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State
National Poultry Improvement Plan (NPIP)
OMB: 0579-0007
IC ID: 189603
OMB.report
USDA/APHIS
OMB 0579-0007
ICR 202112-0579-002
IC 189603
( )
Documents and Forms
Document Name
Document Type
Form VS Form 1-23
State
Form
VS Form 1-23 Appraisal And Indemnity Claim
VS 1-23 DEC 2021 FIL.pdf
Form
VS Form 1-24 Proceeds From Animals Sold For Slaughter
VS 1-24 AUG 2018 (20200811) FIL.pdf
Form
VS Form 1-26 Appraisal And Indemnity Request For Affected Premises Us
VS 1-26 MAY 2016 (20200811) FIL.pdf
Form
VS Form 9-2 Flock Selecting And Testing Report
VS 9-2 MAR 2019 (20211202).pdf
Form
VS Form 9-3 Report Of Sales Of Hatching Eggs, Chicks, And Poults
VS 9-3 FEB 2016 (SECURE).pdf
www.poultryimprovement.org
Form and Instruction
VS Form 9-4 Summary Of Breeding Flock Participation
VS 9-4 NOV 2012 (SECURE).pdf
www.poultryimprovement.org
Form
VS Form 9-5 Report Of Hatcheries, Dealers, And Independent Flocks Pa
VS 9-5 JUN 2009 (SECURE).pdf
www.poultryimprovement.org
Form and Instruction
VS Form 9-7 Flock Inspection And Check-Testing Report
VS 9-7 AUG 2005 (SECURE).pdf
www.poultryimprovement.org
Form
VS Form 9-8 Flock Inspection And Check-Testing Report
VS 9-8 OCT 2012 (SECURE).pdf
www.poultryimprovement.org
Form
VS Form 9-9 Hatchery Inspection Report
VS 9-9 JAN 2005 (SECURE).pdf
www.poultryimprovement.org
Form
VS Form 9-20 Application For U.S. Avian Influenza and Newcastle Disea
VS 9-20 NOV 2021 FIL (20211202).pdf
www.poultryimprovement.org
Form
VS Form 9-21 Application For U.S. Avian Influenza and Newcastle Disea
VS 9-21 NOV 2021 FIL(20211202).pdf
www.poultryimprovement.org
Form
VS Form 9-22 Application For U.S. Avian Influenza and Newcastle Clean
VS 9-22 NOV 2021 FIL (20211202).pdf
www.poultryimprovement.org
Form
VS Form 10-3 Request For Salmonella Serotyping
VS 10-3 OCT 2018 Fillable.pdf
www.aphis.usda.gov/library/forms/pdf/VS_Form10_3.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
9 CFR 56, 145, 146, and 147 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
VS Form 1-23
Appraisal And Indemnity Claim
VS 1-23 DEC 2021 FIL.pdf
No
Fillable Printable
Form
VS Form 1-24
Proceeds From Animals Sold For Slaughter
VS 1-24 AUG 2018 (20200811) FIL.pdf
No
Fillable Printable
Form
VS Form 1-26
Appraisal And Indemnity Request For Affected Premises Using Contract Growers
VS 1-26 MAY 2016 (20200811) FIL.pdf
No
Fillable Printable
Form
VS Form 9-2
Flock Selecting And Testing Report
VS 9-2 MAR 2019 (20211202).pdf
No
Paper Only
Form and Instruction
VS Form 9-3
Report Of Sales Of Hatching Eggs, Chicks, And Poults
VS 9-3 FEB 2016 (SECURE).pdf
www.poultryimprovement.org
Yes
Yes
Fillable Fileable
Form
VS Form 9-4
Summary Of Breeding Flock Participation
VS 9-4 NOV 2012 (SECURE).pdf
www.poultryimprovement.org
Yes
Yes
Fillable Fileable
Form and Instruction
VS Form 9-5
Report Of Hatcheries, Dealers, And Independent Flocks Participating In The NPIP
VS 9-5 JUN 2009 (SECURE).pdf
www.poultryimprovement.org
Yes
Yes
Fillable Fileable
Form
VS Form 9-7
Flock Inspection And Check-Testing Report
VS 9-7 AUG 2005 (SECURE).pdf
www.poultryimprovement.org
Yes
Yes
Fillable Fileable
Form
VS Form 9-8
Flock Inspection And Check-Testing Report
VS 9-8 OCT 2012 (SECURE).pdf
www.poultryimprovement.org
Yes
Yes
Fillable Fileable
Form
VS Form 9-9
Hatchery Inspection Report
VS 9-9 JAN 2005 (SECURE).pdf
www.poultryimprovement.org
Yes
Yes
Fillable Fileable
Form
VS Form 9-20
Application For U.S. Avian Influenza and Newcastle Disease Clean Compartment Registration
VS 9-20 NOV 2021 FIL (20211202).pdf
www.poultryimprovement.org
Yes
No
Fillable Printable
Form
VS Form 9-21
Application For U.S. Avian Influenza and Newcastle Disease Clean Compartment Component Registration
VS 9-21 NOV 2021 FIL(20211202).pdf
www.poultryimprovement.org
Yes
No
Fillable Printable
Form
VS Form 9-22
Application For U.S. Avian Influenza and Newcastle Clean Compartment Component Removal
VS 9-22 NOV 2021 FIL (20211202).pdf
www.poultryimprovement.org
Yes
No
Fillable Printable
Form and Instruction
VS Form 10-3
Request For Salmonella Serotyping
VS 10-3 OCT 2018 Fillable.pdf
http://www.aphis.usda.gov/library/forms/pdf/VS_Form10_3.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Agricultural Innovation and Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
49
Number of Respondents for Small Entity:
2
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
75 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
111,976
0
-188
-112
0
112,276
Annual IC Time Burden (Hours)
51,656
0
497
-131
0
51,290
Annual IC Cost Burden (Dollars)
0
0
0
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.
