Fsis Form 9540 1 PDF Details

The FSIS 9540-1 form serves as a crucial document within the framework of U.S. food import regulations, especially for those dealing in meat, poultry, and related products. It originates from the Department of Agriculture under the Food Safety and Inspection Service (FSIS), underscoring the importance of maintaining high standards of food safety and consumer protection. The form is a part of the regulatory process that ensures imported food products comply with the stringent quality controls and safety standards set by the U.S. government. Prospective importers are required to fill out the FSIS 9540-1 as an Original Import Inspection Application, which encompasses vital information like the type of product, the country of origin, the exporter's and producer's details, and the specifics of the U.S. importer. The form carries the Paperwork Reduction Act notice, emphasizing that response to the collection of information is voluntary, but necessary, for compliance with import regulations. This documentation process, estimated to require an average completion time of 10 minutes, is designed to streamline the inspection and approval of foreign meat and poultry products entering the U.S. market. It obligates the importer, under penalty of law, to ensure that the product remains intact and supervised until it has been duly inspected and cleared by FSIS inspectors, thereby playing a pivotal role in protecting public health and ensuring that only safe and compliant food products are available to U.S. consumers.

QuestionAnswer
Form NameFsis Form 9540 1
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfsis form 7350 1, nformation, fsis form 9540 1 fillable, estim

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 coll ection of information unless it displays a valid OMB control number. The valid OMB contr ol number for this i nformation collection is 0583-0094. The time required to complete this information collection is estimated to aver age 10 minutes per r esponse, 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

Items 1 thru 22,

1. (Check appropriat e box)

2. HEALTH CERT. NO.

 

FOOD SAFETY AND INSPECTION SERVICE

24, 25 & 26 are to

 

 

 

OFFICE OF FIELD OPERATIONS

 

 

 

be completed by

ORIGINAL

 

 

 

 

 

IMPORT INSPECTION APPLICATION

the customs

 

 

 

broker or

 

 

CONTINUATION

 

 

AND REPORT

applicant

 

 

 

 

 

(Meat, Poultry & Meat or Poultry Products)

 

 

 

 

 

 

 

 

 

 

 

 

3. U.S. POINT OF ENTRY

 

 

 

 

 

4. NAME & ADDRESS OF CUSTOMS BROKER OR APPLICANT

6a. NAME & ADDRESS OF IMPORTER OF RECORD (IR):

5a. BROKER/APPLICANT PHONE NUMBER

5b. FACSIMILE NUMBER

6b. IR NUMBER

7. CUSTOMS ENTRY NO. (XXX - XXXXXXX - X)

8. REFERENCE NO.

9. COUNTRY OF ORIGIN

10. EXPORTING EST. NO.

11. PRODUCING EST. NO.

 

 

 

 

IN CONSIDERATION of the U.S. Director of Customs granting me/us permission to transfer the packages of foreign food product described on this form which are offered for entry into the United States, I/we agree, under bond filed with said director of Customs and subject to penalties prescribed in laws enacted by Congress and regulations issued there under by the Secretary of the Treasury, to hold the said food product intact at the location indicated below until it has been inspected and passed by a food inspector from the Food Safety and Inspection Service or has been otherwise disposed of under the supervision of a U.S. Customs Officer or a FSIS inspector.

12. NAME & ADDRESS OF FSIS IMPORT EST.

13. IMPORT EST. NO.

14. SPECIES

15. PROCESS CATEGORY

16.

 

17.

 

18.

19. PACKAGE

20.

21.

22.

Completed

LOT

DESCRIPTION OF PRODUCT

 

SHIPPING

TYPE (check one )

NO. OF

NO. OF

NET

by FSIS

 

 

NO.

 

 

 

MARKS

Sides Pkgs. Cans

UNITS

UNITS PER

WEIGHT

23. AIIS

 

 

 

 

 

 

CARTON

 

LOT ID NO.

24. PRINT NAME OF CUSTOMS BROKER OR APPLICANT

25. SIGNATURE

 

 

26. DATE

 

 

 

Product has been

27.

SIGNATURE (FSIS Import Inspector)

 

 

28. DATE

 

 

 

forwarded to the

 

 

 

 

 

 

 

TO BE

 

designated I-house:

 

 

 

 

 

 

 

COMPLETED

Product has been

29.

SIGNATURE (FSIS Import Inspector)

 

 

30. DATE

 

BY FSIS

 

 

 

 

 

inspected and passed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

31. REMARKS

FSIS FORM 9540-1 (05/07/2002)

REPLACES FSIS FORM 9540-1 (9/96) AND FSIS 9510-1 (9/96) WHICH ARE OBSOLETE.

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Filling in part 1 in 9540-1

2. Soon after the prior section is done, go on to enter the suitable information in these: PROCESS CATEGORY, DESCRIPTION OF PRODUCT, SHIPPING, MARKS, PACKAGE, TYPE check one, Sides Pkgs Cans, NO OF UNITS, NO OF, UNITS PER, CARTON, NET, WEIGHT, Completed, and by FSIS AIIS.

Part no. 2 in filling in 9540-1

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