State

National Veterinary Services Laboratories Request Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0430 can be found here:

Documents and Forms

Document Name Document Type
Form VS 4-9 State Form
VS 4-9 Request for Reagents or Supplies VS 4-9 APR 2017 FINAL.pdf Form
VS 4-10 NVSL Contact Information Update VS 4-10 MAY 2015 FINAL.pdf Form
VS 4-11 NVSL Application for Laboratory Training VS 4-11 MAY 2015 FINAL.pdf Form
VS 4-12 National Veterinary Services Laboratories Kit and Instru VS 4-12 FEB 2021 SEC.pdf Form

Information Collection (IC) Details

IC Title:	State	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 130.14

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 4-9	Request for Reagents or Supplies	VS 4-9 APR 2017 FINAL.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-10	NVSL Contact Information Update	VS 4-10 MAY 2015 FINAL.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-11	NVSL Application for Laboratory Training	VS 4-11 MAY 2015 FINAL.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-12	National Veterinary Services Laboratories Kit and Instrument Order Form	VS 4-12 FEB 2021 SEC.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: 107	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	637	120	217	300
Annual IC Time Burden (Hours)	134	4	60	70
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

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.