Information Collection

Private Sector

IC 2183 under ICR 201110-0579-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 5-18 A Private Sector	Form
VS 5-18 Record of Animals Moved VS 5-18 Dec 2011.pdf www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf	Form
VS 5-19D Scrapie Epidemiology Report VS 5-19D Feb_FINAL.doc	Form
VS 5-19 Flock Inspection and Epidemiology Report VS 5-19 DEC 2011.pdf	Form
VS 5-20 Individual Animal Information Report VS 5-20 DEC 2011.pdf	Form
VS 1-23 Appraisal and Indemnity Claim Form VS 1-23 Apr 2009.doc	Form
VS 1-23A Indemnity Worksheet - Owner/Company VS 1-23A-work May 2009.doc	Form
VS 1-24 Proceeds from Animals Sold for Slaughter VS 1-24 DEC 2011.docx	Form
VS 5-19C Scrapie PEMMP Inspection Report VS 5-19C Feb_FINAL.pdf	Form
VS 5-29 Cooperative State - Scrapie Control Program VS 5-29 DEC 2011.pdf	Form
VS 5-29 A Scrapie Test Record - Continuation Sheet VS 5-29A DEC 2011.pdf	Form
VS 10-4 Specimen Submission VS 10-4 Aug 2009.doc 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 DEC 2011.pdf www.aphis.usda.gov/library/forms/pdf/vs5_22.pdf	Form
VS 5-18 A Record of Animals Acquired VS 5-18A Dec 2011.pdf www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf	Form
VS 5-19 A Flock Inspection and Epidemnity Report Initial Flock Ins VS 5-19A Mar 2010.doc	Form
VS 5-19 b Flock Inspection and Epidemiology Report Flock Inspectio VS 5-19B Mar 2010.doc	Form
VS 17-140 United States Origin Health Certificate VS 17-140 SEP 2010.docx	Form
VS 1-27 Permit for Movement of Restricted Animals VS 1-27 JUL 2011.doc	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: 9 CFR 54.2 - 54.21, 79.2 - 79.6

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 5-18 A	Record of Animals Acquired	VS 5-18A Dec 2011.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	VS 5-19A Mar 2010.doc		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	VS 5-19B Mar 2010.doc		No		Paper Only
Form	VS 17-140	United States Origin Health Certificate	VS 17-140 SEP 2010.docx		No		Paper Only
Form	VS 1-27	Permit for Movement of Restricted Animals	VS 1-27 JUL 2011.doc		No		Paper Only
Form	VS 5-18	Record of Animals Moved	VS 5-18 Dec 2011.pdf	http://www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf	Yes	No	Printable Only
Form	VS 5-19D	Scrapie Epidemiology Report	VS 5-19D Feb_FINAL.doc		No		Paper Only
Form	VS 5-19	Flock Inspection and Epidemiology Report	VS 5-19 DEC 2011.pdf		No		Paper Only
Form	VS 5-20	Individual Animal Information Report	VS 5-20 DEC 2011.pdf		No		Paper Only
Form	VS 1-23	Appraisal and Indemnity Claim Form	VS 1-23 Apr 2009.doc		No		Paper Only
Form	VS 1-23A	Indemnity Worksheet - Owner/Company	VS 1-23A-work May 2009.doc		No		Paper Only
Form	VS 1-24	Proceeds from Animals Sold for Slaughter	VS 1-24 DEC 2011.docx		No		Paper Only
Form	VS 5-19C	Scrapie PEMMP Inspection Report	VS 5-19C Feb_FINAL.pdf		No		Paper Only
Form	VS 5-29	Cooperative State - Scrapie Control Program	VS 5-29 DEC 2011.pdf		No		Paper Only
Form	VS 5-29 A	Scrapie Test Record - Continuation Sheet	VS 5-29A DEC 2011.pdf		No		Paper Only
Form	VS 10-4	Specimen Submission	VS 10-4 Aug 2009.doc	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 DEC 2011.pdf	http://www.aphis.usda.gov/library/forms/pdf/vs5_22.pdf	Yes	No	Printable 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: 111,587

Number of Respondents for Small Entity: 110,471

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 18 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	697,675	33,800	55,216	608,659
Annual IC Time Burden (Hours)	863,641	4,153	198,271	661,217
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.