Nomination Request Form: Animal Disease Training (State, Local or Tribal Government)

Nomination Request Form; Animal Disease Training

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0353 can be found here:

Documents and Forms

Document Name Document Type
Form VS 1-5 Nomination Request Form: Animal Disease Training (State, Local or Tribal Government) Form
VS 1-5 Nomination Request Form VS 1-5 JAN 2012.docx Form

Information Collection (IC) Details

IC Title:	Nomination Request Form: Animal Disease Training (State, Local or Tribal Government)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 1-5	Nomination Request Form	VS 1-5 JAN 2012.docx		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 3

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	-136	186
Annual IC Time Burden (Hours)	17	-199	216
Annual IC Cost Burden (Dollars)	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.