summary of changes to FSIS Form 9060-6

justificationchangerequest0583-0153 9060-6 2106.docx

Public Health Information System

summary of changes to FSIS Form 9060-6

OMB: 0583-0153

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OMB Control Number: 0583-0153.

Title of Clearance: Public Health Information System.

Agency Form Number affected by Change Worksheet: FSIS Application for Export Certificate (Form 9060-6)

Summary of Changes:
The FSIS Application for Export Certificate (Form 9060-6) is required for an exporter to obtain an FSIS Export Certificate of Wholesomeness. This form provides FSIS with important data necessary to certify and facilitate the export of product (9 CFR 322.2 & 381.105).

To make the form more user-friendly and to prepare for its use in both a paper and electronic format, FSIS is proposing to:

  • delete 60 unnecessary or redundant data elements

  • add 12 data elements;

  • rename 13 data elements to better align with commonly accepted international (Codex Alimentarius) guidance, and;

  • reformat and shorten the application, from three pages to one page (see attached Current and Updated Application) and;

  • provide instructions to applicants on completing the form.


Furthermore, FSIS is eliminating a previously approved form associated with the 9060-6 – the Product List (Form 9080-4). Certain limited data elements related to product information will be moved from the 9080-4 to the 9060-6.

Below is a summary of the changes to the 9060-6 data elements:

Application for Export Certificate--Data Element Change Summary


Elements Deleted

Elements Added

Elements Renamed

Establishment Number

IMPORTING COUNTRY BORDER CLOSURE

Total net weight


City (Exporter)

INCORRECT CERTIFICATE

Total number of packages

State (Exporter)

IMPORTER/EXPORTER CHANGED

Replacement certificate

Zip Code (Exporter)

CERTIFICATE MISSING REQUIRED INFORMATION

Reasons for Replacement Certificate

Country (Importer)

IMPORTING COUNTRY BORDER CLOSURE

Certificate number

Address Line 2 (Importer)

SPLIT SHIPMENT

DESCRIPTION OF PRODUCT (including Product Code)

District Office

CONSOLIDATED SHIPMENT

Species

Product Exported from Est. No.

U.S. EMBASSY

Net Weight of Lot

Facility Name

Country of Final Destination

No. of Packages in Lot

Type of Plant

HACCP Category

Type of Packages in Lot

City, State (Export Information)

Maturity Less than 30 months

Shipping/Identification Marks

Metric Weight Conversion

Frozen/Shelf-Stable

Additional Statement

Weight (No. of Decimal Places)

Certifying official’s signature and title

Applicant Signature

Processing/Packing Est. No.

Printed Name


Slaughter Est. No

Date


ID Warehouse Est. No.



Prefix for Product as Labeled



Product As Labeled



Marked Weight of Lot



Weight Unit of Measure



Stamp Choice



Lot Identification



Slaughter Date(s)



Processing or Packing Date(s)



Expiration Date(s)




Eggs Laid-on Date(s)



Animal Health Import Permit No.



Casings Company Est. No.



Casings Company Name



Casing Company Address Line 1



Casing Company
Address Line 2



Grade



MAFF Health Certificate No.



Manufacturer



Official Meat Inspection Cert. No.



Sterilization Degrees



Sterilization Minutes



Tested For



Test Results



Air



Rail



Vessel



Truck



Vessel Name



Voyage Number



Airline Name



Flight Number



Transportation Reference No.



Port of Export



Shipping Date



Declared Port of Entry/Border Crossing



Container Number



Seal Number



Seal Type



U.S. State



County



Country



Port Type



TOTAL DELETED: 60

TOTAL ADDED: 12

TOTAL RENAMED: 13



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBryce
File Modified0000-00-00
File Created2021-01-23

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