Free FORM FDA 2541 - Federal

Public reporting burden for this collection of information is estimated to average .17 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data FORM APPROVED: OMB No. 0910-0037 needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: EXPIRATION DATE: 8-31-2011 Department of Health and Human Services, Food and Drug Administration, Office of Chief Information Officer (HFA-710), 5600 Fishers Lane, Rockville, MD 20857. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

TYPE OF SUBMISSION
Initial Registration Relocation (new registration required) Change of Registration Information Specify Type of Change

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

FOR FDA USE ONLY FCE No. OOB Code Reference Date Date Received by FDA District

FOOD CANNING ESTABLISHMENT REGISTRATION
Enter Current FCE: (If applicable) Establishment Name

FOOD PROCESSING PLANT LOCATION
Establishment Name Number and Street City and State or Province (or other Subdivision) Zip (or other Postal Code) Telephone No.

PREFERRED MAILING ADDRESS
Number and Street City and State or Province (or other Subdivision)

Same as Plant Location

Country (if other than U.S.) Telefax No.

Zip (or other Postal Code) Telephone No.

Country (if other than U.S.) Telefax No.

(Do not list meat and poultry foods under the jurisdiction of the Food Safety and Inspection Service of the U.S. Department of Agriculture)

LOW ACID AND/OR ACIDIFIED FOODS PROCESSED AT THIS LOCATION Food Product name, form or Style, and packing Medium

PLEASE NOTE THE FOLLOWING:
The form 2541 is only accepted through the postal system. Please do not e-mail or fax this form. After successfully registering the Food Canning Establishment with this form and the address validation is completed you will be mailed instructions on how to file your processes using our online system. Forms, Instructions, regulations, and information can also be secured online at http://www.cfsan.fda.gov/~comm/lacf-toc For more information contact the LACF Registration Coordinator at (301) 436-2047 or by e-mail at [email protected]
See "Instructions for Establishment Registration and Process Filing for Acidified and Low-Acid Canned Foods" for guidance in completing this form. Forward completed form to:

(Check One)

Low-Acid Acidified

Food and Drug Administration LACF Registration Coordinator (HFS-303) Center for Food Safety & Applied Nutrition 5100 Paint Branch Parkway College Park, Maryland 20740-3835 FACILITY CONTACT PERSON (must be located at a plant location)
Name, Business Address and Position Held at Plant Location:

Phone Number:

NOTE: No commercial processor shall engage in the processing of low-acid or acidified foods unless completed Forms FDA 2541 and FDA 2541a or FDA 2541c have been filed with the Food and Drug Administration, 21 CFR 108.25(c)(1) and (2) and 108.35(c)(1) and (2).

Email Address:

Signature:

Date:

FORM FDA 2541 (10/08)

PREVIOUS EDITION IS OBSOLETE

PSC Graphics: (301) 443-1090

EF