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: 202103-0583-001
Status: Historical Active	Previous ICR Reference No: 201907-0583-001
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: 09/10/2021
	Date Received in OIRA: 08/09/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2024	36 Months From Approved	08/31/2022
Responses	644,048	0	643,008
Time Burden (Hours)	115,550	0	115,117
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	9060-5 , 5200-15, 9060-5B, FSIS 9010-1, FSIS Form 5200-2, 9060-5A, 9060-5S, FSIS Form 9060-6, 9080-3, 9060-5EP, 5200-6	, , , , , , , , , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	644,048	643,008	1,040
Annual Time Burden (Hours)	115,550	115,117	433
Annual Cost Burden (Dollars)	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a revision to the collection to add the Egg Products Export Certificate of Wholesomeness (FSIS Form 9060-5EP). The burden estimate has increased from 6,242 to 6,294 respondents, 643,008 to 644,048 responses, and 115,117 to 115,550 total burden hours as a result of the addition of this form.

Annual Cost to Federal Government: $751,800

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? No

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

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