Cooperative State-Federal Brucellosis Eradication Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VS 4-106 Field Investigation of Brucellosis Market Test Reactor(s)	Form	Modified	Available
Form VS 4-108C Epidemoiolgy Report - Area Herds	Form and Instruction	Modified	Repair queued
Form VS 4-108B Animals Removed from Infected Herd	Form and Instruction	Modified	Repair queued
Form VS 4-108A Origin of Reactors/Herd Additions	Form and Instruction	Modified	Repair queued
Form VS 4-108 Epidemiologic Investigation of Brucellosis Reactor Herd	Form and Instruction	Modified	Repair queued
Form VS 4-1 Application for Brucellosis Classification or Reclassificaton of State	Form	Modified	Repair queued
Form VS 4-6 Telecopier Justification for Brucellosis Herd Depopulations	Form	Modified	Repair queued
Form VS 1-27 Permit for Movement of Restricted Animals	Form	Modified	Repair queued
Form VS 4-100 Log for Market Cattle Test Reactors	Form	Modified	Repair queued
Form VS 4-26 Vaccination Record - Long Form	Form	Modified	Repair queued
Form VS 4-54 Brucellosis Test Record Market Cattle Testing Program	Form	Modified	Repair queued
Form VS 4-33A Brucellosis Test Record Continuation Sheet	Form	Modified	Repair queued
Form VS 4-33 Brucellosis Test Record	Form	Modified	Repair queued
Form VS 4-59 Monthly Report of Swine Brucellosis Eradication Activities	Form	Modified	Repair queued
Form VS 4-13 Certified Herd - Cooperative Brucellosis Eradication	Form	Modified	Repair queued
Form VS 4-1D Application for Validation of a Brucellosis Free Area	Form	Modified	Repair queued
Form VS 4-1D Brucellosis Program - State, Local, and Tribal Government	Form	Modified	Repair queued
Form VS 1-26 Appraisal and Indemnity Request for Affected Premises Using Contract Growers	Form	Modified	Repair queued
Form VS 1-24 Proceeds from Animals/Animal Products/Materials Sold for Salvage	Form	Modified	Repair queued
Form VS 4-108C Epidemoiolgy Report - Area Herds	Form and Instruction	Modified	Repair queued
Form VS 4-108B Animals Removed from Infected Herd	Form and Instruction	Modified	Repair queued
Form VS 4-108A Origin of Reactors/Herd Additions	Form and Instruction	Modified	Repair queued
Form VS 4-108 Epidemiologic Investigation of Brucellosis Reactor Herd	Form and Instruction	Modified	Repair queued
Form VS 4-7 Agreement for Complete Herd Depopulation - Brucellosis	Form	Modified	Repair queued
Form VS 1-23A Continuation Sheet - Indemnity Claim for Animal Destroyed, Materials Destroyed, or Services Provided	Form	Modified	Repair queued
Form VS 1-23 Appraisal and Indemnity Claim for Animals Destroyed, Materials Destroyed, or Services Provided	Form	Modified	Repair queued
Form VS 1-27 Permit for Movement of Restricted Animals	Form	Modified	Repair queued
Form VS 4-106 Field Investigation of Brucellosis Market Test Reactor(s)	Form	Modified	Repair queued
Form VS 4-26 Calfhood Vaccination Record - Long Form	Form	Modified	Repair queued
Form VS 4-52A Report of Back Tags Applied	Form	Modified	Repair queued
Form VS 4-52 Report of Backtags Applied	Form	Modified	Repair queued
Form VS 4-54 Brucellosis Test Record Market Cattle Testing Program	Form	Modified	Repair queued
Form VS 4-33A Brucellosis Test Record - Continuation Sheet	Form	Modified	Repair queued
Form VS 4-33 Brucellosis Test Record	Form	Modified	Repair queued
Form VS 4-13 Certified Herd - Cooperative Brucellosis Eradication	Form	Modified	Repair queued
Form VS 4-13 Brucellosis Program - Private Sector	Form	Modified	Repair queued
0047 2022 SS (20220712).docx	Supporting Statement A	Uploaded 2022-07-19	Repair queued
0047 2022 APHIS 79 ((20220719) SECT 508.xlsx	Supplementary Document	Uploaded 2022-07-19	Available
0047 2022 APHIS 71 ((20220719) SECT 508.xlsx	Supplementary Document	Uploaded 2022-07-19	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
2111	Brucellosis Program - State, Local, and Tribal Government	Form	Modified	Field Investigation of Brucellosis Market Test Reactor(s)
2111	Brucellosis Program - State, Local, and Tribal Government	Form and Instruction	Modified	Epidemoiolgy Report - Area Herds
2111	Brucellosis Program - State, Local, and Tribal Government	Form and Instruction	Modified	Animals Removed from Infected Herd
2111	Brucellosis Program - State, Local, and Tribal Government	Form and Instruction	Modified	Origin of Reactors/Herd Additions
2111	Brucellosis Program - State, Local, and Tribal Government	Form and Instruction	Modified	Epidemiologic Investigation of Brucellosis Reactor Herd
2111	Brucellosis Program - State, Local, and Tribal Government	Form	Modified	Application for Brucellosis Classification or Reclassificaton of State
2111	Brucellosis Program - State, Local, and Tribal Government	Form	Modified	Telecopier Justification for Brucellosis Herd Depopulations
2111	Brucellosis Program - State, Local, and Tribal Government	Form	Modified	Permit for Movement of Restricted Animals
2111	Brucellosis Program - State, Local, and Tribal Government	Form	Modified	Log for Market Cattle Test Reactors
2111	Brucellosis Program - State, Local, and Tribal Government	Form	Modified	Vaccination Record - Long Form
2111	Brucellosis Program - State, Local, and Tribal Government	Form	Modified	Brucellosis Test Record Market Cattle Testing Program
2111	Brucellosis Program - State, Local, and Tribal Government	Form	Modified	Brucellosis Test Record Continuation Sheet
2111	Brucellosis Program - State, Local, and Tribal Government	Form	Modified	Brucellosis Test Record
2111	Brucellosis Program - State, Local, and Tribal Government	Form	Modified	Monthly Report of Swine Brucellosis Eradication Activities
2111	Brucellosis Program - State, Local, and Tribal Government	Form	Modified	Certified Herd - Cooperative Brucellosis Eradication
2111	Brucellosis Program - State, Local, and Tribal Government	Form	Modified	Application for Validation of a Brucellosis Free Area
2111	Brucellosis Program - State, Local, and Tribal Government	Form	Modified
188742	Brucellosis Program - Private Sector	Form	Modified	Appraisal and Indemnity Request for Affected Premises Using Contract Growers
188742	Brucellosis Program - Private Sector	Form	Modified	Proceeds from Animals/Animal Products/Materials Sold for Salvage
188742	Brucellosis Program - Private Sector	Form and Instruction	Modified	Epidemoiolgy Report - Area Herds
188742	Brucellosis Program - Private Sector	Form and Instruction	Modified	Animals Removed from Infected Herd
188742	Brucellosis Program - Private Sector	Form and Instruction	Modified	Origin of Reactors/Herd Additions
188742	Brucellosis Program - Private Sector	Form and Instruction	Modified	Epidemiologic Investigation of Brucellosis Reactor Herd
188742	Brucellosis Program - Private Sector	Form	Modified	Agreement for Complete Herd Depopulation - Brucellosis
188742	Brucellosis Program - Private Sector	Form	Modified	Continuation Sheet - Indemnity Claim for Animal Destroyed, Materials Destroyed, or Services Provided
188742	Brucellosis Program - Private Sector	Form	Modified	Appraisal and Indemnity Claim for Animals Destroyed, Materials Destroyed, or Services Provided
188742	Brucellosis Program - Private Sector	Form	Modified	Permit for Movement of Restricted Animals
188742	Brucellosis Program - Private Sector	Form	Modified	Field Investigation of Brucellosis Market Test Reactor(s)
188742	Brucellosis Program - Private Sector	Form	Modified	Calfhood Vaccination Record - Long Form
188742	Brucellosis Program - Private Sector	Form	Modified	Report of Back Tags Applied
188742	Brucellosis Program - Private Sector	Form	Modified	Report of Backtags Applied
188742	Brucellosis Program - Private Sector	Form	Modified	Brucellosis Test Record Market Cattle Testing Program
188742	Brucellosis Program - Private Sector	Form	Modified	Brucellosis Test Record - Continuation Sheet
188742	Brucellosis Program - Private Sector	Form	Modified	Brucellosis Test Record
188742	Brucellosis Program - Private Sector	Form	Modified	Certified Herd - Cooperative Brucellosis Eradication
188742	Brucellosis Program - Private Sector	Form	Modified

ICR Details

OMB Control No: 0579-0047	ICR Reference No: 202203-0579-004
Status: Active	Previous ICR Reference No: 201903-0579-001
Agency/Subagency: USDA/APHIS	Agency Tracking No:
Title: Cooperative State-Federal Brucellosis Eradication Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/22/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/25/2022
Terms of Clearance: APHIS will continue to work to minimize the use of the same form across control numbers so that each form can have an accurate expiration date.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2027	36 Months From Approved	01/31/2024
Responses	957,102	0	957,102
Time Burden (Hours)	247,325	0	247,321
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this information collection is to eliminate brucellosis disease in livestock through necessary surveillance, epidemiological investigation, annual reporting, and interstate movement activities that must be documented.

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Authorizing Statute(s): US Code: 7 USC 8301 Name of Law: Animal Health Protection Act of 2002
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 78239	12/27/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 44082	07/25/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Brucellosis Program - Private Sector	VS 4-7, VS 1-27, VS 1-23, VS 4-106, VS 4-26, VS 4-52A, VS 4-33, VS 4-33A, VS 4-54, VS 4-52, VS 4-13, VS 1-23A, VS 4-108B, VS 4-108C, VS 4-108A, VS 4-108, VS 1-24, VS 1-26	Certified Herd - Cooperative Brucellosis Eradication ,   Brucellosis Test Record ,   Brucellosis Test Record - Continuation Sheet ,   Brucellosis Test Record Market Cattle Testing Program ,   Report of Backtags Applied ,   Report of Back Tags Applied ,   Calfhood Vaccination Record - Long Form ,   Field Investigation of Brucellosis Market Test Reactor(s) ,   Permit for Movement of Restricted Animals ,   Appraisal and Indemnity Claim for Animals Destroyed, Materials Destroyed, or Services Provided ,   Continuation Sheet - Indemnity Claim for Animal Destroyed, Materials Destroyed, or Services Provided ,   Agreement for Complete Herd Depopulation - Brucellosis ,   Epidemiologic Investigation of Brucellosis Reactor Herd ,   Origin of Reactors/Herd Additions ,   Animals Removed from Infected Herd ,   Epidemoiolgy Report - Area Herds ,   Proceeds from Animals/Animal Products/Materials Sold for Salvage ,   Appraisal and Indemnity Request for Affected Premises Using Contract Growers
Brucellosis Program - State, Local, and Tribal Government	VS 4-13, VS 4-33A, VS 4-100, VS 4-33, VS 4-26, VS 4-1D, VS 4-6, VS 1-27, VS 4-59, VS 4-54, VS 4-108A, VS 4-108, VS 4-108B, VS 4-1, VS 4-108C, VS 4-106	Application for Validation of a Brucellosis Free Area ,   Certified Herd - Cooperative Brucellosis Eradication ,   Monthly Report of Swine Brucellosis Eradication Activities ,   Brucellosis Test Record ,   Brucellosis Test Record Continuation Sheet ,   Brucellosis Test Record Market Cattle Testing Program ,   Vaccination Record - Long Form ,   Log for Market Cattle Test Reactors ,   Permit for Movement of Restricted Animals ,   Telecopier Justification for Brucellosis Herd Depopulations ,   Application for Brucellosis Classification or Reclassificaton of State ,   Epidemiologic Investigation of Brucellosis Reactor Herd ,   Origin of Reactors/Herd Additions ,   Animals Removed from Infected Herd ,   Epidemoiolgy Report - Area Herds ,   Field Investigation of Brucellosis Market Test Reactor(s)

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	957,102	957,102	0	0	0	0
Annual Time Burden (Hours)	247,325	247,321	0	0	4	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This request for renewal is for 957,102 estimated responses and 247,325 estimated burden hours, reflecting an increase of 4 hours of estimated burden from the previous request. This increase is due to changes to the calculation method resulting in a rounding error of the following activities: Calfhood Vaccination Record, Justification for Brucellosis Herd Depopulation, and the Agreement for Complete Herd Depopulation. There were no discretionary changes.

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Annual Cost to Federal Government: $10,413,433

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/25/2022

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