Information Collection

Accreditation of Laboratories, Transactions, and Exemptions

IC 2814 under ICR 202303-0583-003 · OMB 0583-0082.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10,000-7 Accreditation of Laboratories, Transactions, and Exemptions	Form
10,000-7 Laboratory Quality Assurance Response and Coordination S FSIS 10,000-7 Laboratory Quality Assurance Response and Coordination Staff Audit Evaluation Form_v6.5RE508.pdf	Form
10,000-7 Laboratory Quality Assurance Response and Coordination S FSIS 10,000-7 Laboratory Quality Assurance Response and Coordination Staff Audit Evaluation Form_v6.5RE508.pdf	Form
10,120-1a Proficiency Testing PR Sample Result FSIS 10120-1a Proficiency Testing PT Sample Result_ver6.5re508s.pdf	Form and Instruction
10,120-1a Proficiency Testing PR Sample Result FSIS 10120-1a Proficiency Testing PT Sample Result_ver6.5re508s.pdf	Form and Instruction
10,120-1B Microbiology Form FSIS 10120-1b Microbiology Form._ver6.5re508pdf.pdf	Form and Instruction
10,120-1B Microbiology Form FSIS 10120-1b Microbiology Form._ver6.5re508pdf.pdf	Form and Instruction
10,120-1c Proficiency Testing PT FSIS 10120-1c Proficiency Testing PT t_ver6.5re508s.pdf	Form and Instruction
10,120-1c Proficiency Testing PT FSIS 10120-1c Proficiency Testing PT t_ver6.5re508s.pdf	Form and Instruction
10,120-1d Proficiency Testing PT FSIS 10120-1d Proficiency Testing PT_ver6.5re508.pdf	Form and Instruction
10,120-1d Proficiency Testing PT FSIS 10120-1d Proficiency Testing PT_ver6.5re508.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 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 9 CFR 307.4 9 CFR 381.37 9 CFR 381.175(b) 9 CFR 352.3

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	10,000-7	Laboratory Quality Assurance Response and Coordination Staff Audit Evaluation Form	FSIS 10,000-7 Laboratory Quality Assurance Response and Coordination Staff Audit Evaluation Form_v6.5RE508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	10,120-1a	Proficiency Testing PR Sample Result	FSIS 10120-1a Proficiency Testing PT Sample Result_ver6.5re508s.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	10,120-1B	Microbiology Form	FSIS 10120-1b Microbiology Form._ver6.5re508pdf.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	10,120-1c	Proficiency Testing PT	FSIS 10120-1c Proficiency Testing PT t_ver6.5re508s.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	10,120-1d	Proficiency Testing PT	FSIS 10120-1d Proficiency Testing PT_ver6.5re508.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 26,120

Number of Respondents for Small Entity: 17,000

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,393,874	-46	3,393,920
Annual IC Time Burden (Hours)	113,458	-13	113,471
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.