State Meat and Poultry Inspection Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0583-0170 can be found here:

Documents and Forms

Document Name Document Type
Form 1520-1 State Meat and Poultry Inspection Programs Form
1520-1 Civil Rights Compliance of State Inspection Programs FSIS 1520-1 Civil Rights Compliance of State Inspection Programs_v8re508.03312017.pdf Form
5720-14 State MPI Laboratory Quality Management System Checklist FSIS 5720-14 STATE MEAT AND POULTRY INSPECTION (MPI) PROGRAM 04172017.pdf Form
5720-15 Laboratory Method Notification Form FSIS 5720-15 Laboratory Method Notification Form_v8RE50804172017.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Meat and Poultry Inspection Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1520-1	Civil Rights Compliance of State Inspection Programs	FSIS 1520-1 Civil Rights Compliance of State Inspection Programs_v8re508.03312017.pdf	Yes	Yes	Fillable Printable
Form	5720-14	State MPI Laboratory Quality Management System Checklist	FSIS 5720-14 STATE MEAT AND POULTRY INSPECTION (MPI) PROGRAM 04172017.pdf	Yes	Yes	Fillable Fileable
Form	5720-15	Laboratory Method Notification Form	FSIS 5720-15 Laboratory Method Notification Form_v8RE50804172017.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: 27	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27	27
Annual IC Time Burden (Hours)	353	353
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.