Information Collection

SCI Order Forms (State)

IC 219224 under ICR 201510-0581-005 · OMB 0581-0292.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FV-380 Order Form for Equipment & Miscellaneous Items SCI Order Forms (State)	Form
Form FV-387 Alternate Payment Application SCI Order Forms (State)	Form
FV-380 Order Form for Equipment & Miscellaneous Items FV-380_Order Form for USDA SCI Division Inspection Equipment and Miscellaneous Items_12-3-14.docx eforms.ams.usda.gov/#customersFV	Form
FV-387 Alternate Payment Application FV-387_SCI Alternate Payment Application 12-3-14.doc eforms.ams.usda.gov/#customersFV	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 51

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	FV-380			http://eforms.ams.usda.gov/#customersFV	Yes	Yes	Fillable Fileable
Form	FV-387			http://eforms.ams.usda.gov/#customersFV	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,292

Number of Respondents for Small Entity: 646

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	1,292	1,292
Annual IC Time Burden (Hours)	108	108
Annual IC Cost Burden (Dollars)	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.

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