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Nomination Request Form - Animal Disease Training (State, Local or Tribal Government)
Nomination Request Form - Animal Disease Training
OMB: 0579-0353
IC ID: 185390
OMB.report
USDA/APHIS
OMB 0579-0353
ICR 202112-0579-010
IC 185390
( )
Documents and Forms
Document Name
Document Type
Form VS 1-5
Nomination Request Form - Animal Disease Training (State, Local or Tribal Government)
Form
VS 1-5 Nomination Request Form - Animal Disease Training
VS 1-5 NOV 2021 SEC with XXXX (20220216).pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Nomination Request Form - Animal Disease Training (State, Local or Tribal Government)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
VS 1-5
Nomination Request Form - Animal Disease Training
VS 1-5 NOV 2021 SEC with XXXX (20220216).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:
250
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
50 %
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
250
0
0
0
0
250
Annual IC Time Burden (Hours)
83
0
0
0
0
83
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.
