Information Collection

State

IC 183917 under ICR 202202-0579-003 · OMB 0579-0013.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form APHIS Form 2080 State	Form
APHIS Form 2080 Adverse Event Report APHIS 2080 APR 2020 SEC.pdf www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms	Form

IC Title:

State

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 107.2

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	APHIS Form 2080	Adverse Event Report	APHIS 2080 APR 2020 SEC.pdf	https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1	-5,333	5,334
Annual IC Time Burden (Hours)	1	-10,668	10,669
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.