Information Collection

Att D_Burden of Canine Brucellosis Information Collection Insrument

IC 218170 under ICR 201509-0920-002 · OMB 0920-1098.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att D_Instrument_Word Version_15Jan2016.docx	Other-WORD
Att G_Introductory Email.docx Att G_Introductory Email	IC Document
Att C_Veterinary Diagnostic Laboratories.pdf Att C_Veterinary Diagnostic Laboratories	IC Document
Att H_Notice.docx Att H_Notice	IC Document
Att E_Instrument_Web Version_15Jan2016.docx Att E_Instrucment (Web Version)	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Other-WORD			Att D_Instrument_Word Version_15Jan2016.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 129

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	129	129
Annual IC Time Burden (Hours)	129	129
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att G_Introductory Email	Att G_Introductory Email.docx	09/14/2015
Att C_Veterinary Diagnostic Laboratories	Att C_Veterinary Diagnostic Laboratories.pdf	09/14/2015
Att H_Notice	Att H_Notice.docx	09/14/2015
Att E_Instrucment (Web Version)	Att E_Instrument_Web Version_15Jan2016.docx	01/29/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.