Information Collection

Blood and Tissue Collection at Slaughtering Establishments

IC 2393 under ICR 200707-0579-004 · OMB 0579-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form vs 10-5 Blood and Tissue Collection at Slaughtering Establishments	Form
vs 10-5 USDA LISTED SLAUGHTER FACILITY INSPECTION REPORT vs10-5.pdf	Form
VS 10-4 SPECIMEN SUBMISSION vs10-4.pdf	Form
VS 10-4A CONTINUATION SHEET SPECIMEN SUBMISSION vs 10-4A.pdf	Form

IC Title:

Blood and Tissue Collection at Slaughtering Establishments

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 71.21

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	vs 10-5	USDA LISTED SLAUGHTER FACILITY INSPECTION REPORT	vs10-5.pdf	No	Paper Only
Form	VS 10-4	SPECIMEN SUBMISSION	vs10-4.pdf	No	Paper Only
Form	VS 10-4A	CONTINUATION SHEET SPECIMEN SUBMISSION	vs 10-4A.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: 155

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12,755	0	395	12,360
Annual IC Time Burden (Hours)	4,209	13	80	4,116
Annual IC Cost Burden (Dollars)	0	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.