Information Collection

State

IC 189603 under ICR 201905-0579-004 · OMB 0579-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0007 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS Form 9-4 State	Form
VS Form 1-23 Appraisal And Indemnity Claim VS 1-23 MAR 2017 (SECURE).pdf	Form
VS Form 1-24 Proceeds From Animals Sold For Slaughter VS 1-24 AUG 2018 (SECURE).pdf	Form
VS Form 1-26 Appraisal And Indemnity Request For Affected Premises Us VS 1-26 MAY 2016 (SECURE).pdf	Form
VS Form 9-2 Flock Selecting And Testing Report VS 9-2 (MAR 2019) (Secure).pdf	Form
VS Form 9-3 Report Of Sales Of Hatching Eggs, Chicks, And Poults VS 9-3 FEB 2016 (SECURE).pdf www.poultryimprovement.org	Form and Instruction
VS Form 9-4 Summary Of Breeding Flock Participation VS 9-4 NOV 2012 (SECURE).pdf www.poultryimprovement.org	Form
VS Form 9-5 Report Of Hatcheries, Dealers, And Independent Flocks Pa VS 9-5 JUN 2009 (SECURE).pdf www.poultryimprovement.org	Form and Instruction
VS Fomr 9-6 Report Of Salmonella Isolations To NPIP Official State A VS 9-6 MAY 2009 (SECURE).pdf	Form
VS Form 9-7 Flock Inspection And Check-Testing Report VS 9-7 AUG 2005 (SECURE).pdf www.poultryimprovement.org	Form
VS Form 9-8 Flock Inspection And Check-Testing Report VS 9-8 OCT 2012 (SECURE).pdf www.poultryimprovement.org	Form
VS Form 9-9 Hatchery Inspection Report VS 9-9 JAN 2005 (SECURE).pdf www.poultryimprovement.org	Form
VS Form 9-20 Application For U.S. Avian Influenza Clean Compartment R VS 9-20 OCT 2018 (SECURE).pdf www.poultryimprovement.org	Form
VS Form 9-21 Application For U.S. Avian Influenza Clean Compartment C VS 9-21 OCT 2018 (SECURE).pdf www.poultryimprovement.org	Form
VS Form 9-22 Application For U.S. Avian Influenza Clean Compartment C VS 9-22 OCT 2018 (SECURE).pdf www.poultryimprovement.org	Form
VS Form 10-3 Request For Salmonella Serotyping VS 10-3 OCT 2018 (SECURE).pdf www.aphis.usda.gov/library/forms/pdf/VS_Form10_3.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 56, 145, 146, and 147 (To search for a specific CFR, visit the Code of Federal Regulations.)

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 Form 9-4	Summary Of Breeding Flock Participation	VS 9-4 NOV 2012 (SECURE).pdf	www.poultryimprovement.org	Yes	Yes	Fillable Fileable
Form and Instruction	VS Form 9-5	Report Of Hatcheries, Dealers, And Independent Flocks Participating In The NPIP	VS 9-5 JUN 2009 (SECURE).pdf	www.poultryimprovement.org	Yes	Yes	Fillable Fileable
Form	VS Fomr 9-6	Report Of Salmonella Isolations To NPIP Official State Agencies	VS 9-6 MAY 2009 (SECURE).pdf		No		Paper Only
Form	VS Form 9-7	Flock Inspection And Check-Testing Report	VS 9-7 AUG 2005 (SECURE).pdf	www.poultryimprovement.org	Yes	Yes	Fillable Fileable
Form	VS Form 9-8	Flock Inspection And Check-Testing Report	VS 9-8 OCT 2012 (SECURE).pdf	www.poultryimprovement.org	Yes	Yes	Fillable Fileable
Form	VS Form 9-9	Hatchery Inspection Report	VS 9-9 JAN 2005 (SECURE).pdf	www.poultryimprovement.org	Yes	Yes	Fillable Fileable
Form	VS Form 9-20	Application For U.S. Avian Influenza Clean Compartment Registration	VS 9-20 OCT 2018 (SECURE).pdf	www.poultryimprovement.org	Yes	No	Fillable Printable
Form	VS Form 9-21	Application For U.S. Avian Influenza Clean Compartment Component Registration	VS 9-21 OCT 2018 (SECURE).pdf	www.poultryimprovement.org	Yes	No	Fillable Printable
Form	VS Form 9-22	Application For U.S. Avian Influenza Clean Compartment Component Removal	VS 9-22 OCT 2018 (SECURE).pdf	www.poultryimprovement.org	Yes	No	Fillable Printable
Form and Instruction	VS Form 10-3	Request For Salmonella Serotyping	VS 10-3 OCT 2018 (SECURE).pdf	http://www.aphis.usda.gov/library/forms/pdf/VS_Form10_3.pdf	Yes	No	Fillable Printable
Form and Instruction	VS Form 9-3	Report Of Sales Of Hatching Eggs, Chicks, And Poults	VS 9-3 FEB 2016 (SECURE).pdf	www.poultryimprovement.org	Yes	Yes	Fillable Fileable
Form	VS Form 1-23	Appraisal And Indemnity Claim	VS 1-23 MAR 2017 (SECURE).pdf		No		Fillable Printable
Form	VS Form 1-24	Proceeds From Animals Sold For Slaughter	VS 1-24 AUG 2018 (SECURE).pdf		No		Fillable Printable
Form	VS Form 1-26	Appraisal And Indemnity Request For Affected Premises Using Contract Growers	VS 1-26 MAY 2016 (SECURE).pdf		No		Fillable Printable
Form	VS Form 9-2	Flock Selecting And Testing Report	VS 9-2 (MAR 2019) (Secure).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:

FR Citation:

Number of Respondents: 49

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	112,276	112,276
Annual IC Time Burden (Hours)	51,290	51,290
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.