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Individuals
Viruses, Serums, Toxins, and Analogous Products; Records and Reports
OMB: 0579-0209
IC ID: 218104
OMB.report
USDA/APHIS
OMB 0579-0209
ICR 201504-0579-002
IC 218104
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0209 can be found here:
2018-05-17 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form APHIS 2080
Individuals
Form
APHIS 2080 Adverse Event Report
APHIS 2080 SEP 2015.pdf
Form
APHIS 2081 Adverse Event Report Follow-up Information
APHIS 2081 SEP 2015.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Individuals
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
9 CFR 116.9
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
APHIS 2080
Adverse Event Report
APHIS 2080 SEP 2015.pdf
Yes
Yes
Fillable Fileable
Form
APHIS 2081
Adverse Event Report Follow-up Information
APHIS 2081 SEP 2015.pdf
Yes
Yes
Fillable Fileable
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:
3,333
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
80 %
Requested
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
5,333
0
5,333
0
0
0
Annual IC Time Burden (Hours)
1,760
0
1,760
0
0
0
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.