Information Collection

Public Health Information System

IC 196167 under ICR 202602-0583-001 · OMB 0583-0153.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form FSIS 9010-1
Application for the Return of Exported Products to the United States Public Health Information System
Form and Instruction
Form 5200-15
Hours of Operation Public Health Information System
Form
Form 9080-3
Establishment Application for Export Public Health Information System
Form and Instruction
Form 5200-2
Application for Federal Inspection Public Health Information System
Form and Instruction
Form 5200-6
Application Approval for Voluntary Reimbursable Inspection Service Public Health Information System
Form
Form 9060-6
Application for Export Certificate Public Health Information System
Form
Form 9060-5A
Meat Poultry and Egg Product Certificate of Wholesomeness Continuation Sheet Public Health Information System
Form
Form 9060-5B
Meat Poultry and Egg Product Export Certificate of Wholesomeness Continuation Sheet Public Health Information System
Form
Form 9060-5S
Fish and Fish Products Export Certificate of Wholesomeness Public Health Information System
Form
Form 9060-5
Meat and Poultry Export Certificate of Wholesomeness Public Health Information System
Form
Form 9060-5EP
Egg Products Export Certificate of Wholesomeness Public Health Information System
Form
Transfer certificate with OMB.docx Other-screens-Transfer Certificate
PHIS Sscreen shots 9010-1 030211.pdf Other-screens-Application for Return
9010-1 Application for Return of Exported Goods.pdf Other-screen shots
9080-3 Establishment Application for Export.pdf Other-screen shots
9060-6 Application for Export of Goods In Lieu of Consolidated Split.pdf Other-screen shots
PHIS landing page 07062026.pdf Other-screenshot landing page Export
FSIS 9010-1 Application for the Return of Exported Products to the U
FSIS 9010-1 Application for the Return of Exported Products to the United States_v8RE508.pdf
Form and Instruction
5200-15 Hours of Operation
FSIS 5200-15 Hours of Operation Request Approval 072018 .pdf
Form
9080-3 Establishment Application for Export
FSIS 9080-3 Establishment Application for Export of _v8re508.pdf
Form and Instruction
5200-2 Application for Federal Inspection
FSIS FORM 5200-2 APPLICATION FOR FEDERAL INSPECTION _ver6.4re508).pdf
Form and Instruction
5200-6 Application Approval for Voluntary Reimbursable Inspecti
FSIS 5200-6 Application_Approval for Voluntary Reimbursable Inspection Service _ver6.5re508.pdf
Form
9060-6 Application for Export Certificate
PHIS-FSIS 9060-6 Application for Export Certificate_Vs6.5_No instructions 8.2025.pdf
Form
9060-5A Meat Poultry and Egg Product Certificate of Wholesomenes
PHIS-FSIS 9060-5A Meat Poultry and Egg Product Certificate of Wholesomeness - Continuation Sheet_ver6.5RE508 5.2025_rev (004).pd
Form
9060-5B Meat Poultry and Egg Product Export Certificate of Whole
PHIS-FSIS 9060-5B Meat Poultry and Egg Products Export Certificate of Wholesomness - Continuation Sheet_ver6.5RE508 5.2025 (003)
Form
9060-5S Fish and Fish Products Export Certificate of Wholesomene
PHIS-FSIS 9060-5S Fish and Fish Products Export Certificate of Wholesomeness 8.2025 1 Page V6.5RE508.pdf
Form
9060-5 Meat and Poultry Export Certificate of Wholesomeness
PHIS-FSIS 9060-5 Meat and Poultry Export Certificate of Wholesomeness MPQ series (8.2025) V6.5.pdf
Form
9060-5EP Egg Products Export Certificate of Wholesomeness
PHIS-FSIS 9060-5EP Egg Products Export Certificate of Export 1 Page (8.2025) V6.5.pdf
Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Other-screens-Transfer Certificate Yes Yes Fillable Fileable
Other-screens-Application for Return of Exported Product Yes Yes Fillable Fileable
Form and Instruction FSIS 9010-1 Yes No Fillable Printable
Other-screen shots Yes Yes Fillable Fileable
Other-screen shots Yes Yes Fillable Fileable
Other-screen shots Yes Yes Fillable Fileable
Form 5200-15 Yes Yes Fillable Fileable
Form and Instruction 9080-3 Yes Yes Fillable Fileable
Form and Instruction 5200-2 Yes Yes Fillable Fileable
Form 5200-6 Yes Yes Fillable Fileable
Form 9060-6 Yes Yes Fillable Fileable
Form 9060-5A Yes Yes Fillable Fileable
Form 9060-5B Yes Yes Fillable Fileable
Form 9060-5S Yes Yes Fillable Fileable
Form 9060-5 Yes Yes Fillable Fileable
Form 9060-5EP Yes Yes Fillable Fileable
Other-screenshot landing page Export Application Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 675,448 0 0 0 0 675,448
Annual IC Time Burden (Hours) 116,074 0 0 0 0 116,074
Annual IC Cost Burden (Dollars) 0 0 0 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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