Information Collection

State

IC 238714 under ICR 201911-0579-003 · OMB 0579-0475.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 12-10 State	Form
VS 12-10 NLRAD NAHRS Monthly Report Form VS 12-10 FEB 2020 (20200309).pdf	Form

IC Title:

State

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 57.2

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 12-10	NLRAD NAHRS Monthly Report Form	VS 12-10 FEB 2020 (20200309).pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,068	7,068
Annual IC Time Burden (Hours)	7,237	7,237
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.