View Information Collection (IC)
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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:
Modified
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
5200-15
Hours of Operations
FSIS 5200-15 Hours of Operation Request Approval .pdf
Yes
Yes
Fillable Fileable
Other-screens-Transfer Certificate
Transfer certificate with OMB.docx
Yes
Yes
Fillable Fileable
Other-screens-Product List
9080-4 product list screen shots 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 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
9010-1 Application for Return of Exported Goods.pdf
Yes
Yes
Fillable Fileable
Other-screen shots
9080-3 Establishment Application for Export.pdf
Yes
Yes
Fillable Fileable
Other-screen shots
9060-6 Application for Export of Goods In Lieu of Consolidated Split.pdf
Yes
Yes
Fillable Fileable
Other-screen shots
9060-6 Application for Export of Goods.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
FSIS Form 5200-2
Application for Federal Inspection
FSIS FORM 5200-2 - APPLICATION FOR FEDERAL INSPECTION _v8RE508 (11-18-2015).pdf
Yes
Yes
Fillable Fileable
Form
5200-6
Application/Approval for Voluntary Inspection
FSIS 5200-6 Application_Approval for Voluntary Reimbursable Inspection Service_v8508 2_17_11.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
9060-6
Application for Export Certificate
FSIS 9060-6 APPLICATION FOR EXPORT CERTIFICATE 12151026.pdf
Yes
Yes
Fillable Printable
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
865,480
0
0
0
0
865,480
Annual IC Time Burden (Hours)
145,481
0
0
0
0
145,481
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.
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