Information Collection

Domestic Origin Verification System Questionnaire

IC 2807 under ICR 201008-0581-002 · OMB 0581-0234.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0234 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FV-DOVS-1 Domestic Origin Verification System Questionnaire	Form
FV-DOVS-1 Domestic Origin Verification Application for Service fv-dov-1.pdf www.ams.usda/fv/dovs.htm	Form
FV-468 Application for License to Sample Processed Foods FV-468 (APPLICATION FOR LICENSE TO SAMPLE PROCESSED FOODS)Fillable.docx eforms.ams.usda.gov	Form
FV-16 Notice for Hold for Re-Examination FV-16 - 9-10.docx	Form
FV-356 Application for Inspection and Certificate of Sampling FV-356 9-30-10 (APPLICATION FOR INSPECTION AND CERTIFICATE OF SAMPLING) (2).pdf	Form
FV-358 Surety Bond FV-358 _2_.pdf	Form

IC Title:

Domestic Origin Verification System Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 52

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	FV-DOVS-1	Domestic Origin Verification Application for Service	fv-dov-1.pdf	http://www.ams.usda/fv/dovs.htm	Yes	No	Fillable Printable
Form	FV-468	Application for License to Sample Processed Foods	FV-468 (APPLICATION FOR LICENSE TO SAMPLE PROCESSED FOODS)Fillable.docx	http://eforms.ams.usda.gov	Yes	No	Fillable Printable
Form	FV-16	Notice for Hold for Re-Examination	FV-16 - 9-10.docx		No		Paper Only
Form	FV-356	Application for Inspection and Certificate of Sampling	FV-356 9-30-10 (APPLICATION FOR INSPECTION AND CERTIFICATE OF SAMPLING) (2).pdf		No		Paper Only
Form	FV-358	Surety Bond	FV-358 _2_.pdf		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,160

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	18,862	18,762	100
Annual IC Time Burden (Hours)	6,192	6,092	100
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.