Information Collection

Communicable Diseases in Horses - Private sector

IC 2222 under ICR 201909-0579-001 · OMB 0579-0127.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0127 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-11 Communicable Diseases in Horses - Private sector	Form
10-11 Equine Infectious Anemia Laboratory Test VS 10-11 OCT 2017 Secured.pdf	Form
VS 10-12 Equine Infectious Anemia Supplemental Investigation VS 10-12 Dec 2003.pdf	Form
VS 1-27 APR 2009.d Permit for Movement of Restricted Animals VS 1-27 JUL 2011.pdf	Form
VS 10-15 AGREEMENT TO CONDUCT EQUINE INFECTIOUS ANEMIA (EIA) TEST VS 10-15 JUN 2018.pdf	Form
VS 10-16 APPLICATION TO CONDUCT LABORATORY EQUINE INFECTIOUS ANEM VS 10-16 APR 2018.pdf	Form

IC Title:

Communicable Diseases in Horses - Private sector

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 71.3 9 CFR 71.20 9 CFR 75.4

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10-11	Equine Infectious Anemia Laboratory Test	VS 10-11 OCT 2017 Secured.pdf	No		Paper Only
Form	VS 10-12	Equine Infectious Anemia Supplemental Investigation	VS 10-12 Dec 2003.pdf	No		Paper Only
Form	VS 1-27 APR 2009.doc	Permit for Movement of Restricted Animals	VS 1-27 JUL 2011.pdf	No		Paper Only
Form	VS 10-15	AGREEMENT TO CONDUCT EQUINE INFECTIOUS ANEMIA (EIA) TESTING	VS 10-15 JUN 2018.pdf	Yes	No	Fillable Printable
Form	VS 10-16	APPLICATION TO CONDUCT LABORATORY EQUINE INFECTIOUS ANEMIA (EIA) TESTING	VS 10-16 APR 2018.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: 235,476

Number of Respondents for Small Entity: 211,928

Affected Public: Private Sector

Private Sector: Farms, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,416,035	1,416,035
Annual IC Time Burden (Hours)	117,984	117,984
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.