Voluntary Recalls of Meat and Poultry Products

Documents and Forms

Document Name Document Type
Form 5020-3 Voluntary Recalls of Meat and Poultry Products Form
5020-3 Preliminary Inquiry Worksheet FSIS 5020-3 Preliminary Inquiry Worksheet.pdf Form
5020-3 Preliminary Inquiry Worksheet FSIS 5020-3 Preliminary Inquiry Worksheet.pdf Form
5020-4 Recall Distribution Information Template FSIS 5020-4 Recall Distribution Information Template.xlsm Form
5020-4 Recall Distribution Information Template FSIS 5020-4 Recall Distribution Information Template.xlsm Form
8400-4 Report of Recall Effectiveness FSIS 8400-4 Report of Recall Effectiveness_v8RE508.pdf Form
8400-4 Report of Recall Effectiveness FSIS 8400-4 Report of Recall Effectiveness_v8RE508.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Voluntary Recalls of Meat and Poultry Products	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 318.311

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5020-3	Preliminary Inquiry Worksheet	FSIS 5020-3 Preliminary Inquiry Worksheet.pdf	Yes	Yes	Fillable Fileable
Form	5020-4	Recall Distribution Information Template	FSIS 5020-4 Recall Distribution Information Template.xlsm	Yes	Yes	Fillable Fileable
Form	8400-4	Report of Recall Effectiveness	FSIS 8400-4 Report of Recall Effectiveness_v8RE508.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: 6,090	Number of Respondents for Small Entity: 1,000

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	6,090	6,090
Annual IC Time Burden (Hours)	6,600	6,600
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.