Accreditation of Laboratories, Transactions, and Exemptions

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0583-0082 can be found here:

Documents and Forms

Document Name Document Type
Form 10000-7 Accreditation of Laboratories, Transactions, and Exemptions Form and Instruction
10000-7 Laboratory Quality Assurance Division Audit Evaluation F QD-F-0004 02 FSIS FORM 10000-7AuditEvalForm.doc Form and Instruction
10000-8 Information Update Request PEPRL F-0003 01 FSIS 10000-8 Info Update Request.doc Form and Instruction
6200-18 Food Chemistry Check Sample Results Form B.pdf Form and Instruction
10,600-1 Domestic Chemical Laboratory Report Form A.pdf Form and Instruction
10,120-1 Residue Check Sample Results FSIS 10,120-1 Residue Check Sample Results.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Accreditation of Laboratories, Transactions, and Exemptions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 352.3 9 CFR 307.4 9 CFR 381.37 9 CFR 381.175(b) 9 CFR 381.17 9 CFR 320.1(b) 9 CFR 351.4 9 CFR 590.200 9 CFR 590.580 9 CFR 303.1 9 CFR 362.3 9 CFR 381.10

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10000-7	Laboratory Quality Assurance Division Audit Evaluation Form	QD-F-0004 02 FSIS FORM 10000-7AuditEvalForm.doc	Yes	No	Printable Only
Form and Instruction	10000-8	Information Update Request	PEPRL F-0003 01 FSIS 10000-8 Info Update Request.doc	Yes	No	Printable Only
Form and Instruction	6200-18	Food Chemistry Check Sample Results	Form B.pdf	No		Paper Only
Form and Instruction	10,600-1	Domestic Chemical Laboratory Report	Form A.pdf	No		Paper Only
Form and Instruction	10,120-1	Residue Check Sample Results	FSIS 10,120-1 Residue Check Sample Results.pdf	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26,176	Number of Respondents for Small Entity: 17,000

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,393,920	-210	3,394,130
Annual IC Time Burden (Hours)	113,471	-13	113,484
Annual IC Cost Burden (Dollars)	0	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.