Change Justification Request

Change Justification Request 0583-0159.docx

Import Inspection Application and Application for the Return of Exported Products to the U.S.

Change Justification Request

OMB: 0583-0159

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OMB Control Number: 0583-0159


Title of Clearance: Import Inspection Application and Application for the Return of Exported Products to the U.S.


Agency Form Number affected by Change Worksheet: FSIS Form 9010-1 Application for the Return of Exported Products to the United States.

Summary of Non-substantive Changes: FSIS is making the following non-substantive, minor descriptive word changes to FSIS Form 9010-1 Application for the Return of Exported Products to the United States. There is no change in the burden estimate.


  1. Page 1, modified block 2 by removing a “0” from the MPM example number, removing the reference to "US-CA-yyyy-000000" and adding (for PHIS Certificates)



  1. Page 1, clarified block 3 by adding the word Company in front of “name” and changed the word “Address” to the lower-case address



  1. Page 1, modified block 4 by changing “US” to U.S. (added the periods)



  1. Page 1, block 6, added U.S. in front of “Export”



  1. Page 1, block 10, clarified by adding (in lbs.) below “MARKED WEIGHT”



  1. Page 1, block 15, clarified by adding (include all ports) beside “PORTS TRANSITED”



  1. Page 1, block 18, clarified by adding or DESTRUCTION ESTABLISHMENT/LOCATION* to “REINSPECTION OFFICIAL FSIS ESTABLISHMENT”



  1. Page 1, the note below blocks 18 and 19 was clarified by adding the following:

after “and a date for the reinspection”

(block 19); or the official FSIS establishment or location for destruction.



after “Approval of the establishment and reinspection date,”

or destruction location,



  1. Page 1, under TO BE COMPLETED BY FSIS PERSONNEL ONLY, added a new block 24, FOR DESTRUCTION (date and initials). Original blocks 24, 25 and 26 were renumbered accordingly: block 24 is now block 25, block 25 is now block 26, and block 26 is now block 27.

  2. Page 2, INSTRUCTIONS FOR PREPARATION OF FSIS FORM 9010-1, the note has been clarified by removing “information on the” and rearranging the statement to read: The form is to be completed by the Applicant and can be typed or written



  1. Page 2, instruction 1 Submit Form has been clarified by adding or Complete Form after

Submit Form” and the statement:

Complete and submit multiple Forms 9010-1 if there are more than six products/line items on the export certificate.



The contact information for assistance has been modified by removing the phone number which is no longer valid and adding the email address [email protected]



  1. Page 2, instruction 3 for block 3 on page 1 clarified by inserting the word name after “including the company’s”



  1. Page 2, instruction 4 for block 4 on page 1 modified by changing “US” to U.S. and correcting spacing



  1. Page 2, instruction 5 for block 5 on page 1 has been clarified by adding use the dropdown for calendar feature at the end of the instruction



  1. Page 2, instruction 7 for block 7 on page 1 has been modified by changing “US” to U.S. and correcting spacing



  1. Page 2, instruction 8 for block 8 on page 1 has been clarified by adding use the dropdown for calendar feature at the end of the instruction



  1. Page 2, instruction 9 for block 9 on page 1 has been clarified by removing “Total Ship Weight” and adding:

If the product is derived from cell-cultured technology, this must be indicated in the product description (e.g. Beef boneless rounds cell cultured beef)



  1. Page 2, instruction 13 for block 13 on page 1 has been clarified by adding or other identifying marks on the cartons at the end of the instruction



  1. Page 2, instruction 18 for block 18 on page 1 has been clarified by adding or Destruction Establishment/Location after “Reinspection: Official FSIS Establishment” and adding Include the establishment number, name, and full address at the end of the instruction.



  1. Page 2, instruction 19 for block 19 on page 1 has been clarified by adding or destruction after the word “reinspection” and adding use the dropdown for calendar feature at the end of the instruction

  2. Page 2, the heading “BLOCKS 21 through 26 FOR FSIS PERSONNEL USE ONLY” has been modified by changing the block number 26 to 27:

BLOCKS 21 through 27 FOR FSIS PERSONNEL USE ONLY



  1. Page 2, instruction 23 for block 23 on page 1 has been clarified by removing “by the applicant” at the end of the instruction and adding for any reason



  1. Page 2, a new instruction 24 for the new block 24 on page 1 has been added below instruction 23:

24. For Destruction - Date and initials of the FSIS staff officer if the shipment is to return to the U.S. for destruction



  1. Page 2, instructions have been renumbered to correspond to the renumbered blocks on page 1 after addition of the new block 24 and new instruction 24:

previous instruction 24 has been renumbered to 25 for renumbered block 25 on page 1; previous instruction 25 has been renumbered to 26 for renumbered block 26 on page 1, and previous instruction 26 has been renumbered to 27 for renumbered block 27 on page 1.



















File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJohnson, Jane - FSIS
File Modified0000-00-00
File Created2023-08-23

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