Specimen Submission - State

Specimen Submission

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 10-4A 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

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: 13

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	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

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.