Information Collection

Brucellosis Program - Business

IC 188742 under ICR 201212-0579-002 · OMB 0579-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0047 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 4-80 Brucellosis Program - Business	Form
VS 4-13 Certified Herd - Cooperative Brucellosis Eradication VS 4-13 Nov 1992.pdf	Form
VS 4-80 Application for Validated Brucellosis-Free Herd Certific VS 4-80 Apr 2009.doc	Form
VS 4-33 Brucellosis Test Record VS 4-33 JUL 2011.pdf	Form
VS 4-33A Brucellosis Test Record - Continuation Sheet VS 4-33A Apr 2009.doc	Form
VS 4-34 Cooperative State-Federal Brucellosis Eradication Progra VS 4-34 Apr 2009.doc	Form
VS 4-54 Brucellosis Test Record Market Cattle Testing Program VS 4-54 SEP 2011.pdf	Form
VS 4-52 Report of Backtags Applied VS 4-52 Apr 2009.pdf	Form
VS 4-52A Report of Back Tags Applied VS 4-52A FEB 2011.pdf	Form
VS 4-24 Calfhood Vaccination Record - Short Form VS 4-24 Mar 2009.doc	Form
VS 4-26 Calfhood Vaccination Record - Long Form VS 4-26 AUG 2012.doc	Form
VS 4-106 Field Investigation of Brucellosis Market Test Reactors VS 4-106 Apr 2009.doc	Form
VS 1-27 Permit for Movement of Animals VS 1-27 JUL 2011.doc	Form
VS 1-23 Appraisal and Indemnity Claim for Animals Destroyed or M VS 1-23 Sep 2010.pdf	Form
VS 1-23A Indemnity Worksheet Owner/Company VS 1-23A Apr 2009.doc	Form
VS 4-7 Agreement for Complete Herd Depopulation - Brucellosis VS 4-7 Apr 2009.doc	Form
VS 4-108 Epidemiologic Investigation of Brucellosis Reactor Herd VS 4-108 Apr 2009.doc	Form
VS 4-108A Origin of Reactors/Herd Additions VS 4-108A Apr 2009.doc	Form
VS 4-108B Animals Removed from Infected Herd VS 4-108B Apr 2009.doc	Form
VS 4-108C Epidemoiolgy Report - Area Herds VS 4-108C Apr 2009.doc	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Brucellosis Program - Business

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 78.1, 78.40, 78.42 &78.43

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	VS 4-80	Application for Validated Brucellosis-Free Herd Certification	VS 4-80 Apr 2009.doc	No	Paper Only
Form	VS 4-13	Certified Herd - Cooperative Brucellosis Eradication	VS 4-13 Nov 1992.pdf	No	Paper Only
Form	VS 4-33	Brucellosis Test Record	VS 4-33 JUL 2011.pdf	No	Paper Only
Form	VS 4-33A	Brucellosis Test Record - Continuation Sheet	VS 4-33A Apr 2009.doc	No	Paper Only
Form	VS 4-34	Cooperative State-Federal Brucellosis Eradication Program Brucellosis Test Record	VS 4-34 Apr 2009.doc	No	Paper Only
Form	VS 4-54	Brucellosis Test Record Market Cattle Testing Program	VS 4-54 SEP 2011.pdf	No	Paper Only
Form	VS 4-52	Report of Backtags Applied	VS 4-52 Apr 2009.pdf	No	Paper Only
Form	VS 4-52A	Report of Back Tags Applied	VS 4-52A FEB 2011.pdf	No	Paper Only
Form	VS 4-24	Calfhood Vaccination Record - Short Form	VS 4-24 Mar 2009.doc	No	Paper Only
Form	VS 4-26	Calfhood Vaccination Record - Long Form	VS 4-26 AUG 2012.doc	No	Paper Only
Form	VS 4-106	Field Investigation of Brucellosis Market Test Reactors	VS 4-106 Apr 2009.doc	No	Paper Only
Form	VS 1-27	Permit for Movement of Animals	VS 1-27 JUL 2011.doc	No	Paper Only
Form	VS 1-23	Appraisal and Indemnity Claim for Animals Destroyed or Materials Destroyed	VS 1-23 Sep 2010.pdf	No	Paper Only
Form	VS 1-23A	Indemnity Worksheet Owner/Company	VS 1-23A Apr 2009.doc	No	Paper Only
Form	VS 4-7	Agreement for Complete Herd Depopulation - Brucellosis	VS 4-7 Apr 2009.doc	No	Paper Only
Form	VS 4-108	Epidemiologic Investigation of Brucellosis Reactor Herd	VS 4-108 Apr 2009.doc	No	Paper Only
Form	VS 4-108A	Origin of Reactors/Herd Additions	VS 4-108A Apr 2009.doc	No	Paper Only
Form	VS 4-108B	Animals Removed from Infected Herd	VS 4-108B Apr 2009.doc	No	Paper Only
Form	VS 4-108C	Epidemoiolgy Report - Area Herds	VS 4-108C Apr 2009.doc	No	Paper 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: 89,239

Number of Respondents for Small Entity: 100

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 35 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	665,343	-116,862	782,205
Annual IC Time Burden (Hours)	205,056	-14,092	219,148
Annual IC Cost Burden (Dollars)	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.