Information Collection

Laboratories

IC 203693 under ICR 202407-0583-002 · OMB 0583-0158.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10110-2 Laboratories	Form
10110-2 Application for FSIS Accredited Laboratory Program FSIS 10110-2 Application for FSIS Accredited Laboratory Program_v6.4re508.pdf	Form

IC Title:

Laboratories

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 9 CFR 439 9 CFR 590.580

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10110-2	Application for FSIS Accredited Laboratory Program	FSIS 10110-2 Application for FSIS Accredited Laboratory Program_v6.4re508.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2

Number of Respondents for Small Entity: 2

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	1	1
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.