Information Collection

State

IC 203516 under ICR 201706-0579-002 · OMB 0579-0409.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0409 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 17-146 State	Form and Instruction
VS 17-146 BSE Surviellnace Submission Form VS 17-146 MAY 2012.pdf www.aphis.usda.gov/library/forms/pdf/VS_17_146.pdf	Form and Instruction
VS 17-146A BSE Surviellance Submission Form Continuation Sheet VS_17_146a.pdf www.aphis.usda.gov/library/forms/pdf/VS_17_146a.pdf	Form and Instruction
VS 17-131 BSE Surviellance Data Collection Form VS_17_131.pdf www.aphis.usda.gov/library/forms/pdf/VS_17_131.pdf	Form and Instruction

IC Title:

State

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 130.49

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 and Instruction	VS 17-146	BSE Surviellnace Submission Form	VS 17-146 MAY 2012.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_17_146.pdf	Yes	No	Fillable Printable
Form and Instruction	VS 17-146A	BSE Surviellance Submission Form Continuation Sheet	VS_17_146a.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_17_146a.pdf	Yes	No	Fillable Printable
Form and Instruction	VS 17-131	BSE Surviellance Data Collection Form	VS_17_131.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_17_131.pdf	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 34

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
Annual Number of Responses for this IC	994	994
Annual IC Time Burden (Hours)	99	99
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.