Information Collection

Tuberculosis - State, Local Or Tribal Government

IC 189452 under ICR 201610-0579-004 · OMB 0579-0146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0146 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 6-38 TUBERCULOSIS - STATE, LOCAL OR TRIBAL GOVERNMENT	Form
VS 6-38 Accredited Area Surveillance for Tuberculosis VS 6-38 JUN 2009.pdf	Form
VS 6-22D Comparative Cervical Tuberculin Test Records VS 6-22D FEB 1999.pdf	Form
VS 6-35 Report of Suspicious TB Lessions or Thoracic Granulomas VS 6-35 MAR 2014.pdf www.aphis.usda.gov/library/forms/pdf/VS_Form6_35.pdf	Form and Instruction
VS 10-4 Necropsy Specimen Submission VS 10-4 AUG 2009.pdf www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf	Form and Instruction
VS 1-27 Restricted Animals Movement Permit VS 1-27 JUL 2011.pdf	Form
VS 6-4A Investigation for Evidence of TB (Reactor) VS 6-4A JUN 2005.pdf	Form
VS 1-23 Apprasial and Indemity Report VS 1-23 SEP 2010.pdf	Form and Instruction
VS 6-22A Tuberculosis Infected Herd VS 6-22A FEB 1999.pdf	Form
VS 6-4B Investigation for Evidence of Tuberculosis VS 6-4B JAN 2007.pdf	Form
VS 6-22B Tuberculosis Test Record - Continuation Sheet VS 6-22B FEB 1999.pdf	Form
VS 6-2 Report of Tuberculosis Eradication VS 6-2 APR 1997.pdf	Form
VS 6-4 Report on Herd Revealing Reactors to Tuberculin Test VS 6-4 NOV 1973.pdf	Form
VS 10-7 Specimen Collection - Bovine Tuberculosis Reactors, Susp VS 10-7 MAY 2014.pdf www.aphis.usda.gov/library/forms/pdf/VS_10_7.pdf	Form and Instruction
VS 6-4A Investigation for Evidence of Tuberculosis (Potential So VS 6-4A JUN 2005.pdf	Form
VS 1-27A Continuation Sheet for VS Form 1-27, Permit for Movement VS 1-27A SEP 1991.pdf	Form
VS 6-22 Cooperative State - Federal Tuberculosis Eradication Pro VS 6-22 OCT 2016 ST5.pdf	Form
VS 6-22C Tuberculin Test Record (Special) VS 6-22C OCT 2016 CS.pdf	Form
MOU.2009.doc MOU	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

TUBERCULOSIS - STATE, LOCAL OR TRIBAL GOVERNMENT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 77

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 6-38	Accredited Area Surveillance for Tuberculosis	VS 6-38 JUN 2009.pdf		No		Paper Only
Form	VS 6-22D	Comparative Cervical Tuberculin Test Records	VS 6-22D FEB 1999.pdf		No		Paper Only
Form and Instruction	VS 6-35	Report of Suspicious TB Lessions or Thoracic Granulomas in Regular Kill Cattle	VS 6-35 MAR 2014.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_Form6_35.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VS 10-4	Necropsy Specimen Submission	VS 10-4 AUG 2009.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf	Yes	No	Fillable Printable
Form	VS 1-27	Restricted Animals Movement Permit	VS 1-27 JUL 2011.pdf		No		Paper Only
Form	VS 6-4A	Investigation for Evidence of TB (Reactor)	VS 6-4A JUN 2005.pdf		No		Paper Only
Form and Instruction	VS 1-23	Apprasial and Indemity Report	VS 1-23 SEP 2010.pdf		No		Paper Only
Form	VS 6-22A	Tuberculosis Infected Herd	VS 6-22A FEB 1999.pdf		No		Paper Only
Form	VS 6-4B	Investigation for Evidence of Tuberculosis	VS 6-4B JAN 2007.pdf		No		Paper Only
Form	VS 6-22B	Tuberculosis Test Record - Continuation Sheet	VS 6-22B FEB 1999.pdf		No		Paper Only
Form	VS 6-2	Report of Tuberculosis Eradication	VS 6-2 APR 1997.pdf		No		Paper Only
Form	VS 6-4	Report on Herd Revealing Reactors to Tuberculin Test	VS 6-4 NOV 1973.pdf		No		Paper Only
Form and Instruction	VS 10-7	Specimen Collection - Bovine Tuberculosis Reactors, Suspects, and Trace-Exposed	VS 10-7 MAY 2014.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_10_7.pdf	Yes	No	Fillable Printable
Form	VS 6-4A	Investigation for Evidence of Tuberculosis (Potential Source Herds)	VS 6-4A JUN 2005.pdf		No		Paper Only
Form	VS 1-27A	Continuation Sheet for VS Form 1-27, Permit for Movement of Animals	VS 1-27A SEP 1991.pdf		No		Paper Only
Form	VS 6-22	Cooperative State - Federal Tuberculosis Eradication Program Tuberculosis Test Record	VS 6-22 OCT 2016 ST5.pdf		No		Paper Only
Form	VS 6-22C	Tuberculin Test Record (Special)	VS 6-22C OCT 2016 CS.pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title: APHIS Animal Health Surveillance and Monitoring System

FR Citation: 76 FR 72897

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	23,371	-6,931	419	29,883
Annual IC Time Burden (Hours)	11,089	959	-1,117	11,247
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MOU	MOU.2009.doc	06/11/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.