Information Collection

Industry Responses to Noncompliance Records

IC 191450 under ICR 202503-0583-001 · OMB 0583-0146.

Documents and Forms

Document Name Document Type
Form 5400-4 Industry Responses to Noncompliance Records Form and Instruction
Form 5400-4 Noncompliance Report Industry Responses to Noncompliance Records Form and Instruction
5400-4 Noncompliance Report FSIS 5400-4 Noncompliance Record V6.5RE508 7.2025.pdf Form and Instruction
5400-4 Noncompliance Report FSIS 5400-4 Noncompliance Record V6.5RE508 7.2025.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Industry Responses to Noncompliance Records	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5400-4	Noncompliance Report	FSIS 5400-4 Noncompliance Record V6.5RE508 7.2025.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,057	Number of Respondents for Small Entity: 2,000

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	119,969	0	119,969
Annual IC Time Burden (Hours)	13,996	-105,973	119,969
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.

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