Information Collection

Individuals

IC 212483 under ICR 202102-0579-017 · OMB 0579-0430.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 4-10 Individuals	Form
VS 4-10 NVSL Contact Information Update VS 4-10 MAY 2015 FINAL.pdf	Form

IC Title:

Individuals

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:

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 4-10	NVSL Contact Information Update	VS 4-10 MAY 2015 FINAL.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: 1

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	-2	3
Annual IC Time Burden (Hours)	1	0	1
Annual IC Cost Burden (Dollars)	0	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.