State, Local, or Tribal Government

Scrapie in Sheep and Goats; Interstate Movement Restrictions and Indemnity Program

OMB: 0579-0101

IC ID: 184526

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Information Collection (IC) Details

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State, Local, or Tribal Government
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
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 5-19 FLOCK INSPECTION AND EPIDEMIOLOGY REPORT VS 5-19 DEC 2011.pdf No   Paper Only
Form VS 5-19 D Scrapie Epidemiology Report VS 5-19D Feb 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 1-23 A Indemnity Worksheet - Owner/Company VS 1-23A-work May 2009.doc No   Paper Only
Form VS 5-19C Scrapie PEMMP Inspection Report VS 5-19C Feb 2011.pdf No   Paper Only
Form VS 5-29 Cooperative State - Scrapie Control Program VS 5-29 DEC 2011.pdf No   Paper Only
Form Vs 5-29A 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 5-19A Flock Inspection and Epidemiology Report Initial Flcok Inspection for Complete Monitored Status in Scrapie Flock Certification Program VS 5-19A Mar 2010.doc No   Paper Only
Form Vs 5-19b 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 5-24 Application for Scrapie Classification, Classification Renewal, or Reclassification of a State VS 5-24 Apr 2010.doc No   Paper Only
Form VS 5-18A RECORD OF ANIMALS ACQUIRED VS 5-18A Dec 2011.pdf No   Paper Only
Form VS 1-27 PERMIT FOR MOVEMENT OF RESTRICTED ANIMALS VS 1-27 JUL 2011.doc http://www.aphis.usda.gov/library/forms Yes No Printable Only
Form VS 17-140 UNITED STATES ORIGIN HEALTH CERTIFICATE VS 17-140 SEP 2010.docx http://www.aphis.usda.gov/library/forms Yes No Printable Only
Form VS 5-21 AGREEMENT TO CONDUCT THE OFFICIAL HISTOPATHOLOGY VS 5-21 DEC 2011.docx No   Paper Only

Natural Resources Agricultural Innovation and Services

 

489 0
   
State, Local, and Tribal Governments
 
   18 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 7,736 0 0 6,118 0 1,618
Annual IC Time Burden (Hours) 33,142 0 0 21,726 0 11,416
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SF 424 SF 424.pdf 11/07/2012
SF 424A SF 424 A.pdf 11/07/2012
SF 424B SF 424 B.pdf 11/07/2012
SF LLL SF LLL.pdf 11/07/2012
SF 425 SF 425.pdf 11/07/2012
MOU mou.pdf 11/07/2012
How to Create an On-Line CVI for AV How to Create an On-Line CVI for AV.ppt 11/15/2012
Appendix A-1 FY 2010 Scrapie CA Guidance Appendix A-1 FY 2010 Scrapie CA Guidance.docx 11/15/2012
Appendix A-2 Coop Agreement Award ASI 10-9100-1231 Appendix A-2 Coop Agreement Award ASI 10-9100-1231.pdf 11/15/2012
Appendix A-3 NIAAGrant Appendix A-3 NIAAGrant.pdf 11/15/2012
Appendix A-4_ MOU template for scrapie Appendix A-4_ MOU template for scrapie.doc 11/15/2012
Appendix B_10-4 and 5-29 worksheets Appendix B_10-4 and 5-29 worksheets.docx 11/15/2012
Appendices C-E screenshots Appendices C-E screenshots.doc 11/15/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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