View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0583-0153	ICR Reference No: 201711-0583-002
Status: Historical Active	Previous ICR Reference No: 201707-0583-001
Agency/Subagency: USDA/FSIS	Agency Tracking No:
Title: Public Health Information System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/02/2018
	Date Received in OIRA: 11/14/2017
Terms of Clearance: Upon approval of the pending new Food Safety and Inspection Service (FSIS) system of records entitled: USDA/FSIS-0004, Public Health Information System (PHIS), FSIS will update the Supporting Statement associated with this collection (via a nonsubstantive change request) and update the relevant ROCIS system data.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2021	36 Months From Approved	01/31/2018
Responses	613,480	0	865,480
Time Burden (Hours)	103,814	0	145,481
Cost Burden (Dollars)	0	0	0

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

IC Title	Form No.	Form Name
Public Health Information System	5200-6, FSIS 9080-3, FSIS 9060-6, FSIS 9010-1, 5200-15, FSIS Form 5200-2	, , , , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	613,480	865,480	-252,000
Annual Time Burden (Hours)	103,814	145,481	-41,667
Annual Cost Burden (Dollars)	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There is a reduction of 41,667 burden hours resulting from the removal of the FSIS Form 9080-4, Product List, because FSIS no longer uses it.

Annual Cost to Federal Government: $585,000

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. Yes

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? Uncollected

Agency Contact: Gina Kouba 202 690-6510 gina.kouba@fsis.usda.gov

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