Information Collection

Industry Responses to Noncompliance Records

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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 and Instruction	5400-4				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 %

table that charts list of burden
	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

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.

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