Information Collection Request

Conditions for Payment of Highly Pathogenic Avian Influenza Indemnity Claims

ICR 201601-0579-002 · OMB 0579-0440 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form VS 9-13 Business Form New Available
Form VS 9-12 State Form New Available
emergency letter signed.pdf Supplementary Document Uploaded 2016-01-20 Available
2016 emergency 79.xls Supplementary Document Uploaded 2016-01-20 Available
2016 emergency 71.xls Supplementary Document Uploaded 2016-01-20 Repair queued
2016 emergency ss.docx Supporting Statement A Uploaded 2016-01-20 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
219634 Business Form New
219632 State Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2016 6 Months From Approved
69,456 0 0
112,950 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 69,456 0 0 69,456 0 0
Annual Time Burden (Hours) 112,950 0 0 112,950 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No