Voluntary National Retail Food Regulatory Program Standards

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FDA 5019 Standardized Food Safety Inspection Officer Nomination Form	Form and Instruction	Modified	Available
Form FDA 5018 Standardized Retail Food Safety Inspection Officer Annual Maintenance Form	Form and Instruction	Modified	Available
Form FDA 5017 Standardized Retail Food Safety Inspection Officer Waiver of Annual Maintenance Requirement Form	Form and Instruction	Modified	Available
Form FDA 3958 Voluntary National Retail Food Regulatory Program Standards FDA National Registry Report	Form and Instruction	Modified	Available
0621_Supporting Statement_2026.docx	Supporting Statement A	Uploaded 2026-10-23	Available
PRA - 0621 - Comment_FDA_2026_N_7338_0001-091526.pdf	Public Comments	Uploaded 2026-10-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
183428	Voluntary National Retail Standards: Worksheets and assessments	Form and Instruction	Modified	Standardized Food Safety Inspection Officer Nomination Form
183428	Voluntary National Retail Standards: Worksheets and assessments	Form and Instruction	Modified	Standardized Retail Food Safety Inspection Officer Annual Maintenance Form
183428	Voluntary National Retail Standards: Worksheets and assessments	Form and Instruction	Modified	Standardized Retail Food Safety Inspection Officer Waiver of Annual Maintenance Requirement Form
183428	Voluntary National Retail Standards: Worksheets and assessments	Form and Instruction	Modified	Voluntary National Retail Food Regulatory Program Standards FDA National Registry Report
183428	Voluntary National Retail Standards: Worksheets and assessments	Other-Program Standards	Modified

ICR Details

OMB Control No: 0910-0621	ICR Reference No: 202610-0910-009
Status: Received in OIRA	Previous ICR Reference No: 202306-0910-002
Agency/Subagency: HHS/FDA	Agency Tracking No: HFP
Title: Voluntary National Retail Food Regulatory Program Standards
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/23/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2026
Responses	4,154	4,154
Time Burden (Hours)	283,175	283,122
Cost Burden (Dollars)	0	0

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Abstract: This information collection supports implementation of FDA’s Voluntary National Retail Food Regulatory Program Standards (the Retail Program Standards), which play a critical role in an integrated food safety system. FDA works cooperatively with state, local, territorial and tribal partners using a risk-based approach to leverage its limited resources to help ensure the safety and security of the food supply at the retail level. Respondents to the collections of information are regulatory food officials working in this capacity.

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Authorizing Statute(s): US Code: 42 USC 243 Name of Law: PHS Act
   US Code: 21 USC 393(b)(4) Name of Law: FFDCA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 44857	07/17/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 65221	10/14/2026
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Voluntary National Retail Standards: Worksheets and assessments	FDA 5017, FDA 3958, FDA 5018, FDA 5019	Voluntary National Retail Food Regulatory Program Standards FDA National Registry Report ,   Standardized Retail Food Safety Inspection Officer Waiver of Annual Maintenance Requirement Form ,   Standardized Retail Food Safety Inspection Officer Annual Maintenance Form ,   Standardized Food Safety Inspection Officer Nomination Form

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,154	4,154	0	0	0	0
Annual Time Burden (Hours)	283,175	283,122	0	53	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Although ROCIS reflects an increase in burden, no adjustments have been made to the currently approved burden estimate since the last OMB approval. The estimated annual burden increases by 53 hours due to two corrections. For Form FDA 3958, we corrected the estimated completion time from 6 minutes to 12 minutes to match the time stated on the form, increasing the annual burden from 50 to 100 hours. We also corrected a calculation error in the table for Form FDA 5018, increasing is estimated annual burden from 43 to 46 hours.

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Annual Cost to Federal Government: $30,342

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/23/2026

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