Information Collection

Private Sector

IC 2183 under ICR 200804-0579-005 · OMB 0579-0101.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0101 can be found here:

2025-02-10 - No material or nonsubstantive change to a currently approved collection
2024-10-10 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 5-19C Private Sector	Form
VS 5-18 Record of Animals Moved vs5-18.pdf www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf	Form
VS 5-19D Scrapie Epidemiology Report vs5-19d.pdf	Form
VS 5-19 Flock Inspection and Epidemiology Report vs5-19.pdf	Form
VS 5-20 Individual Animal Information Report vs5-20.pdf	Form
VS 1-23 Appraisal and Indemnity Claim Form vs1-23.pdf	Form
VS 1-23A Indemnity Worksheet - Owner/Company vs1-23a.pdf	Form
VS 1-24 Proceeds from Animals Sold for Slaughter vs 1-24.pdf	Form
VS 5-19C Scrapie PEMMP Inspection Report vs5-19c.pdf	Form
VS 5-19 C Scarpie PEMMP Inspection Report (continuation sheet) vs5-19c2.pdf	Form
VS 5-29 Cooperative State - Scrapie Control Program vs5-29.pdf	Form
VS 5-29 A Scrapie Test Record - Continuation Sheet vs5-29a.pdf	Form
VS 10-4 Specimen Submission vs10-4.pdf www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf	Form
VS 5-22 Application for the Scrapie Flock Certification Program vs 5-22.pdf www.aphis.usda.gov/library/forms/pdf/vs5_22.pdf	Form
VS 5-18 A Record of Animals Acquired vs5-18a.pdf www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf	Form
VS 5-19 A Flock Inspection and Epidemnity Report Initial Flock Ins vs5-19a.pdf	Form
VS 5-19 b Flock Inspection and Epidemiology Report Flock Inspectio vs5-19b.pdf	Form
VS 17-140 United States Origin Health Certificate vs17-140.pdf	Form
VS 5-21 Agreement to Conduct the Official Histopathology Examina vs5-21.pdf	Form
VS 1-27 Permit for Movement of Restricted Animals vs1-27.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Private Sector

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 5-19C	Scrapie PEMMP Inspection Report	vs5-19c.pdf		No		Paper Only
Form	VS 5-19 C	Scarpie PEMMP Inspection Report (continuation sheet)	vs5-19c2.pdf		No		Paper Only
Form	VS 5-29	Cooperative State - Scrapie Control Program	vs5-29.pdf		No		Paper Only
Form	VS 5-29 A	Scrapie Test Record - Continuation Sheet	vs5-29a.pdf		No		Paper Only
Form	VS 10-4	Specimen Submission	vs10-4.pdf	http://www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf	Yes	No	Printable Only
Form	VS 5-22	Application for the Scrapie Flock Certification Program	vs 5-22.pdf	http://www.aphis.usda.gov/library/forms/pdf/vs5_22.pdf	Yes	No	Printable Only
Form	VS 5-18 A	Record of Animals Acquired	vs5-18a.pdf	http://www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf	Yes	No	Printable Only
Form	VS 5-19 A	Flock Inspection and Epidemnity Report Initial Flock Inspection for Complete Monitored Status in SCrapie Flock Certification Program	vs5-19a.pdf		No		Paper Only
Form	VS 5-19 b	Flock Inspection and Epidemiology Report Flock Inspection for Complete Monitored Status in the Scrapie Flock Certification Program	vs5-19b.pdf		No		Paper Only
Form	VS 17-140	United States Origin Health Certificate	vs17-140.pdf		No		Paper Only
Form	VS 5-21	Agreement to Conduct the Official Histopathology Examination for the Diagnosis of Scrapie in Sheep and Goats and Bovine Spongiform Encephalopathy in Cattle	vs5-21.pdf		No		Paper Only
Form	VS 1-27	Permit for Movement of Restricted Animals	vs1-27.pdf		No		Paper Only
Form	VS 5-18	Record of Animals Moved	vs5-18.pdf	http://www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf	Yes	No	Printable Only
Form	VS 5-19D	Scrapie Epidemiology Report	vs5-19d.pdf		No		Paper Only
Form	VS 5-19	Flock Inspection and Epidemiology Report	vs5-19.pdf		No		Paper Only
Form	VS 5-20	Individual Animal Information Report	vs5-20.pdf		No		Paper Only
Form	VS 1-23	Appraisal and Indemnity Claim Form	vs1-23.pdf		No		Paper Only
Form	VS 1-23A	Indemnity Worksheet - Owner/Company	vs1-23a.pdf		No		Paper Only
Form	VS 1-24	Proceeds from Animals Sold for Slaughter	vs 1-24.pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 113,056

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 22 %

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	608,659	10,586	-152,127	750,200
Annual IC Time Burden (Hours)	661,217	12,144	563,922	85,151
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.