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FSIS 9060-5B Meat, Poultry and Egg Products Export Certificate of Wholesomness 
Continuation Sheet

ICR 202609-0583-001 · OMB 0583-0153 · Object 173251700.

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application/pdf
FSIS 9060-5B Meat, Poultry and Egg Products Export Certificate of Wholesomness 
Continuation Sheet
Form
forms000;forms1234;
USDA - FSIS
Designer 6.5
2025-11-21
2025-11-21
complete

Extracted Text

OMB Control Number: 0583-0153
Expiration Date: 11/30/2026
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it
displays a valid OMB control number. The valid OMB control number for this information collection is 0583-0153. The time required to complete this information collection is
estimated to average 5 minutes per response, including the time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information.
U.S. DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND INSPECTION SERVICE

MEAT, POULTRY, AND EGG PRODUCTS EXPORT CERTIFICATE OF WHOLESOMENESS
(CONTINUATION SHEET)
1. Certificate number:

2. Remarks:

NOT VALID UNLESS SIGNED BY A CERTIFYING OFFICIAL OF MEAT, POULTRY, AND EGG PRODUCT INSPECTION PROGRAM
3. Certifying Official's Name and Title:

4. Date Issued: (mm/dd/yyyy)

By order of the
Secretary of Agriculture
This certificate is receivable in all courts of United States as prime facie evidence of the truth of the statement herein contained.
This certificate does not excuse failure to comply with any of the regulatory laws enforced by the United States Department of Agriculture.
FSIS 9060-5B (04/15/2025)

REPLACES FSIS 9060-5B (06/29/2018) PREVIOUS EDITION OBSOLETE

ORIGINAL