Information Collection

Business

IC 219634 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⚠️ Notice: This information collection may be referencing outdated material.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 9-13 Business	Form
VS 9-13 Appraisal and Indemnity Request for HPAI-Affected Premis VS 9-13 JAN 2016.pdf	Form
VS 9-12 Grower Contract Worksheet - Layers VS 9-12 JAN 2016.pdf	Form
VS 9-12A Grower Contract Worksheet - Layers (Continuation Sheet) VS 9-12a JAN 2016.pdf	Form
VS 1-23 Appraisal and Indemnity Claim VS 1-23 Sep 2010.pdf	Form
VS 1-23A Continuation Sheet - Indemnity Claim VS 1-23A-work May 2009.pdf	Form and Instruction

IC Title:

Business

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	Available Electronically?	Electronic Capability
Form	VS 9-13	Appraisal and Indemnity Request for HPAI-Affected Premises Using Contract Growers	VS 9-13 JAN 2016.pdf	No	Paper Only
Form	VS 9-12	Grower Contract Worksheet - Layers	VS 9-12 JAN 2016.pdf	No	Paper Only
Form	VS 9-12A	Grower Contract Worksheet - Layers (Continuation Sheet)	VS 9-12a JAN 2016.pdf	No	Paper Only
Form	VS 1-23	Appraisal and Indemnity Claim	VS 1-23 Sep 2010.pdf	No	Paper Only
Form and Instruction	VS 1-23A	Continuation Sheet - Indemnity Claim	VS 1-23A-work May 2009.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: 35,910

Number of Respondents for Small Entity: 30,524

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	62,526	62,526
Annual IC Time Burden (Hours)	112,256	112,256
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.