Industry Responses to Noncompliance Records

Industry Responses to NonCompliance Records

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0583-0146 can be found here:

Documents and Forms

Document Name Document Type
Form 5400-4 Industry Responses to Noncompliance Records Form
5400-4 FISH Noncompliance Record FSIS 5400-4 NONCOMPLIANCE RECORD - FISH 09302019.pdf Form
5400-4 Noncompliance Record FSIS 5400-4 NONCOMPLIANCE RECORD_v9RE508 10032019.pdf Form

Information Collection (IC) Details

IC Title:	Industry Responses to Noncompliance Records	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5400-4	Noncompliance Record	FSIS 5400-4 NONCOMPLIANCE RECORD_v9RE508 10032019.pdf		Yes	Yes	Fillable Fileable
Form	5400-4 FISH	Noncompliance Record	FSIS 5400-4 NONCOMPLIANCE RECORD - FISH 09302019.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,057	Number of Respondents for Small Entity: 2,000

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Previously Approved
Annual Number of Responses for this IC	119,969	119,969
Annual IC Time Burden (Hours)	119,969	119,969
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.