Business

Control of Chronic Wasting Disease

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0189 can be found here:

Documents and Forms

Document Name Document Type
Form VS 1-23 Business Form and Instruction
VS 1-23 Appraisal and Indemnity Claim for Animals Destroyed and VS 1-23 Sep 2010 SECURE.pdf Form and Instruction
VS 10-4 Specimen Submission VS 10-4 AUG 2009 fillable SECURE.pdf www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf Form and Instruction
VS 11-1 Application for Enrollment in the National Chronic Wasti VS 11-1 AUG 2012 SECURE.pdf Form
VS 11-1A Application for Enrollment in the Federal Chronic Wastin VS 11-1A AUG 2012 SECURE.pdf Form

Information Collection (IC) Details

IC Title:	Business	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 9 CFR 81.2 - 81.4 9 CFR 55.1 - 55.25

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VS 1-23	Appraisal and Indemnity Claim for Animals Destroyed and Materials Destroyed	VS 1-23 Sep 2010 SECURE.pdf		No		Paper Only
Form and Instruction	VS 10-4	Specimen Submission	VS 10-4 AUG 2009 fillable SECURE.pdf	http://www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf	Yes	No	Fillable Printable
Form	VS 11-1	Application for Enrollment in the National Chronic Wasting Disease Voluntary Herd Certifcation Program for Farmed and Captive Cervids	VS 11-1 AUG 2012 SECURE.pdf		No		Paper Only
Form	VS 11-1A	Application for Enrollment in the Federal Chronic Wasting Disease Voluntary Herd Certifcation Program for Farmed and Captive Cervids - Continuation Sheet	VS 11-1A AUG 2012 SECURE.pdf		No		Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,502	Number of Respondents for Small Entity: 3,377

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	62,547	2,500	-109,663	169,710
Annual IC Time Burden (Hours)	253,036	35,000	-65,249	283,285
Annual IC Cost Burden (Dollars)	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.