Information Collection

State

IC 203516 under ICR 201207-0579-013 · OMB 0579-0409.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0409 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 17-146 BSE Surviellnace Submission Form State	Form and Instruction
Form VS 17-146A BSE Surviellance Submission Form Continuation Sheet State	Form and Instruction
Form VS 17-131 BSE Surviellance Data Collection Form State	Form and Instruction
VS 17-146 BSE Surviellnace Submission Form VS 17-146 MAY 2012.pdf	Form and Instruction
VS 17-146A BSE Surviellance Submission Form Continuation Sheet VS 17-146A MAY 2012.pdf	Form and Instruction
VS 17-131 BSE Surviellance Data Collection Form VS 17-131 MAY 2012.pdf	Form and Instruction

IC Title:

State

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 130.49

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form and Instruction	VS 17-146	No	Paper Only
Form and Instruction	VS 17-146A	No	Paper Only
Form and Instruction	VS 17-131	No	Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7

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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	5,131	5,131
Annual IC Time Burden (Hours)	434	434
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.

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