summary of changes to the FSIS Form 5200-6

justificationchangerequest0583-0153 for 5200-6.docx

Public Health Information System

summary of changes to the FSIS Form 5200-6

OMB: 0583-0153

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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 5200-6


Summary of Changes:  FSIS is amending FSIS Form 5200-6 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 to boxes 11 and 13.


*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.)




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