Information Collection

Brucellosis Program - State

IC 2111 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⚠️ Notice: This information collection may be referencing outdated material.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 4-1D Brucellosis Program - State	Form
VS 4-1D Application for Validation of a Brucellosis Free Area VS 4-1D Feb 2009.doc Oracle Application Server web address: cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt	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 4-33D Monthly report of Brucellosis Eradication Activities VS 4-33 Apr 2009.doc	Form
VS 4-54D Monthly Report of Brucellosis Program Surveillance Activ VS 4-54D Mar 2009.doc	Form
VS 4-59 Monthly Report of Swine Brucellosis Eradication Activiti VS 4-59 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 4-39 Brucellosis Ring Test Patron List VS 4-39A Apr 2009.doc	Form
VS 4-39A Patron Listing Cooperating VS 4-39A Apr 2009.doc	Form
VS 4-38 Brucellosis Ring Test Rack Chart VS 4-38 Jan 2009.doc	Form
VS 4-24 Calfhood Vaccination Record - Short Form VS 4-24 Mar 2009.doc	Form
VS 4-26 Vaccination Record - Long Form VS 4-26 AUG 2012.doc	Form
VS 4-100 Log for Market Cattle Test Reactors VS 4-100 Apr 2009.doc	Form
VS 1-27 Permit for Movement of Animals VS 1-27 JUL 2011.doc	Form
VS 4-6 Justification for Brucellosis Herd Depopulation VS 4-6 APR 2009.doc	Form
VS 4-1 Application for Brucellosis Classification or Reclassifi VS 4-1 Feb 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 - State

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

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 4-1D	Application for Validation of a Brucellosis Free Area	VS 4-1D Feb 2009.doc	Oracle Application Server web address: http://cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt	Yes	Yes	Fillable Fileable
Form	VS 4-13	Certified Herd - Cooperative Brucellosis Eradication	VS 4-13 Nov 1992.pdf		No		Paper Only
Form	VS 4-80	Application for Validated Brucellosis-Free Herd Certification	VS 4-80 Apr 2009.doc		No		Paper Only
Form	VS 4-33D	Monthly report of Brucellosis Eradication Activities	VS 4-33 Apr 2009.doc		No		Paper Only
Form	VS 4-54D	Monthly Report of Brucellosis Program Surveillance Activities	VS 4-54D Mar 2009.doc		No		Paper Only
Form	VS 4-59	Monthly Report of Swine Brucellosis Eradication Activities	VS 4-59 Apr 2009.doc		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 4-39	Brucellosis Ring Test Patron List	VS 4-39A Apr 2009.doc		No		Paper Only
Form	VS 4-39A	Patron Listing Cooperating	VS 4-39A Apr 2009.doc		No		Paper Only
Form	VS 4-38	Brucellosis Ring Test Rack Chart	VS 4-38 Jan 2009.doc		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	Vaccination Record - Long Form	VS 4-26 AUG 2012.doc		No		Paper Only
Form	VS 4-100	Log for Market Cattle Test Reactors	VS 4-100 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 4-6	Justification for Brucellosis Herd Depopulation	VS 4-6 APR 2009.doc		No		Paper Only
Form	VS 4-1	Application for Brucellosis Classification or Reclassificaton of State	VS 4-1 Feb 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: 225

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	321,810	-73,206	395,016
Annual IC Time Burden (Hours)	47,275	-174,161	221,436
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.