View Information Collection (IC)

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
Other-screens-Transfer Certificate			Transfer certificate with OMB.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			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
Form	9060-5A	Export Certificate Continuation Sheet	FSIS-Form 9060-5A Export Certificate -Continuation Sheet _v8re508 511201.._.pdf		Yes	Yes	Fillable Fileable
Form	9060-5B	Meat, Poultry and Egg Products Export Certificate	FSIS 9060-5B MEAT POULTRY AND EGG PRODUCTS EXPORT CERTIFICATE OF WHOLES.._.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	9060-5S	Fish and Fish Products Export Certificate	FSIS 9060-5S Fish and Fish Products Export Certificate of Wholesomeness.._.pdf		Yes	Yes	Fillable Fileable
Other-screen shots Application for Export			PHIS Application (9060-6) Screenshots 05212018.docx		Yes	Yes	Fillable Fileable
Form and Instruction	FSIS Form 9060-6	Application for Export Certificate	FSIS 9060-6 Application for Export Certificate 072018.pdf		Yes	Yes	Fillable Fileable
Form	5200-15	Hours of Operation	FSIS 5200-15 Hours of Operation Request Approval 072018 .pdf		Yes	Yes	Fillable Fileable
Form and Instruction	9080-3	Establishment Application for Export	FSIS 9080-3 Establishment Application for Export of _v8re508.pdf		Yes	Yes	Fillable Fileable
Form	9060-5	Meat and Poultry Export Certificate of Wholesomeness	FSIS Form 9060-5 Meat-Poultry Export MPX.pdf		Yes	Yes	Fillable Fileable
Form	9060-5EP	Egg Products Export Certificate	FSIS 9060-5EP Egg Products Export Certificate of Wholesomeness_v6.4.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	5200-2	Application for Federal Inspection	FSIS FORM 5200-2 APPLICATION FOR FEDERAL INSPECTION _ver6.4re508).pdf		Yes	Yes	Fillable Fileable
Form	5200-6	Application Approval for Voluntary Reimbursable Inspection Service	FSIS 5200-6 Application_Approval for Voluntary Reimbursable Inspection Service _ver6.5re508.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: Privacy Act of 1974; New System of Records	FR Citation: 83 FR 11489

Number of Respondents: 6,294	Number of Respondents for Small Entity: 519

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	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	675,448	0	0	31,400	0	644,048
Annual IC Time Burden (Hours)	116,074	0	0	524	0	115,550
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.