Information Collection

Brucellosis Program - Private Sector

IC 188742 under ICR 201903-0579-001 · OMB 0579-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0047 can be found here:

2022-07-25 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 4-13 Brucellosis Program - Private Sector	Form
VS 4-13 Certified Herd - Cooperative Brucellosis Eradication VS 4-13 Nov 1972 FINAL.pdf	Form
VS 4-33 Brucellosis Test Record VS 4-33 (JUN 2014) Fillable.pdf www.aphis.usda.gov/library/forms/pdf/VS_4_33.pdf	Form
VS 4-33A Brucellosis Test Record - Continuation Sheet VS 4-33A (JUN 2014) Fillable.pdf www.aphis.usda.gov/library/forms/pdf/VS_4_33A.pdf	Form
VS 4-54 Brucellosis Test Record Market Cattle Testing Program VS 4-54 (MAY 2014) Fillable.pdf www.aphis.usda.gov/library/forms/pdf/VS_Form4_54.pdf	Form
VS 4-52 Report of Backtags Applied VS 4-52 Apr 2009.pdf www.aphis.usda.gov/aphis/resources/forms/ct_vs_forms	Form
VS 4-52A Report of Back Tags Applied VS 4-52A Aug 2012.pdf www.aphis.usda.gov/library/forms/pdf/VS_4_52A.pdf	Form
VS 4-26 Calfhood Vaccination Record - Long Form VS 4-26 (JUN 2014) Fillable.pdf www.aphis.usda.gov/library/forms/pdf/VS_4_26.pdf	Form
VS 4-106 Field Investigation of Brucellosis Market Test Reactor(s VS 4-106 Apr 2009.pdf	Form
VS 1-27 Permit for Movement of Restricted Animals VS 1-27 (JUL 2011) Fillable.pdf	Form
VS 1-23 Appraisal and Indemnity Claim for Animals Destroyed, Mat VS 1-23 AUG 2018.pdf	Form
VS 1-23A Continuation Sheet - Indemnity Claim for Animal Destroye VS 1-23A May 2009.pdf	Form
VS 4-7 Agreement for Complete Herd Depopulation - Brucellosis VS 4-7 Apr 2009.pdf	Form
VS 4-108 Epidemiologic Investigation of Brucellosis Reactor Herd VS 4-108 Apr 2009.pdf	Form and Instruction
VS 4-108A Origin of Reactors/Herd Additions VS 4-108A Apr 2009.pdf	Form and Instruction
VS 4-108B Animals Removed from Infected Herd VS 4-108B Apr 2009.pdf	Form and Instruction
VS 4-108C Epidemoiolgy Report - Area Herds VS 4-108C Apr 2009.pdf	Form and Instruction
VS 1-24 Proceeds from Animals/Animal Products/Materials Sold for VS 1-24 AUG 2018 Fillable.pdf	Form
VS 1-26 Appraisal and Indemnity Request for Affected Premises Us VS 1-26 MAY 2016 Fillable.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Brucellosis Program - Private Sector

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 51 and 78

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 4-13	Certified Herd - Cooperative Brucellosis Eradication	VS 4-13 Nov 1972 FINAL.pdf		No		Paper Only
Form	VS 4-33	Brucellosis Test Record	VS 4-33 (JUN 2014) Fillable.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_4_33.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-33A	Brucellosis Test Record - Continuation Sheet	VS 4-33A (JUN 2014) Fillable.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_4_33A.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-54	Brucellosis Test Record Market Cattle Testing Program	VS 4-54 (MAY 2014) Fillable.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_Form4_54.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-52	Report of Backtags Applied	VS 4-52 Apr 2009.pdf	https://www.aphis.usda.gov/aphis/resources/forms/ct_vs_forms	Yes	Yes	Fillable Fileable
Form	VS 4-52A	Report of Back Tags Applied	VS 4-52A Aug 2012.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_4_52A.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-26	Calfhood Vaccination Record - Long Form	VS 4-26 (JUN 2014) Fillable.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_4_26.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-106	Field Investigation of Brucellosis Market Test Reactor(s)	VS 4-106 Apr 2009.pdf		No		Paper Only
Form	VS 1-27	Permit for Movement of Restricted Animals	VS 1-27 (JUL 2011) Fillable.pdf		Yes	Yes	Fillable Fileable
Form	VS 1-23	Appraisal and Indemnity Claim for Animals Destroyed, Materials Destroyed, or Services Provided	VS 1-23 AUG 2018.pdf		Yes	Yes	Fillable Fileable
Form	VS 1-23A	Continuation Sheet - Indemnity Claim for Animal Destroyed, Materials Destroyed, or Services Provided	VS 1-23A May 2009.pdf		Yes	Yes	Fillable Fileable
Form	VS 4-7	Agreement for Complete Herd Depopulation - Brucellosis	VS 4-7 Apr 2009.pdf		No		Paper Only
Form and Instruction	VS 4-108	Epidemiologic Investigation of Brucellosis Reactor Herd	VS 4-108 Apr 2009.pdf		No		Paper Only
Form and Instruction	VS 4-108A	Origin of Reactors/Herd Additions	VS 4-108A Apr 2009.pdf		No		Paper Only
Form and Instruction	VS 4-108B	Animals Removed from Infected Herd	VS 4-108B Apr 2009.pdf		No		Paper Only
Form and Instruction	VS 4-108C	Epidemoiolgy Report - Area Herds	VS 4-108C Apr 2009.pdf		No		Paper Only
Form	VS 1-24	Proceeds from Animals/Animal Products/Materials Sold for Salvage	VS 1-24 AUG 2018 Fillable.pdf		Yes	Yes	Fillable Fileable
Form	VS 1-26	Appraisal and Indemnity Request for Affected Premises Using Contract Growers	VS 1-26 MAY 2016 Fillable.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title: USDA/APHIS-6, Veterinary Services -- Brucellosis Information System and Brucellosis Recording and Reporting System

FR Citation: 66 FR 57698

Number of Respondents: 99,429

Number of Respondents for Small Entity: 89,486

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	654,084	654,084
Annual IC Time Burden (Hours)	202,502	202,502
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.