Fsis Form 5200 15 PDF Details

Navigating federal documentation and approvals can often feel like an intricate dance, especially when it comes to ensuring that food safety protocols are up to scratch. Among the array of forms and regulatory hurdles, the FSIS Form 5200-15 stands out as a crucial tool for entities operating within the realm of the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS). This form serves as a request and approval document for establishing the hours of official inspection operations—vital for any operation subject to FSIS oversight. It meticulously outlines the operational shifts, including start times, lunch breaks, and end times for each day of the week, ensuring that inspections align with the operational schedule of the facility. Moreover, it embodies the policies set out under the Paperwork Reduction Act of 1995, emphasizing the public's exemption from responding to collections of information that do not display a valid Office of Management and Budget (OMB) control number. With an estimated completion time of 20 minutes, this form demands accuracy in the gathering and maintenance of required data, including a clear delineation of requested and granted inspection hours. Such precision aids in the smooth facilitation of inspections, ultimately contributing to the overarching goal of ensuring food safety and public health. By providing a structured format for entities to communicate their operational schedules to the FSIS, the form plays a pivotal role in the regulatory ecosystem, balancing the needs of industry operations with the rigorous demands of food safety standards.

QuestionAnswer
Form NameFsis Form 5200 15
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform 5200, form 5200 15, OMB, FSIS

Form Preview Example

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0583-0153. The time required to complete this information collection is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

U. S. DEPARTMENT OF AGRICULTURE

FOOD SAFETY AND INSPECTION SERVICE

HOURS OF OPERATION REQUEST/APPROVAL

1. NAME OF APPLICANT

2. DATE OF REQUEST

3. DISTRICT / IID-HEADQUARTER OFFICE

4. MAILING ADDRESS OF APPLICANT

New (Attach to application form) Update or Revision

HOURS OF OFFICIAL INSPECTION OPERATIONS REQUESTED - SHIFT I

DAY OF WEEK

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

Start Time

Lunch

Break Start

Lunch

Break End

End Time

HOURS OF OFFICIAL INSPECTION OPERATIONS REQUESTED - SHIFT 2

DAY OF WEEK

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

Start Time

Lunch

Break Start

Lunch

Break End

End Time

5. SIGNATURE OF APPLICANT

6. PRINTED NAME

HOURS OF OFFICIAL INSPECTION OPERATIONS GRANTED - SHIFT I

DAY OF WEEK

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

 

 

 

 

 

 

 

 

Start Time

Lunch

Break Start

Lunch

Break End

End Time

HOURS OF OFFICIAL INSPECTION OPERATIONS GRANTED - SHIFT 2

DAY OF WEEK

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

Start Time

Lunch

Break Start

Lunch

Break End

End Time

7. PRINT NAME OF DISTRICT/ IID - HEADQUARTER MANAGER

8. SIGNATURE OF DISTRICT/ IID-HEADQUARTER MANAGER

9. DATE

 

 

 

 

 

FSIS FORM 5200-15 (1/19/2012)

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In order to complete this PDF document, be certain to provide the information you need in each blank field:

1. Begin completing your form 5200 with a selection of necessary blank fields. Gather all the necessary information and make certain nothing is left out!

1995 completion process clarified (stage 1)

2. When this selection of blanks is filled out, go on to type in the relevant details in all these - SIGNATURE OF APPLICANT, PRINTED NAME, HOURS OF OFFICIAL INSPECTION, DAY OF WEEK, SUNDAY, MONDAY, TUESDAY, WEDNESDAY, THURSDAY, FRIDAY, SATURDAY, Start Time, Lunch Break Start, Lunch Break End, and End Time.

The best way to complete 1995 portion 2

Be very careful when filling out HOURS OF OFFICIAL INSPECTION and SATURDAY, as this is where a lot of people make errors.

3. Within this stage, check out End Time, PRINT NAME OF DISTRICT IID, SIGNATURE OF DISTRICT, DATE, and FSIS FORM. Each of these should be filled out with greatest attention to detail.

1995 writing process described (step 3)

Step 3: Prior to moving on, you should make sure that all blank fields are filled out the proper way. The moment you verify that it's correct, click “Done." Go for a free trial plan with us and obtain instant access to form 5200 - download, email, or edit from your FormsPal account page. FormsPal is devoted to the confidentiality of all our users; we make sure all personal information put into our system is kept protected.