View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Public Health Information System
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
5200-6
Application/Approval for Voluntary Inspection
FSIS 5200-6.pdf
Yes
Yes
Fillable Fileable
Form
5200-15
Hours of Operations
FSIS 5200-15 Hours of Operation Request Approval .pdf
Yes
Yes
Fillable Fileable
Form
5200-2
Application for Inspection
FSIS 5200-2.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
9540-1
Import Reinspection Application
FSIS 9540-1_2.pdf
Yes
No
Fillable Printable
Other-screens-Import Reinspection
PHIS Screen Shots for 9540-1 030711.pdf
Yes
Yes
Fillable Fileable
Other-screens-Transfer Certificate
Transfer certificate with OMB.docx
Yes
Yes
Fillable Fileable
Other-screens-Split Consolidation Certificate
split consolidation screen shot OMB statement.docx
Yes
Yes
Fillable Fileable
Form
9080-4
Meat, Poultry, and Egg Product List
FSIS 9080-4.pdf
Yes
No
Fillable Printable
Other-screens-Product List
9080-4 product list screen shots OMB statement March 1 2011.docx
Yes
Yes
Fillable Fileable
Form and Instruction
9080-3
Establishment Application for Export
FSIS 9080-3 ESTABLISHMENT APPLICATION FOR EXPORT OF _v8508.pdf
Yes
No
Fillable Printable
Other-screens-Est. Application for Export
screen shots for 9080-3 OMB statement March 1 2011.docx
Yes
Yes
Fillable Fileable
Form
9060-6
Application for Export Certificate
FSIS 9060-6 .pdf
Yes
No
Fillable Printable
Other-screens-Application for Export Certificate
screen shots for 9060-6 OMB statement March 1 2011.docx
Yes
Yes
Fillable Fileable
Other-screens-Application for Return of Exported Product
PHIS Sscreen shots 9010-1 030211.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
FSIS 9010-1
Application for the Return of Exported Products to the United States
FSIS 9010-1 Application for the Return of Exported Products to the United States_v8RE508.pdf
Yes
No
Fillable Printable
Other-Screen shots
PHIS Sscreen shots 9010-1 030211.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
6,067
Number of Respondents for Small Entity:
2,750
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
95 %
Approved
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
912,286
0
337,000
575,286
0
0
Annual IC Time Burden (Hours)
148,015
0
56,014
92,001
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.