Information Collection

Specimen Submission - Business

IC 190824 under ICR 200909-0579-007 · OMB 0579-0090.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0090 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 5-38 SPECIMEN SUBMISSION - BUSINESS	Form and Instruction
VS 5-38 PARASITE SUBMISSION FORM 5-38.doc	Form and Instruction
VS 10-4 SPECIMEN SUBMISSION 10-4.doc	Form and Instruction
VS 10-4A SPECIMEN SUBMISSION CONTINUATION SHEET 10-4A.doc	Form and Instruction

IC Title:

SPECIMEN SUBMISSION - BUSINESS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	VS 5-38	PARASITE SUBMISSION FORM	5-38.doc	No	Paper Only
Form and Instruction	VS 10-4	SPECIMEN SUBMISSION	10-4.doc	No	Paper Only
Form and Instruction	VS 10-4A	SPECIMEN SUBMISSION CONTINUATION SHEET	10-4A.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: 2,036

Number of Respondents for Small Entity: 520

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	20,745	20,745
Annual IC Time Burden (Hours)	6,907	6,907
Annual IC Cost Burden (Dollars)	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.