Information Collection

State

IC 201768 under ICR 201203-0579-017 · OMB 0579-0237.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 11-2 State	Form
VS 11-2 APPLICATION FOR CHRONIC WASTING DISEASE HERD CERTIFICATI VS 11-2 APR 2012 2.docx	Form

IC Title:

State

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 55 9 CFR 81

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 11-2	APPLICATION FOR CHRONIC WASTING DISEASE HERD CERTIFICATION PROGRAM (CWD HCP) APPROVAL, RENEWAL, OR REINSTATEMENT OF A STATE	VS 11-2 APR 2012 2.docx		No		Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

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
Annual Number of Responses for this IC	2,833	2,833
Annual IC Time Burden (Hours)	20,660	20,660
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.