Information Collection

Nomination Request Form - Animal Disease Training (State, Local or Tribal Government)

IC 185390 under ICR 202112-0579-010 · OMB 0579-0353.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0353 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	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.