OMB control number
Voluntary National Retail Food Regulatory Program Standards
OMB 0910-0621 · HHS/FDA.
OMB 0910-0621
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.
The latest form for Voluntary National Retail Food Regulatory Program Standards expires 2026-10-31 and is listed under ICR 202306-0910-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 3958 Submission of Form FDA 3958 | Form and Instruction |
 Form FDA 5017 Voluntary National Retail Standards: Worksheets and assessments | Form and Instruction |
| 0621 Voluntary Food Retail Stds SSA 2023 REV.docx | Supporting Statement A |
 Reporting: Requests for Documentation of Successful Completion of Staff Training |
Other-Program Standards |
| Submission of Form FDA 3958 |
Form and Instruction |
| Voluntary National Retail Standards: Worksheets and assessments |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202306-0910-002 | Revision of a currently approved collection | 2023-09-20 | Approved without change | |
| 202008-0910-001 | Extension without change of a currently approved collection | 2020-08-03 | Approved without change | |
| 201706-0910-011 | Extension without change of a currently approved collection | 2017-07-26 | Approved without change | |
| 201405-0910-023 | Extension without change of a currently approved collection | 2014-05-29 | Approved without change | |
| 201103-0910-014 | Extension without change of a currently approved collection | 2011-03-31 | Approved without change | |
| 200801-0910-001 | New collection (Request for a new OMB Control Number) | 2008-01-18 | Approved without change |
OMB Details
Voluntary National Retail Standards: Worksheets and assessments
Federal Enterprise Architecture: Health - Consumer Health and Safety
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form FDA 5017 | Standardized Retail Food Safety Inspection Officer Waiver of Annual Maintenance Requirement Form | Fillable Fileable | Form and instruction |
| Form FDA 3958 | Voluntary National Retail Food Regulatory Program Standards FDA National Registry Report | Fillable Fileable | Form and instruction |
| Form FDA 5019 | Standardized Food Safety Inspection Officer Nomination Form | Fillable Fileable | Form and instruction |
| Form FDA 5018 | Standardized Retail Food Safety Inspection Officer Annual Maintenance Form | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.