Information Collection

Tuberculosis - State, Local Or Tribal Government

IC 189452 under ICR 201102-0579-003 · OMB 0579-0146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0146 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 1-27 TUBERCULOSIS - STATE, LOCAL OR TRIBAL GOVERNMENT	Form
VS 6-38 ACCREDITED AREA SURVEILLANCE FOR TUBERCULOSIS VS 6-38 June 2009.doc	Form
VS 6-22C Tuberculin Test Record VS 6-22C Dec 2009.doc	Form
VS 6-22D Comparative Cervical Tuberculin Test Records VS 6-22D Feb 1999.pdf	Form
VS 6-35 Report of Suspicious TB Lessions or Thoracic Granulomas VS 6-35 JUL 2010.doc	Form and Instruction
VS 10-4 Necropsy Specimen Submission VS 10-4 Aug 2009.doc	Form and Instruction
VS 1-27 Restricted Animals Movement Permit VS 1-27 APR 2009.doc	Form
VS 6-4A Investigation for Evidence of TB (Reactor) VS 6-4A Jun 2005.pdf	Form
VS 1-23 Apprasial and Indemity Report VS 1-23 Sep 2010.docx	Form
VS 6-22A Tuberculosis Infected Herd VS 6-22A.pdf	Form
VS 6-4B Investigation for Evidence of Tuberculosis VS 6-4B.pdf	Form
VS 6-22B Tuberculosis Test Record - Continuation Sheet VS 6-22B.pdf	Form
VS 6-22 Cooperative State-Federal Tuberculosis Eradiccation Prog VS 6-22.pdf	Form
VS 6-2 Report of Tuberculosis Eradication VS 6-2.pdf	Form
VS 6-4 Report on Herd Revealing Reactors to Tuberculin Test VS 6-4.pdf	Form
MOU.2009.doc MOU	IC Document

IC Title:

TUBERCULOSIS - STATE, LOCAL OR TRIBAL GOVERNMENT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 77

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	VS 1-27	Restricted Animals Movement Permit	VS 1-27 APR 2009.doc	No	Paper Only
Form	VS 6-4	Report on Herd Revealing Reactors to Tuberculin Test	VS 6-4.pdf	No	Paper Only
Form	VS 6-4A	Investigation for Evidence of TB (Reactor)	VS 6-4A Jun 2005.pdf	No	Paper Only
Form	VS 1-23	Apprasial and Indemity Report	VS 1-23 Sep 2010.docx	No	Paper Only
Form	VS 6-22A	Tuberculosis Infected Herd	VS 6-22A.pdf	No	Paper Only
Form	VS 6-4B	Investigation for Evidence of Tuberculosis	VS 6-4B.pdf	No	Paper Only
Form	VS 6-22B	Tuberculosis Test Record - Continuation Sheet	VS 6-22B.pdf	No	Paper Only
Form	VS 6-22	Cooperative State-Federal Tuberculosis Eradiccation Program - Tuberculosis Test Record	VS 6-22.pdf	No	Paper Only
Form	VS 6-2	Report of Tuberculosis Eradication	VS 6-2.pdf	No	Paper Only
Form	VS 6-38	ACCREDITED AREA SURVEILLANCE FOR TUBERCULOSIS	VS 6-38 June 2009.doc	No	Paper Only
Form	VS 6-22C	Tuberculin Test Record	VS 6-22C Dec 2009.doc	No	Paper Only
Form	VS 6-22D	Comparative Cervical Tuberculin Test Records	VS 6-22D Feb 1999.pdf	No	Paper Only
Form and Instruction	VS 6-35	Report of Suspicious TB Lessions or Thoracic Granulomas in Regular Kill Cattle	VS 6-35 JUL 2010.doc	No	Paper Only
Form and Instruction	VS 10-4	Necropsy Specimen Submission	VS 10-4 Aug 2009.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: 2,500

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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	29,883	27,751	-33	2,165
Annual IC Time Burden (Hours)	11,247	8,280	-985	3,952
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MOU	MOU.2009.doc	06/11/2009

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