Specimen Submission

ICR 200309-0579-004

OMB: 0579-0090

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
2167 Migrated
ICR Details
0579-0090 200309-0579-004
Historical Active 200007-0579-002
USDA/APHIS
Specimen Submission
Revision of a currently approved collection   No
Regular
Approved without change 11/18/2003
Retrieve Notice of Action (NOA) 09/26/2003
  Inventory as of this Action Requested Previously Approved
11/30/2006 11/30/2006 11/30/2003
36,000 0 30,290
9,000 0 15,149
0 0 0

The VS form 10-4 is a critical component of the APHIS disease surveilance mission and is routinely used whenever specimens from any animal are submitted to our National Veterinary Services Laboratory for disease testing.

None
None


No

1
IC Title Form No. Form Name
Specimen Submission VS-10-4, VS-10-4A

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 36,000 30,290 0 0 5,710 0
Annual Time Burden (Hours) 9,000 15,149 0 0 -6,149 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/26/2003


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