Specimen Submission

Forms and Documents

Document Name	Status
Form VS 10-4 Specimen Submission - State Form and Instruction	Modified
Form VS 5-38 Specimen Submission - Business Form and Instruction	Modified
NSC Justification (20210607).docx Justification for No Material/Nonsubstantive Change	2021-06-07
0090 SS 20181116.docx Supporting Statement A	2018-11-16
0090 79 20180327.xlsx Supplementary Document	2018-03-28
0090 71 20181116.xlsx Supplementary Document	2018-11-16

IC Document Collections

IC ID	Document Title	Status
43536	Specimen Submission - State Form and Instruction	Modified
190824	Specimen Submission - Business Form and Instruction	Modified

ICR Details

OMB Control No: 0579-0090	ICR Reference No: 202106-0579-003
Status: Received in OIRA	Previous ICR Reference No: 201803-0579-005
Agency/Subagency: USDA/APHIS	Agency Tracking No: 0579-0090
Title: Specimen Submission
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/07/2021

	Requested	Previously Approved
Expiration Date	02/28/2022	02/28/2022
Responses	27,193	27,193
Time Burden (Hours)	8,605	8,605
Cost Burden (Dollars)	0	0

---

Abstract: The purpose of this collection is to identify the individual animal from which specimens were taken, the animal's herd or flock, the type of specimen submitted, and the purpose for submitting the specimen.

---

Authorizing Statute(s): PL: Pub.L. 107 - 171 10401 Name of Law: The Animal Health Protection Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 2423	01/17/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 61599	11/30/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Specimen Submission - Business	VS 10-4A, VS 5-38, VS 10-4	PARASITE SUBMISSION FORM ,   SPECIMEN SUBMISSION ,   SPECIMEN SUBMISSION CONTINUATION SHEET
Specimen Submission - State	VS 10-4, VS 10-4A, VS 5-38	SPECIMEN SUBMISSION ,   SPECIMEN SUBMISSION CONTINUATION SHEET ,   PARASITE SUBMISSION FORM

---

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	27,193	27,193	0	0	0	0
Annual Time Burden (Hours)	8,605	8,605	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a reinstatement of a previously approved information collection with changes. There is a program change increase of +1,773 respondent and +27,193 responses resulting in an increase of +8,605 burden hours. This increase is due the inclusion of the Non-Conforming Submission (not on a form). APHIS is accounting this a potential violation.

---

Annual Cost to Federal Government: $241,499

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/07/2021

---