Information Collection

State Meat and Poultry Inspection Programs

IC 226482 under ICR 202303-0583-002 · OMB 0583-0170.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1520-1 State Meat and Poultry Inspection Programs	Form
At_Least_Equal_to_Guidelines November 2016.pdf	Other-guidance
At_Least_Equal_to_Guidelines November 2016.pdf	Other-guidance
1520-1 Civil Rights Compliance of State Inspection Programs FSIS 1520-1 Civil Rights Compliance of State Inspection Programs_v8re508.03312017.pdf	Form
1520-1 Civil Rights Compliance of State Inspection Programs FSIS 1520-1 Civil Rights Compliance of State Inspection Programs_v8re508.03312017.pdf	Form
5720-14 State MPI Laboratory Quality Management System Checklist FSIS 5720-14 STATE MEAT AND POULTRY INSPECTION (MPI) PROGRAM 04172017.pdf	Form
5720-14 State MPI Laboratory Quality Management System Checklist FSIS 5720-14 STATE MEAT AND POULTRY INSPECTION (MPI) PROGRAM 04172017.pdf	Form
5720-15 Laboratory Method Notification Form FSIS 5720-15 Laboratory Method Notification Form_v8RE50804172017.pdf	Form
5720-15 Laboratory Method Notification Form FSIS 5720-15 Laboratory Method Notification Form_v8RE50804172017.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1520-1	Civil Rights Compliance of State Inspection Programs	FSIS 1520-1 Civil Rights Compliance of State Inspection Programs_v8re508.03312017.pdf	Yes	Yes	Fillable Printable
Form	5720-14	State MPI Laboratory Quality Management System Checklist	FSIS 5720-14 STATE MEAT AND POULTRY INSPECTION (MPI) PROGRAM 04172017.pdf	Yes	Yes	Fillable Fileable
Form	5720-15	Laboratory Method Notification Form	FSIS 5720-15 Laboratory Method Notification Form_v8RE50804172017.pdf	Yes	Yes	Fillable Fileable
Other-guidance			At_Least_Equal_to_Guidelines November 2016.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: 29

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	309	282	27
Annual IC Time Burden (Hours)	7,051	6,698	353
Annual IC Cost Burden (Dollars)	0	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.