Information Collection

State

IC 219632 under ICR 201601-0579-002 · OMB 0579-0440.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0440 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 9-12 State	Form
VS 9-12 Grower Contract Worksheets - Layers VS 9-12 JAN 2016.pdf	Form
VS 9-12A Grower Contract Worksheets - Layers (Continuation Sheet) VS 9-12a JAN 2016.pdf	Form

IC Title:

State

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 53.10

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	VS 9-12	Grower Contract Worksheets - Layers	VS 9-12 JAN 2016.pdf		No		Paper Only
Form	VS 9-12A	Grower Contract Worksheets - Layers (Continuation Sheet)	VS 9-12a JAN 2016.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: 15

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,930	6,930
Annual IC Time Burden (Hours)	694	694
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.