Specimen Submission - State

Specimen Submission

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0090 can be found here:

Documents and Forms

Document Name Document Type
Form VS 10-4 Specimen Submission - State Form and Instruction
VS 10-4 SPECIMEN SUBMISSION VS 10-4 FEB 2021 SEC.pdf Form and Instruction
VS 10-4 SPECIMEN SUBMISSION VS 10-4 FEB 2021 SEC.pdf Form and Instruction
VS 10-4A SPECIMEN SUBMISSION CONTINUATION SHEET VS 10-4A Aug 2009.pdf Form and Instruction
VS 10-4A SPECIMEN SUBMISSION CONTINUATION SHEET VS 10-4A Aug 2009.pdf Form and Instruction
VS 5-38 PARASITE SUBMISSION FORM VS 5-38 Sep 2009.pdf Form and Instruction
VS 5-38 PARASITE SUBMISSION FORM VS 5-38 Sep 2009.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Specimen Submission - State	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 156

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	VS 10-4	SPECIMEN SUBMISSION	VS 10-4 FEB 2021 SEC.pdf	No	Paper Only
Form and Instruction	VS 10-4A	SPECIMEN SUBMISSION CONTINUATION SHEET	VS 10-4A Aug 2009.pdf	No	Paper Only
Form and Instruction	VS 5-38	PARASITE SUBMISSION FORM	VS 5-38 Sep 2009.pdf	No	Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	12,077	12,077
Annual IC Time Burden (Hours)	3,579	3,579
Annual IC Cost Burden (Dollars)	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.