Accredited Laboratory Program Contact Update Form

Accredited Laboratory Program Annual Contact Update Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0583-0163 can be found here:

Documents and Forms

Document Name Document Type
Form 10,000-11 Accredited Laboratory Program Contact Update Form Form and Instruction
10,000-11 Accredited Laboratory Program Annual Contact Update FSIS 10,000-11 (FSIS Accredited Laboratory Program Annual Contact Update)_vRE508.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Accredited Laboratory Program Contact Update Form	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 and Instruction	10,000-11	Accredited Laboratory Program Annual Contact Update	FSIS 10,000-11 (FSIS Accredited Laboratory Program Annual Contact Update)_vRE508.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 60

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	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.