Information Collection

Industry Responses to Noncompliance Records

IC 191450 under ICR 201908-0583-005 · OMB 0583-0146.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.