________________
Other (Attach a picture or schematic) ________________________________________________ ____________________________
b) Is the container physically restricted during the processing of the product to control container thickness? Yes (Continue to b.i)
No (Continue to c)
i.
Racks
Other (Attach a picture) ________________________________________________________
c) Is overpressure used during the processing of the product to control container thickness?
Yes (Continue to c.i)
i. What is the total overpressure used during processing? _ _._ (enter in pounds per square inch gauge (psig))
No (Continue to d)
d) What is the maximum thickness during retort processing? _ _._ _ (enter in inches)
e) What is the maximum residual air? _ _ _ (enter in cubic centimeters)
Not Applicable
4.
Retortable Paperboard Carton
a) What is the shape of the container? (Select one)
Rectangular
Other (Attach a picture or schematic) _________________________________________________________
b) Is the container physically restricted during the processing of the product to control container thickness?
Yes (Continue to b.i)
No (Continue to c)
i.
Racks
Other (Attach a picture) ________________________________________________________________
c) Is overpressure used during the processing of the product to control container thickness?
Yes (Continue to c.i)
i. What is the total overpressure used during processing? _ _._ (enter in pounds per square inch gauge (psig))
No (Continue to d)
d) What is the maximum thickness during retort processing? _ _._ _ (enter in inches)
e) What is the maximum residual air? _ _ _ (enter in cubic centimeters)
Not Applicable
5.
Rigid Container (10 pounds or more of product)
a) What is the shape of the container? (Select one)
Cylindrical
Rectangular
Other (Attach a picture or schematic) ____________________________________________________________
b) What kind of rigid container is used? (Select the description that best applies to the container (i.e., drum, pail, or tote) and select the material that makes up that container)
Drum (Large industrial cylinder container) (Select one)
Aluminum/Steel
Fiberboard
Plastic
Other (Enter material) ________________________________________________ ______
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Page 3
Form FDA 2541e
Draft Issued for Comment Only. Do Not Use to Submit a Process Filing to FDA
Pail (Select one)
Aluminum/Steel
Fiberboard
Plastic
Other (Enter material) _____________________________________________________
Tote (Large industrial rectangular container) (Select one)
Aluminum/Steel
Fiberboard
Plastic
Other (Enter material) _____________________________________________________
Other (Enter rigid container) ________________________________________________ (Attach a picture or schematic) ___________________________________________________________
6.
Semi-Rigid
a) What is the shape of the container? (Select one)
Bowl
Cylindrical
Irregular (Attach a picture or schematic) ___________________________________________
Oval
Rectangular
Tray
Other (Attach a picture or schematic) __________________________________________________________________
b) Is this a compartmentalized container?
Yes How many compartments? _ _
No
c) What is the predominant material used to make the body of the container? (Select one)
HDPE (high-density polyethylene)
HDPP (high-density polypropylene)
Paperboard
PET (polyethylene teraphthalate)
Other (Enter material) __________________________________________________________________
d) What is the predominant material used to make the lid of the container? (Select one)
Aluminum/Steel
HDPE (high-density polyethylene)
HDPP (high-density polypropylene)
Nylon
PET (polyethylene teraphthalate)
Other (Enter material) ___________________________________________________________________
Not Applicable
e) How is the lid sealed to the body of the container? (Select one)
Double Seam
Heat Seal
Induction Weld
Press Twist
Snap On
Threaded Closure
Ultrasonic Seal
Other (Enter seal type) __________________________________________
Not Applicable
f) Is the container physically restricted during the processing of the product to control container thickness?
Yes (Continue to f.i) No (Continue to g)
i.
Racks
Other (Attach a picture) _______________________________________________________________________________
g) Is overpressure used during the processing of the product to control container thickness?
Yes (Continue to g.i)
i. What is the total overpressure used during processing? _ _._ (enter in pounds per square inch gauge (psig))
No (Continue to h)
h) What is the maximum thickness during retort processing? _ _._ _ (enter in inches)
i) What is the maximum residual air? _ _ _ (enter in cubic centimeters)
Not Applicable
7.
Other (Enter container type) ______________________________
a) Attach schematic or picture of container. ________________________________________________________________________________________
b) Specify the material that, based on weight, is the predominant material used to make the container stock. This is the material that constitutes the highest weight value of the container stock. ___________
c) Specify the material that, based on weight, is the predominant material used to make the lid stock. This is the material that constitutes the highest weight value of the lid stock. If the container does not
have a lid, specify Not Applicable _________________
d) Specify the method used to seal the lid to the body of the container. If the container does not have a lid, specify Not Applicable __________________________
Continue to Section D.
___________________________________________________________________________________________________________________
D. Container Size:
Note: You are required to complete either D.1 (Dimensions) or D.2 (Volume). You may complete D.2 if you intend to select the thermal process mode in Section G as: 1) High Temperature Short
Time (HTST); 2) Hot Fill and Hold; or 3) Steam Jacketed Kettle.
If you are completing D.2 because you intend to select HTST, Hot Fill and Hold, or Steam Jacketed Kettle, and if 1) your product is a cheese product under Section A.1, and 2) you have identified
“Other” under Section C, you may indicate “Not Applicable” in your response to D.2. In all other circumstances, if you are completing D.2 in accordance with the directions in paragraph 1, you
may not select “Not Applicable.”
For all other circumstances, complete D.1. Section D.3 (net weight) is optional information.
1. Dimensions:
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Form FDA 2541e
Draft Issued for Comment Only. Do Not Use to Submit a Process Filing to FDA
a) _ _ _ _ Diameter _ _ _ _ Height (Use for cylindrical shapes) (see accompanying instructions for proper coding)
b) _ _ _ _ Length _ _ _ _ Width _ _ _ _ Height/Thickness (Use for container shapes other than cylindrical ) (see accompanying instructions for proper coding)
2. Volume: _ _ _._ (Select one)
Fluid Ounces
Gallons
Liters
Milliliters
Not Applicable
3. Net Weight (Optional): _ _ _._ _ (enter in ounces)
Submissions for Acidified Foods: Continue to Section E.
Voluntary Filing: Stop here and go to the signature section at the bottom of the form.
____________________________________________________________________________________________________________________
E. Processing Method: Acidification:
1. What is natural pH of the product before acidification? _ _._ _
2. What is the finished equilibrium pH of the product after acidification? _ _._ _
3. What is the maximum time it takes for the product to achieve the finished equilibrium pH of 4.60 or lower? _ _ _
Minutes
Hours
4. Method of Acidification (Select one) Addition of Acid Foods Blanch Direct Batch
Direct In Container Immersion
Other (Enter acidification method) _____________________________________________________________________________________________
5. Acidifying Agent(s): (Select all that apply)
Acetic Acid
Acid Food(s)
Apple Product(s) (other than vinegar)
Citric Acid
Fruit Juice(s)
Fumaric Acid
Gluconic Acid
Hydrochloric Acid
Lactic Acid
Malic Acid
Phosphoric Acid
Sodium Acid Sulfate
Tamarind Product(s)
Tartaric Acid
Tomato Product(s)
Vinegars (All Types)
Wine
Other (Enter one or more agents not listed) _______________________________________________________________________________________________________
6. Microbial Preservative(s) critical to the scheduled process: (Select all that apply and enter percent concentration(s))
Microbial Preservative
Alcohol
Ascorbic Acid
Benzoic Acid
Butylated Hydroxyanisole
Butylated Hydroxytoluene
Calcium Chloride
Calcium Propronate
Calcium Sorbate
Erythorbic Acid
Ethanol
Gucono Delta Lactone
Polysorbate
Concentration (%)
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
Microbial Preservative
Potassium Benzoate
Potassium Bisulphate
Potassium Metabisulphite
Potassium Propionate
Potassium Sorbate
Potassium Sulphite
Propylparaben
Salt
Sodium Benzoate
Sodium Bisulphate
Sodium Chloride
Sodium Erythorbate
Concentration (%)
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
Microbial Preservatives
Concentration (%)
Sodium Metabisulfite
Sodium Polyphosphate
Sodium Propionate
Sodium Sorbate
Sodium Sulfite
Sorbic Acid
Trisodium Citrate
Other: (Enter preservative) ________________________________
(Enter preservative) ________________________________
(Enter preservative) _________________________________
None
Continue to Section F.
________________________________________________________________________________________________________________________________________
F. Process Source:
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Form FDA 2541e
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
_ _._ _
Draft Issued for Comment Only. Do Not Use to Submit a Process Filing to FDA
1. What is the Process Source? ______________________________________________ (Attach support documentation) ________________________________________________
2. What is the date of the Process Source Document (mm/dd/yyyy)? _ _/_ _/_ _ _ _
Continue to Section G.
______________________________________________________________________________________________________________________________________________________
G. Process Mode: (Select one)
1.
2.
3.
High Temperature Short Time (HTST)
Hot Fill and Hold
Steam Jacketed Kettle
When process mode 1, 2, or 3 is selected, continue to Section H.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Batch Agitating Retort
Cold Fill and Hold (Attach support documentation) ___________________________________________________________________________________________
Crateless Retort
Heating Tunnel – Hot Air, Steam or Water (water cascade, water immersion, water spray)
Hydrostatic Retort
Sterilmatic
Still Retort (Steam or Water)
Water Bath
Other (Attach support documentation) ___________________________________________________________________________________
When process mode 4-12 is selected, continue to Section I.
____________________________________________________________________________________________________________________________________________________
H. Container and Container Closure Treatment: (Complete this section ONLY for Process Modes: 1) High Temperature Short Time (HTST); 2) Hot Fill and Hold; 3) Steam Jacketed Kettle)
Describe how the container, headspace, and interior surface (the surfaces that are in contact with the food) of the container closure are treated. (Select one)
1.
Aseptically Filled:
a) What is the filler name and model? _______________________________________________________________________________
2.
Heating Tunnel:
a) What is the process time? _ _._ (Select one)
Seconds
Minutes
b) What is the temperature in the heating tunnel? _ _ _._ (enter in Fahrenheit)
3.
Hot Fill and Hold:
a) What is the temperature of the product in the container at the end of the hold time? _ _ _._ (enter in Fahrenheit)
i. Select one of the container closure treatments.
Inversion/Laydown of Container: How long is the product inverted/laid-down? _ _._ (Select one)
Seconds
Minutes
Steam Flow Closure
Other (Enter container closure treatment) ________________________________________________________________ What is the exposure time? _ _._ (Select one)
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Seconds
Form FDA 2541e
Minutes
Draft Issued for Comment Only. Do Not Use to Submit a Process Filing to FDA
4.
Water spray:
a) What is the process time? _ _._ (Select one)
Seconds
Minutes
b) What is the temperature of the water spray? _ _ _._ (enter in Fahrenheit)
5.
Other (Specify) ________________________________________________________________________________________________________________
Continue to Section I.
__________________________________________________________________________________________________________________________________________________________
I. Scheduled Process: (Do not write in shaded areas -- Check appropriate box under column heading, when applicable, and enter numerical values on dashed lines.)
Col. 1
Process
No
Col. 2
Step
Col. 3
Temperature
Col. 4
Process Time
Col. 5
Process
Temperature
Col. 6
F value
(only one)
Col. 7
Thruput
(Containers
per Minute)
Sterilmatic
or Heating
Tunnel
ONLY
Min. Initial
Fill
Fo
(F18/250)
Seconds
Minutes
Hours
Number
Number
◦Fahrenheit
See above
◦Fahrenheit
Other F
Ref T ____
z: __._
(◦F only)
Minutes
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Col. 8
Headspace
Batch
Agitating
Retort or
Sterilmatic
ONLY
Col. 9
a. Reel
Speed
Sterilmatic
or Batch
Agitating
Retort
ONLY
b. Reel
Diameter
Sterilmatic
ONLY
c. Steps
per
Turn of
Reel
d. Chain /
Conveyer
Speed
Sterilmatic
ONLY
e. Cooker
Capacity
f. Frequency
Strokes per
Minute
Sterilmatic
ONLY
Oscillation
Agitating
ONLY
Feet
Carriers
Flights
Net
Gross
NA
Col. 10
Maximum
Fill Weight
Col. 11
Other
Fill
NA
(per
minute)
Number
Inches
RPM
Inches
Number
Number
Number
Number
Ounces
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Form FDA 2541e
Draft Issued for Comment Only. Do Not Use to Submit a Process Filing to FDA
J. Additional Information (Optional):
Heat Penetration Study (Attach document) ________________________________________________________________________________________________
Temperature Distribution Study (Attach document) __________________________________________________________________________________________
Other (Attach document) _____________________________________________________________________________________________________________
Comments:
Full Name (Please Type or Print)
Establishment Name
Confidential
Signature
State or Province
Page 8
Country (other than U.S.)
Date
Telephone No
Form FDA 2541e
Draft Issued for Comment Only. Do Not Use to Submit a Process Filing to FDA
LACF Contact Information
For more information, contact the LACF Registration Coordinator by e-mail at [email protected] or phone: 240-402-2411
For paper submissions, send completed forms to:
Food and Drug Administration
LACF Registration Coordinator ((HFS-303)
Center for Food Safety and Applied Nutrition
5100 Paint Branch Parkway
College Park, MD 20740-3835
This section applies only to requirements of the Paperwork Reduction Act of 1995.
*DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF ADDRESS BELOW.*
The burden time for this collection of information is estimated to average .333 hour per response, including the time to review
instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of
information. Send comments regarding this burden estimate or any other aspect of this information collection, including
suggestions for reducing this burden, to:
Department of Health and Human Services
Food and Drug Administration
Office of Chief Information Officer Paperwork Reduction Act
(PRA) Staff
1350 Piccard Drive, Room 400
Rockville, MD 20850
“An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
Confidential
Page 9
Form FDA 2541e
Draft Issued for Comment Only. Do Not Use to Submit a Process Filing to FDA
information unless it displays a currently valid OMB number.”
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Form FDA 2541e
File Type | application/pdf |
File Title | FDA Form 2541d |
Author | Emily.Mallory |
File Modified | 2014-06-24 |
File Created | 2014-06-24 |