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Importation of Animals and Poultry, Animal and Poultry Products, Certain Animal Embryos, Semen, and Zoological Animals
OMB: 0579-0040
IC ID: 2106
OMB.report
USDA/APHIS
OMB 0579-0040
ICR 202410-0579-001
IC 2106
( )
Documents and Forms
Document Name
Document Type
Form VS 17-12
Business
Form
MOU Final Permanent Private Equine Import Quarantine Agreement.docx
Other-Agreement template
Cooperative Service Agreement.docx
Other-Cooperative Service Agreement
info_request_recognition_region.pdf
Instruction
VS 16-78 IS MAY 2020 SEC.pdf
www.aphis.usda.gov/library/forms/pdf/vsform-16-78-instructions.pdf
Instruction
VS 17-31 IS JUN 2017 SEC.pdf
www.aphis.usda.gov/library/forms/pdf/VS-17-31instructions.pdf
Instruction
VS 17-12 Daily Log for Birds Quarantine Facility
VS 17-12 FEB 2014 (20210416) SEC.pdf
Form
VS 17-32 Application for Inspection and Dipping
VS 17-32 May 2011 SEC (20211206).pdf
Form
VS 10-4 Specimen Submission
VS 10-4 JUN 2022-ICR-FIL-508-RE (20240312).pdf
www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf
Form and Instruction
VS 10-4A Continuation Sheet for Specimen Submission
VS 10-4A AUG 2009 SEC.pdf
www.aphis.usda.gov/library/forms/pdf/VS_Form10_4a.pdf
Form and Instruction
VS 16-3 Application for Permit To Import or Transport Controlled
VS 16-3 JUL 2012 SEC.pdf
www.aphis.usda.gov/library/forms/pdf/VS_16_3.pdf
Form
VS 17-136 Refusal of Entry and Order to Dispose of Fish
VS 17-136 SEP 2009 SEC.pdf
www.aphis.usda.gov/library/forms/pdf/vs-17-136.pdf
Form
VS 16-78 Report of Entry and Shipment of Restricted Imported Anim
VS 16-78 JUL 2021 SEC.pdf
www.aphis.usda.gov/library/forms/pdf/vsform-16-78.pdf
Form
VS 16-79 On-Hold Shipment Notification Application
VS 16-79 JUN 2020 SEC.pdf
Form
VS 17-139 Certificate for Importing Sheep and Goat Semen from Cana
VS 17-139 JUL 2017 SEC.pdf
Form
PPQ 523 Emergency Action Notification
PPQ 523 SEP 2018-ICR-FIL-508-RE (20230320).pdf
Form
VS 17-129 Application for Import or in Transit Permit (Animals, An
VS 17-129 DEC 2020 SEC.pdf
www.aphis.usda.gov/library/forms/pdf/vs17_129.pdf
Form
VS 17-65A Zoological Park Inspection Report
VS 17-65A DEC 2014 SEC.pdf
Form
VS 17-65B Agreement for the Importation, Quarantine, and Exhibitio
VS 17-65B DEC 2014 SEC.pdf
Form
VS 17-65C Post Entry Quarantine Record of Zoo Animals
VS 17-65C DEC 2014 SEC.pdf
Form
VS 17-65D Agreement for the Transfer of Certain WIld Animals
VS 17-65D DEC 2014.pdf
Form
VS 17-13 Summary of Quarantine Birds
VS 17-13 MAY 2020 SEC.pdf
www.aphis.usda.gov/library/forms/pdf/vs-17-13.pdf
Form
VS 17-29 Declaration of Importation
VS 17-29 MAY 2017 SEC.pdf
www.aphis.usda.gov/library/forms/pdf/vs17_29.pdf
Form
VS 17-30 Report of Animals, Poultry, or Eggs Offered for Importat
VS 17-30 JAN 2023 FIL (20230109).pdf
Form
VS 17-31 Equine Import Testing Submission
VS 17-31 JUN 2017 SEC.pdf
www.aphis.usda.gov/library/forms/pdf/VS_Form17_31.pdf
Form
VS 17-31A Equine Import Testing Submission Continuation Sheet
VS 17-31A JUN 2017 SEC.pdf
www.aphis.usda.gov/library/forms/pdf/VS-17-31A.pdf
Form
VS 17-36 Inspection Report of Establishment for Immediate Slaught
VS 17-36 OCT 2024-ICR-FIL (20241007).pdf
Form
VS 17-37 Certification of Inspection of Export Animals
VS 17-37 APR 2024 SEC.pdf
www.aphis.usda.gov/library/forms/pdf/vs17_37.pdf
Form
VS 17-41 Notice of Animals Not Shipped
VS 17-41 AUG 2011 SEC.pdf
www.aphis.usda.gov/library/forms/pdf/vs17_41.pdf
Form
VS 17-128 Application/Permit for Ratite(s) or Ratite Hatching Eggs
VS 17-128 APR 2014 SEC.pdf
Form
VS 17-33 Animals Imported for Immediate Slaughter
VS 17-33 AUG 2009 SEC (20240425).pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Business
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
9 CFR 93
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
VS 17-12
Daily Log for Birds Quarantine Facility
VS 17-12 FEB 2014 (20210416) SEC.pdf
No
Paper Only
Form
VS 17-32
Application for Inspection and Dipping
VS 17-32 May 2011 SEC (20211206).pdf
Yes
Yes
Fillable Fileable
Form and Instruction
VS 10-4
Specimen Submission
VS 10-4 JUN 2022-ICR-FIL-508-RE (20240312).pdf
https://www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
VS 10-4A
Continuation Sheet for Specimen Submission
VS 10-4A AUG 2009 SEC.pdf
https://www.aphis.usda.gov/library/forms/pdf/VS_Form10_4a.pdf
Yes
Yes
Fillable Fileable Signable
Form
VS 16-3
Application for Permit To Import or Transport Controlled Material or Organisms or Vectors
VS 16-3 JUL 2012 SEC.pdf
https://www.aphis.usda.gov/library/forms/pdf/VS_16_3.pdf
Yes
Yes
Fillable Fileable Signable
Form
VS 17-136
Refusal of Entry and Order to Dispose of Fish
VS 17-136 SEP 2009 SEC.pdf
https://www.aphis.usda.gov/library/forms/pdf/vs-17-136.pdf
Yes
No
Printable Only
Form
VS 16-78
Report of Entry and Shipment of Restricted Imported Animal Products or Byproducts
VS 16-78 JUL 2021 SEC.pdf
https://www.aphis.usda.gov/library/forms/pdf/vsform-16-78.pdf
Yes
No
Fillable Printable
Form
VS 16-79
On-Hold Shipment Notification Application
VS 16-79 JUN 2020 SEC.pdf
Yes
No
Fillable Printable
Form
VS 17-139
Certificate for Importing Sheep and Goat Semen from Canada
VS 17-139 JUL 2017 SEC.pdf
Yes
No
Fillable Printable
Form
PPQ 523
Emergency Action Notification
PPQ 523 SEP 2018-ICR-FIL-508-RE (20230320).pdf
Yes
No
Fillable Printable
Form
VS 17-129
Application for Import or in Transit Permit (Animals, Animal Semen, Poultry, and Hatching Eggs)
VS 17-129 DEC 2020 SEC.pdf
https://www.aphis.usda.gov/library/forms/pdf/vs17_129.pdf
Yes
Yes
Fillable Fileable
Form
VS 17-65A
Zoological Park Inspection Report
VS 17-65A DEC 2014 SEC.pdf
No
Printable Only
Form
VS 17-65B
Agreement for the Importation, Quarantine, and Exhibition of Certain Wild Ruminants and Wild Swine
VS 17-65B DEC 2014 SEC.pdf
No
Printable Only
Form
VS 17-65C
Post Entry Quarantine Record of Zoo Animals
VS 17-65C DEC 2014 SEC.pdf
No
Printable Only
Form
VS 17-65D
Agreement for the Transfer of Certain WIld Animals
VS 17-65D DEC 2014.pdf
No
Printable Only
Other-Agreement template
MOU Final Permanent Private Equine Import Quarantine Agreement.docx
No
Printable Only
Other-Cooperative Service Agreement
Cooperative Service Agreement.docx
No
Printable Only
Instruction
info_request_recognition_region.pdf
No
Paper Only
Instruction
VS 16-78 IS MAY 2020 SEC.pdf
https://www.aphis.usda.gov/library/forms/pdf/vsform-16-78-instructions.pdf
Yes
No
Printable Only
Form
VS 17-13
Summary of Quarantine Birds
VS 17-13 MAY 2020 SEC.pdf
https://www.aphis.usda.gov/library/forms/pdf/vs-17-13.pdf
Yes
Yes
Fillable Fileable
Form
VS 17-29
Declaration of Importation
VS 17-29 MAY 2017 SEC.pdf
https://www.aphis.usda.gov/library/forms/pdf/vs17_29.pdf
Yes
Yes
Fillable Fileable
Form
VS 17-30
Report of Animals, Poultry, or Eggs Offered for Importation
VS 17-30 JAN 2023 FIL (20230109).pdf
Yes
No
Fillable Printable
Form
VS 17-31
Equine Import Testing Submission
VS 17-31 JUN 2017 SEC.pdf
https://www.aphis.usda.gov/library/forms/pdf/VS_Form17_31.pdf
Yes
Yes
Fillable Printable
Instruction
VS 17-31 IS JUN 2017 SEC.pdf
https://www.aphis.usda.gov/library/forms/pdf/VS-17-31instructions.pdf
Yes
No
Printable Only
Form
VS 17-31A
Equine Import Testing Submission Continuation Sheet
VS 17-31A JUN 2017 SEC.pdf
https://www.aphis.usda.gov/library/forms/pdf/VS-17-31A.pdf
Yes
Yes
Fillable Fileable
Form
VS 17-36
Inspection Report of Establishment for Immediate Slaughter Import Animals
VS 17-36 OCT 2024-ICR-FIL (20241007).pdf
Yes
Yes
Fillable Printable
Form
VS 17-37
Certification of Inspection of Export Animals
VS 17-37 APR 2024 SEC.pdf
https://www.aphis.usda.gov/library/forms/pdf/vs17_37.pdf
Yes
Yes
Fillable Printable
Form
VS 17-41
Notice of Animals Not Shipped
VS 17-41 AUG 2011 SEC.pdf
https://www.aphis.usda.gov/library/forms/pdf/vs17_41.pdf
Yes
Yes
Fillable Printable
Form
VS 17-128
Application/Permit for Ratite(s) or Ratite Hatching Eggs and Space Reservation Request
VS 17-128 APR 2014 SEC.pdf
No
Paper Only
Form
VS 17-33
Animals Imported for Immediate Slaughter
VS 17-33 AUG 2009 SEC (20240425).pdf
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Agricultural Innovation and Services
Privacy Act System of Records
Title:
Privacy Act Systems of Records; APHIS Comprehensive Electronic Permitting System (ePermits)
FR Citation:
73 FR 23406
Number of Respondents:
65,452
Number of Respondents for Small Entity:
16,363
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Farms, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
25 %
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
392,080
0
0
0
0
392,080
Annual IC Time Burden (Hours)
202,709
0
0
0
0
202,709
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.