Information Collection

APHIS Student Outreach Program

IC 189500 under ICR 201303-0579-004 · OMB 0579-0362.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0362 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form APHIS Form 119 APHIS Student Outreach Program	Form and Instruction
agdiscovery_brochure_2013.pdf www.aphis.usda.gov/agdiscovery	Other-Program Brochure
Native American Summer Program Brochure.pdf	Other-Program Brochure
APHIS Form 119 Ag-Discovery Application agdiscovery_app_2013.pdf www.aphis.usda.gov/agdiscovery	Form and Instruction
APHIS Form 120 Native American Summer Application APHIS Form 120 Native Americian Application.pdf	Form and Instruction

IC Title:

APHIS Student Outreach Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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 and Instruction	APHIS Form 119	Ag-Discovery Application	agdiscovery_app_2013.pdf	www.aphis.usda.gov/agdiscovery	Yes	No	Printable Only
Other-Program Brochure			agdiscovery_brochure_2013.pdf	www.aphis.usda.gov/agdiscovery	Yes	No	Printable Only
Other-Program Brochure			Native American Summer Program Brochure.pdf		No		Paper Only
Form and Instruction	APHIS Form 120	Native American Summer Application	APHIS Form 120 Native Americian Application.pdf		No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,100	100	370	630
Annual IC Time Burden (Hours)	6,200	200	2,220	3,780
Annual IC Cost Burden (Dollars)	0	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.