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⚠️ Notice: This information collection may be referencing outdated material.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 AUG 2014.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: Mandatory

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 AUG 2014.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: 250	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250	200	50
Annual IC Time Burden (Hours)	83	66	17
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.