Business

Conditions for Payment of Highly Pathogenic Avian Influenza Indemnity Claims

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.