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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Brucellosis Program - State
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
9 CFR 78.1, 78.40, 78.42
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
VS 4-1D
Application for Validation of a Brucellosis Free Area
VS 4-1D Feb 2009.doc
Oracle Application Server web address: http://cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt
Yes
Yes
Fillable Fileable
Form
VS 4-13
Certified Herd - Cooperative Brucellosis Eradication
VS 4-13 Nov 1992.pdf
No
Paper Only
Form
VS 4-80
Application for Validated Brucellosis-Free Herd Certification
VS 4-80 Apr 2009.doc
No
Paper Only
Form
VS 4-33D
Monthly report of Brucellosis Eradication Activities
VS 4-33 Apr 2009.doc
No
Paper Only
Form
VS 4-54D
Monthly Report of Brucellosis Program Surveillance Activities
VS 4-54D Mar 2009.doc
No
Paper Only
Form
VS 4-59
Monthly Report of Swine Brucellosis Eradication Activities
VS 4-59 Apr 2009.doc
No
Paper Only
Form
VS 4-33
Brucellosis Test Record
VS 4-33 JUL 2011.pdf
No
Paper Only
Form
VS 4-33A
Brucellosis Test Record Continuation Sheet
VS 4-33A Apr 2009.doc
No
Paper Only
Form
VS 4-34
Cooperative-State Federal Brucellosis Eradication Program Brucellosis Test Record
VS 4-34 Apr 2009.doc
No
Paper Only
Form
VS 4-54
Brucellosis Test Record Market Cattle Testing Program
VS 4-54 SEP 2011.pdf
No
Paper Only
Form
VS 4-39
Brucellosis Ring Test Patron List
VS 4-39A Apr 2009.doc
No
Paper Only
Form
VS 4-39A
Patron Listing Cooperating
VS 4-39A Apr 2009.doc
No
Paper Only
Form
VS 4-38
Brucellosis Ring Test Rack Chart
VS 4-38 Jan 2009.doc
No
Paper Only
Form
VS 4-24
Calfhood Vaccination Record - Short Form
VS 4-24 Mar 2009.doc
No
Paper Only
Form
VS 4-26
Vaccination Record - Long Form
VS 4-26 AUG 2012.doc
No
Paper Only
Form
VS 4-100
Log for Market Cattle Test Reactors
VS 4-100 Apr 2009.doc
No
Paper Only
Form
VS 1-27
Permit for Movement of Animals
VS 1-27 JUL 2011.doc
No
Paper Only
Form
VS 4-6
Justification for Brucellosis Herd Depopulation
VS 4-6 APR 2009.doc
No
Paper Only
Form
VS 4-1
Application for Brucellosis Classification or Reclassificaton of State
VS 4-1 Feb 2009.doc
No
Paper Only
Form
VS 4-108
Epidemiologic Investigation of Brucellosis Reactor Herd
VS 4-108 Apr 2009.doc
No
Paper Only
Form
VS 4-108A
Origin of Reactors/Herd Additions
VS 4-108A Apr 2009.doc
No
Paper Only
Form
VS 4-108B
Animals Removed from Infected Herd
VS 4-108B Apr 2009.doc
No
Paper Only
Form
VS 4-108C
Epidemoiolgy Report - Area Herds
VS 4-108C Apr 2009.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Agricultural Innovation and Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
225
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
35 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
321,810
0
-73,206
0
0
395,016
Annual IC Time Burden (Hours)
47,275
0
-174,161
0
0
221,436
Annual IC Cost Burden (Dollars)
0
0
0
0
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.