Information Collection

NPIP State

IC 189603 under ICR 201210-0579-002 · OMB 0579-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0007 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS Form 9-2 NPIP State	Form
VS Form 9-2 Flock Selecting and Testing Report VS 9-2 Jul 2005.pdf	Form
VS 9-3 Report of Sales of Hatching Eggs, Chicks, and Poults VS 9-3 DEC 2011.doc	Form
VS 9-4 Summary of Breeding Flock, Table-Egg Layer Flocks, Meat- VS 9-4 Nov 2012.pdf	Form
VS 9-5 Report of Hatcheries, Dealers, and Independen Flocks, Ta VS 9-5 Jun 2009.doc	Form
VS 9-6 Report of Salmonella Isolations to NPIP Official State A VS 9-6 May 2009.doc	Form
VS 9-8 Flock Inspection and Check Testing Report VS 9-8 Oct 2012.docx	Form
VS 9-9 Hatchery Inspection Form VS 9-9 Jan 2005.pdf	Form
VS 10-3 Request for Salmonella Serotyping VS 10-3 Oct 2009.pdf www.aphis.usda.gov/library/forms/pdf/VS_Form10_3.pdf	Form and Instruction
VS 1-23 A Appraisal and Indemnity Claim for Animals Destroyed or M VS 1-23A-work May 2009.doc	Form
VS 1-23 Appraisal and Indemnity Claim for Animals Destroyed VS 1-23 Sep 2010.docx	Form
VS Form 9-7 Investigation of Salmonella Isolations in Poultry VS 9-7 Aug 2005.pdf	Form
MOU.pdf Sample MOU	IC Document

IC Title:

NPIP State

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 56, 145, 146, and 147 (To search for a specific CFR, visit the Code of Federal Regulations.)

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 Form 9-2	Flock Selecting and Testing Report	VS 9-2 Jul 2005.pdf		No		Paper Only
Form	VS 9-3	Report of Sales of Hatching Eggs, Chicks, and Poults	VS 9-3 DEC 2011.doc		No		Paper Only
Form	VS 9-4	Summary of Breeding Flock, Table-Egg Layer Flocks, Meat-Type Chicken and Turkey Slaughter Plants Partcipation	VS 9-4 Nov 2012.pdf		No		Printable Only
Form	VS 9-5	Report of Hatcheries, Dealers, and Independen Flocks, Table-Egg Producers, Meat-Type Chicken and Turkey Slaughter Plants Partcipating in the NPIP	VS 9-5 Jun 2009.doc		No		Paper Only
Form	VS 9-6	Report of Salmonella Isolations to NPIP Official State Agencies	VS 9-6 May 2009.doc		No		Paper Only
Form	VS 9-8	Flock Inspection and Check Testing Report	VS 9-8 Oct 2012.docx		No		Paper Only
Form	VS 9-9	Hatchery Inspection Form	VS 9-9 Jan 2005.pdf		No		Paper Only
Form and Instruction	VS 10-3	Request for Salmonella Serotyping	VS 10-3 Oct 2009.pdf	http://www.aphis.usda.gov/library/forms/pdf/VS_Form10_3.pdf	Yes	No	Fillable Printable
Form	VS 1-23 A	Appraisal and Indemnity Claim for Animals Destroyed or Materials Destroyed - Continuation Sheet	VS 1-23A-work May 2009.doc		No		Paper Only
Form	VS 1-23	Appraisal and Indemnity Claim for Animals Destroyed	VS 1-23 Sep 2010.docx		No		Paper Only
Form	VS Form 9-7	Investigation of Salmonella Isolations in Poultry	VS 9-7 Aug 2005.pdf		No		Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22,405

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 Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	108,904	-41,111	150,015
Annual IC Time Burden (Hours)	47,802	494	47,308
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Sample MOU	MOU.pdf	10/26/2012

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