Information Collection

Voluntary Recalls of Meat and Poultry Products

IC 2859 under ICR 202402-0583-002 · OMB 0583-0135.

Documents and Forms

Documents and forms in this information collection
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
5020-4 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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 318.311

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	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 %

table that charts list of burden
	Requested	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

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.