Information Collection

Business

IC 215446 under ICR 201502-0579-009 · OMB 0579-0432.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0432 can be found here:

Documents and Forms

Document Name Document Type
Form VS 17-140 Business Form and Instruction
VS 17-140 U.S. Origin Health Certificate VS 17-140 NOV 2014.pdf Form and Instruction
VS 17-140A Continuation Sheet for United States Origin Health Certi VS 17-140A JAN 2011 new.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Business	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 91

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VS 17-140	U.S. Origin Health Certificate	VS 17-140 NOV 2014.pdf		No		Paper Only
Form	VS 17-140A	Continuation Sheet for United States Origin Health Certificate	VS 17-140A JAN 2011 new.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: 10,183	Number of Respondents for Small Entity: 1,018

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	29,614	29,614
Annual IC Time Burden (Hours)	15,950	15,950
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.