Information Collection

LOW PATHOGENIC AVIAN INFLUENZA; VOLUNTARY CONTROL PROGRAM A ND PAYMENT OF INDEMNITY, State

IC 45317 under ICR 200703-0579-004 · OMB 0579-0305.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 1-23 LOW PATHOGENIC AVIAN INFLUENZA; VOLUNTARY CONTROL PROGRAM A ND PAYMENT OF INDEMNITY, State	Form
VS 1-23 APPRAISAL AND INDEMNITY CLAIM FOR ANIMALS DESTROYED MATE vs1-23.pdf	Form
VS 9-2 FLOCK SELECTING AND TESTING REPORT vs9-2.pdf	Form
VS 9-5 REPORT OF HATCHERIES, DEALERS AND INDEPENDENT FLOCKS PAR vs9-5.pdf	Form
VS 1-23A CONTINUATION SHEET INDEMNITY CLAIM FOR ANIMALS DESTROYED vs 1-23a.PDF	Form
VS 9-4 SUMMARY OF BREEDING FLOCK PARTICIPATION vs9-4.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 56.4, 56.9, 56.4, 56.6, 56.7 9 CFR 146.4, 146.11, 146.14, 146.44

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	VS 1-23	APPRAISAL AND INDEMNITY CLAIM FOR ANIMALS DESTROYED MATERIALS DESTROYED	vs1-23.pdf	No	Paper Only
Form	VS 9-2	FLOCK SELECTING AND TESTING REPORT	vs9-2.pdf	No	Paper Only
Form	VS 9-5	REPORT OF HATCHERIES, DEALERS AND INDEPENDENT FLOCKS PARTICIPATIN IN THE NPIP	vs9-5.pdf	No	Paper Only
Form	VS 1-23A	CONTINUATION SHEET INDEMNITY CLAIM FOR ANIMALS DESTROYED MATERIALS DESTROYED	vs 1-23a.PDF	No	Paper Only
Form	VS 9-4	SUMMARY OF BREEDING FLOCK PARTICIPATION	vs9-4.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: 20

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	36,572	-10,337	46,909
Annual IC Time Burden (Hours)	21,974	-5,522	27,496
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.