Information Collection

NPIP State

IC 189603 under ICR 200906-0579-009 · OMB 0579-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0007 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS Form 9-2 NPIP State	Form
VS Form 9-2 Flock Selecting and Testing Report VS 9-2.pdf	Form
VS 9-3 Report of Sales of Hatching Eggs, Chicks, and Poults VS 9-3.pdf	Form
VS 9-4 Summary of Breeding Flock, Table-Egg Layer Flocks, Meat- VS 9-4.pdf	Form
VS 9-5 Report of Hatcheries, Dealers, and Independen Flocks, Ta VS 9-5.doc	Form
VS 9-6 Report of Salmonella Isolations to NPIP Official State A 9-6.2.KAY.doc	Form
VS 9-7 Investigation of Salmonella Isolations in Poultry VS 9-7.pdf	Form
VS 9-8 Flock Inspection and Check Testing Report VS 9-8.pdf	Form
VS 9-9 Hatchery Inspection Form VS 9-9.pdf	Form
VS 10-3 Request for Salmonella Serotyping 10-3.doc www.aphis.usda.gov/animal_health/lab_info_services/downloads/VS_Form10-3.pdf	Form
VS 1-23 A Appraisal and Indemnity Claim for Animals Destroyed or M 1-23A-work.doc	Form
VS 1-23 Appraisal and Indemnity Claim for Animals Destroyed VS Form 1-23.doc	Form
MOU.pdf Sample MOU	IC Document

IC Title:

NPIP State

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 56, 145, 146, and 147 (To search for a specific CFR, visit the Code of Federal Regulations.)

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 Form 9-2	Flock Selecting and Testing Report	VS 9-2.pdf		No		Paper Only
Form	VS 9-3	Report of Sales of Hatching Eggs, Chicks, and Poults	VS 9-3.pdf		No		Paper Only
Form	VS 9-4	Summary of Breeding Flock, Table-Egg Layer Flocks, Meat-Type Chicken and Turkey Slaughter Plants Partcipation	VS 9-4.pdf		No		Printable Only
Form	VS 9-5	Report of Hatcheries, Dealers, and Independen Flocks, Table-Egg Producers, Meat-Type Chicken and Turkey Slaughter Plants Partcipating in the NPIP	VS 9-5.doc		No		Paper Only
Form	VS 9-6	Report of Salmonella Isolations to NPIP Official State Agencies	9-6.2.KAY.doc		No		Paper Only
Form	VS 9-7	Investigation of Salmonella Isolations in Poultry	VS 9-7.pdf		No		Paper Only
Form	VS 9-8	Flock Inspection and Check Testing Report	VS 9-8.pdf		No		Paper Only
Form	VS 9-9	Hatchery Inspection Form	VS 9-9.pdf		No		Paper Only
Form	VS 10-3	Request for Salmonella Serotyping	10-3.doc	http://www.aphis.usda.gov/animal_health/lab_info_services/downloads/VS_Form10-3.pdf	Yes	No	Printable Only
Form	VS 1-23 A	Appraisal and Indemnity Claim for Animals Destroyed or Materials Destroyed - Continuation Sheet	1-23A-work.doc		No		Paper Only
Form	VS 1-23	Appraisal and Indemnity Claim for Animals Destroyed	VS Form 1-23.doc		No		Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,889

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
Annual Number of Responses for this IC	150,015	150,015
Annual IC Time Burden (Hours)	47,308	47,308
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Sample MOU	MOU.pdf	06/17/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.