Information Collection

Specimen Submission - State

IC 43536 under ICR 202111-0579-002 · OMB 0579-0090.

Documents and Forms

Documents and forms in this information collection
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 10-4A 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

IC Title:

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:

table that charts list of 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: 13

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12,532	455	12,077
Annual IC Time Burden (Hours)	3,731	152	3,579
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.