summary of changes to FSIS Form 9060-6

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