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Business
Importation of Animals and Poultry, Animal and Poultry Products, Certain Animal Embryos, Semen, and Zoological Animals
OMB: 0579-0040
IC ID: 2106
OMB.report
USDA/APHIS
OMB 0579-0040
ICR 201708-0579-005
IC 2106
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0040 can be found here:
2024-10-11 - No material or nonsubstantive change to a currently approved collection
2024-04-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form vs 17-12
Business
Form
MOU Final Permanent Private Equine Import Quarantine Agreement.docx
Other-Agreement template
Cooperative Service Agreement.docx
Other-Cooperative Service Agreement
info_request_recognition_region.pdf
Instruction
vs 17-12 Daily Log for Bird Quarantine Facility
VS 17-12 FEB 2014.docx
Form
vs 17-32 Application for Inspection and Dipping
VS 17-32 DEC 2004.pdf
Form
VS 17-11 Application for Quarantine Facility for Birds
VS 17-11 NOV 2014.doc
Form
VS 10-4 Specimen Submission
VS 10-4 AUG 2009.pdf
www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf
Form and Instruction
VS 10-4A Continuation Sheet for Specimen Submission
VS 10-4A AUG 2009.pdf
www.aphis.usda.gov/library/forms/pdf/VS_Form10_4a.pdf
Form and Instruction
VS 16-3 Application for Permit To: Import or Transport Controlle
VS 16-3 JUL 2012.pdf
www.aphis.usda.gov/library/forms/pdf/VS_16_3.pdf
Form
VS 17-136 Refusal of Entry and Order to Dispose of Fish
VS 17-136 SEP 2009.pdf
Form
VS 16-78 Report of Entry and Shipment of Restricted Imported Anim
VS 16-78 AUG 2017.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_vs_forms
Form
VS 16-79 ON-Hold Shipment Notification Application
VS 16-79 APR 2017.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_vs_forms
Form
VS 17-139 Certificate for Importing Sheep and Goat Semen from Cana
VS 17-139 JULY 2017.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_vs_forms
Form
PPQ 523 EMERGENCY ACTION NOTICE
PPQ 523 JUL 2014.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_ppq_forms
Form
VS 17-129 Application for Import or in Transit Permit (Animals, An
VS 17-129 MAY 2017.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_vs_forms
Form
VS 17-65A Zoological Park Inspection Report
VS 17-65A DEC 2014.pdf
Form
VS 17-65B AGREEMENT FOR THE IMPORTATION, QUARANTINE, AND EXHIBITIO
VS 17-65B DEC 2014.pdf
Form
VS 17-65C POST ENTRY QUARANTINE RECORD OF ZOO ANIMALS
VS 17-65C DEC 2014.pdf
Form
VS 17-65D AGREEMENT FOR THE TRANSFER OF CERTAIN WILD ANIMALS
VS 17-65D DEC 2014.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Business
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
9 CFR 93
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
vs 17-12
Daily Log for Bird Quarantine Facility
VS 17-12 FEB 2014.docx
No
Paper Only
Form
vs 17-32
Application for Inspection and Dipping
VS 17-32 DEC 2004.pdf
No
Paper Only
Form
VS 17-11
Application for Quarantine Facility for Birds
VS 17-11 NOV 2014.doc
No
Paper Only
Form and Instruction
VS 10-4
Specimen Submission
VS 10-4 AUG 2009.pdf
https://www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
VS 10-4A
Continuation Sheet for Specimen Submission
VS 10-4A AUG 2009.pdf
https://www.aphis.usda.gov/library/forms/pdf/VS_Form10_4a.pdf
Yes
Yes
Fillable Fileable Signable
Form
VS 16-3
Application for Permit To: Import or Transport Controlled Material or Organisms or Vectors
VS 16-3 JUL 2012.pdf
https://www.aphis.usda.gov/library/forms/pdf/VS_16_3.pdf
Yes
Yes
Fillable Fileable Signable
Form
VS 17-136
Refusal of Entry and Order to Dispose of Fish
VS 17-136 SEP 2009.pdf
No
Paper Only
Form
VS 16-78
Report of Entry and Shipment of Restricted Imported Animal Products or Byproducts
VS 16-78 AUG 2017.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_vs_forms
Yes
Yes
Fillable Fileable Signable
Form
VS 16-79
ON-Hold Shipment Notification Application
VS 16-79 APR 2017.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_vs_forms
Yes
Yes
Fillable Fileable Signable
Form
VS 17-139
Certificate for Importing Sheep and Goat Semen from Canada
VS 17-139 JULY 2017.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_vs_forms
Yes
Yes
Fillable Fileable Signable
Form
PPQ 523
EMERGENCY ACTION NOTICE
PPQ 523 JUL 2014.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_ppq_forms
Yes
Yes
Fillable Fileable Signable
Form
VS 17-65C
POST ENTRY QUARANTINE RECORD OF ZOO ANIMALS
VS 17-65C DEC 2014.pdf
No
Printable Only
Instruction
info_request_recognition_region.pdf
No
Paper Only
Form
VS 17-129
Application for Import or in Transit Permit (Animals, Animal Semen, Poultry, and Hatching Eggs)
VS 17-129 MAY 2017.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_vs_forms
Yes
Yes
Fillable Printable
Form
VS 17-65A
Zoological Park Inspection Report
VS 17-65A DEC 2014.pdf
No
Printable Only
Form
VS 17-65B
AGREEMENT FOR THE IMPORTATION, QUARANTINE, AND EXHIBITION OF CERTAIN WILD RUMINANTS AND WILD SWINE
VS 17-65B DEC 2014.pdf
No
Printable Only
Other-Agreement template
MOU Final Permanent Private Equine Import Quarantine Agreement.docx
No
Printable Only
Form
VS 17-65D
AGREEMENT FOR THE TRANSFER OF CERTAIN WILD ANIMALS
VS 17-65D DEC 2014.pdf
No
Printable Only
Other-Cooperative Service Agreement
Cooperative Service Agreement.docx
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Agricultural Innovation and Services
Privacy Act System of Records
Title:
Privacy Act Systems of Records; APHIS Comprehensive Electronic Permitting System (ePermits)
FR Citation:
73 FR 23406
Number of Respondents:
7,463
Number of Respondents for Small Entity:
25
Affected Public:
Private Sector
Private Sector:
Farms, Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
484,848
0
108,071
279,668
0
97,109
Annual IC Time Burden (Hours)
278,645
0
85,598
169,349
0
23,698
Annual IC Cost Burden (Dollars)
0
0
0
0
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.