Control of Chronic Wasting Disease

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VS 11-1A Application for Enrollment in the Federal Chronic Wasting Disease Voluntary Herd Certifcation Program for Farmed and Captive Cervids - Continuation Sheet	Form	Modified	Available
Form VS 11-1 Application for Enrollment in the National Chronic Wasting Disease Voluntary Herd Certifcation Program for Farmed and Captive Cervids	Form	Modified	Available
Form VS 10-4 Specimen Submission	Form and Instruction	Modified	Available
Form VS 1-23 Appraisal and Indemnity Claim for Animals Destroyed and Materials Destroyed	Form and Instruction	Modified	Available
Form VS 11-2 Application for Chronic Wasting Disease Herd Certifcation Program (CWD HCP) Approval, Renewal, or Reinstatement of a State	Form	Modified	Available
0579-0189 2018 SS.pdf	Supporting Statement A	Uploaded 2018-06-12	Available
0579-0189 2018 APHIS 71.pdf	Supplementary Document	Uploaded 2018-05-16	Available
0579-0189 2018 60-day FRN.pdf	Supplementary Document	Uploaded 2018-05-14	Available
0579-0189 2018 APHIS 79.pdf	Supplementary Document	Uploaded 2018-05-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
2353	Business	Form	Modified	Application for Enrollment in the Federal Chronic Wasting Disease Voluntary Herd Certifcation Program for Farmed and Captive Cervids - Continuation Sheet
2353	Business	Form	Modified	Application for Enrollment in the National Chronic Wasting Disease Voluntary Herd Certifcation Program for Farmed and Captive Cervids
2353	Business	Form and Instruction	Modified	Specimen Submission
2353	Business	Form and Instruction	Modified	Appraisal and Indemnity Claim for Animals Destroyed and Materials Destroyed
199210	State	Form	Modified	Application for Chronic Wasting Disease Herd Certifcation Program (CWD HCP) Approval, Renewal, or Reinstatement of a State

ICR Details

OMB Control No: 0579-0189	ICR Reference No: 201805-0579-001
Status: Historical Active	Previous ICR Reference No: 201502-0579-008
Agency/Subagency: USDA/APHIS	Agency Tracking No:
Title: Control of Chronic Wasting Disease
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/24/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/13/2018
Terms of Clearance: Before this ICR is renewed, USDA should consider converting VS FORM 10-4 to a common form and establishing a single OMB control number for it.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2021	36 Months From Approved	08/31/2018
Responses	123,397	0	170,602
Time Burden (Hours)	347,163	0	383,383
Cost Burden (Dollars)	0	0	0

---

Abstract: To control the spread of chronic wasting disease (CWD) in the United States, APHIS created a cooperative, voluntary Federal-State-private sector CWD Herd Certification Program designed to identify farmed or captive herds infected with CWD and provide for the management of these herds in a way that will reduce the risk of spreading disease.

---

Authorizing Statute(s): US Code: 7 USC 8301 Name of Law: The Animal Health Protection Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 11492	03/15/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 27307	06/12/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Business	VS 11-1, VS 11-1A, VS 1-23, VS 10-4	Appraisal and Indemnity Claim for Animals Destroyed and Materials Destroyed ,   Specimen Submission ,   Application for Enrollment in the National Chronic Wasting Disease Voluntary Herd Certifcation Program for Farmed and Captive Cervids ,   Application for Enrollment in the Federal Chronic Wasting Disease Voluntary Herd Certifcation Program for Farmed and Captive Cervids - Continuation Sheet
State	VS 11-2	Application for Chronic Wasting Disease Herd Certifcation Program (CWD HCP) Approval, Renewal, or Reinstatement of a State

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	123,397	170,602	0	2,500	-49,705	0
Annual Time Burden (Hours)	347,163	383,383	0	35,000	-71,220	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Changes in estimates are largely attributable to reduced sampling and laboratory testing, fewer reports from respondents, or adjusted respondent estimates for activities. One program change added businesses as a respondent type to an existing recordkeeping activity, adding 35,000 hours of burden.

---

Annual Cost to Federal Government: $2,632,586

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/13/2018

---