Information Collection

Accredited Laboratory Program Contact Update Form

IC 208934 under ICR 201609-0583-001 · OMB 0583-0163.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0583-0163 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10,000-11 Accredited Laboratory Program Contact Update Form	Form and Instruction
10,000-11 Accredited Laboratory Program Annual Contact Update FSIS 10,000-11 (FSIS Accredited Laboratory Program Annual Contact Update)_vRE508.pdf	Form and Instruction

IC Title:

Accredited Laboratory Program Contact Update Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10,000-11	Accredited Laboratory Program Annual Contact Update	FSIS 10,000-11 (FSIS Accredited Laboratory Program Annual Contact Update)_vRE508.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 60

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	60	60
Annual IC Time Burden (Hours)	15	15
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.