Information Collection

Brucellosis Program - State, Local, and Tribal Government

IC 2111 under ICR 202203-0579-004 · OMB 0579-0047.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form VS 4-1D
Brucellosis Program - State, Local, and Tribal Government
Form
Form VS 4-1D
Application for Validation of a Brucellosis Free Area Brucellosis Program - State, Local, and Tribal Government
Form
Form VS 4-13
Certified Herd - Cooperative Brucellosis Eradication Brucellosis Program - State, Local, and Tribal Government
Form
Form VS 4-59
Monthly Report of Swine Brucellosis Eradication Activities Brucellosis Program - State, Local, and Tribal Government
Form
Form VS 4-33
Brucellosis Test Record Brucellosis Program - State, Local, and Tribal Government
Form
Form VS 4-33A
Brucellosis Test Record Continuation Sheet Brucellosis Program - State, Local, and Tribal Government
Form
Form VS 4-54
Brucellosis Test Record Market Cattle Testing Program Brucellosis Program - State, Local, and Tribal Government
Form
Form VS 4-26
Vaccination Record - Long Form Brucellosis Program - State, Local, and Tribal Government
Form
Form VS 4-100
Log for Market Cattle Test Reactors Brucellosis Program - State, Local, and Tribal Government
Form
Form VS 1-27
Permit for Movement of Restricted Animals Brucellosis Program - State, Local, and Tribal Government
Form
Form VS 4-6
Telecopier Justification for Brucellosis Herd Depopulations Brucellosis Program - State, Local, and Tribal Government
Form
Form VS 4-1
Application for Brucellosis Classification or Reclassificaton of State Brucellosis Program - State, Local, and Tribal Government
Form
Form VS 4-108
Epidemiologic Investigation of Brucellosis Reactor Herd Brucellosis Program - State, Local, and Tribal Government
Form and Instruction
Form VS 4-108A
Origin of Reactors/Herd Additions Brucellosis Program - State, Local, and Tribal Government
Form and Instruction
Form VS 4-108B
Animals Removed from Infected Herd Brucellosis Program - State, Local, and Tribal Government
Form and Instruction
Form VS 4-108C
Epidemoiolgy Report - Area Herds Brucellosis Program - State, Local, and Tribal Government
Form and Instruction
Form VS 4-106
Field Investigation of Brucellosis Market Test Reactor(s) Brucellosis Program - State, Local, and Tribal Government
Form
VS 4-1D Application for Validation of a Brucellosis Free Area
VS 4-1D Feb 2009.pdf
Form
VS 4-1D Application for Validation of a Brucellosis Free Area
VS 4-1D Feb 2009.pdf
Form
VS 4-13 Certified Herd - Cooperative Brucellosis Eradication
VS 4-13 Nov 1972 FINAL.pdf
Form
VS 4-13 Certified Herd - Cooperative Brucellosis Eradication
VS 4-13 Nov 1972 FINAL.pdf
Form
VS 4-59 Monthly Report of Swine Brucellosis Eradication Activiti
VS 4-59 Apr 2009.pdf
Form
VS 4-59 Monthly Report of Swine Brucellosis Eradication Activiti
VS 4-59 Apr 2009.pdf
Form
VS 4-33 Brucellosis Test Record
VS 4-33 (JUN 2014) Fillable.pdf

www.aphis.usda.gov/library/forms/pdf/VS_4_33.pdf
Form
VS 4-33 Brucellosis Test Record
VS 4-33 (JUN 2014) Fillable.pdf

www.aphis.usda.gov/library/forms/pdf/VS_4_33.pdf
Form
VS 4-33A Brucellosis Test Record Continuation Sheet
VS 4-33A (JUN 2014) Fillable.pdf

www.aphis.usda.gov/library/forms/pdf/VS_4_33A.pdf
Form
VS 4-33A Brucellosis Test Record Continuation Sheet
VS 4-33A (JUN 2014) Fillable.pdf

www.aphis.usda.gov/library/forms/pdf/VS_4_33A.pdf
Form
VS 4-54 Brucellosis Test Record Market Cattle Testing Program
VS 4-54 (MAY 2014) Fillable.pdf

www.aphis.usda.gov/library/forms/pdf/VS_Form4_54.pdf
Form
VS 4-54 Brucellosis Test Record Market Cattle Testing Program
VS 4-54 (MAY 2014) Fillable.pdf

www.aphis.usda.gov/library/forms/pdf/VS_Form4_54.pdf
Form
VS 4-26 Vaccination Record - Long Form
VS 4-26 (JUN 2014) Fillable.pdf

www.aphis.usda.gov/library/forms/pdf/VS_4_26.pdf
Form
VS 4-26 Vaccination Record - Long Form
VS 4-26 (JUN 2014) Fillable.pdf

www.aphis.usda.gov/library/forms/pdf/VS_4_26.pdf
Form
VS 4-100 Log for Market Cattle Test Reactors
VS 4-100 Apr 2009.pdf
Form
VS 4-100 Log for Market Cattle Test Reactors
VS 4-100 Apr 2009.pdf
Form
VS 1-27 Permit for Movement of Restricted Animals
VS 1-27 (JUL 2011) Fillable.pdf
Form
VS 1-27 Permit for Movement of Restricted Animals
VS 1-27 (JUL 2011) Fillable.pdf
Form
VS 4-6 Telecopier Justification for Brucellosis Herd Depopulati
VS 4-6 APR 2009.pdf
Form
VS 4-6 Telecopier Justification for Brucellosis Herd Depopulati
VS 4-6 APR 2009.pdf
Form
VS 4-1 Application for Brucellosis Classification or Reclassifi
VS 4-1 Feb 2009.doc
Form
VS 4-1 Application for Brucellosis Classification or Reclassifi
VS 4-1 Feb 2009.doc
Form
VS 4-108 Epidemiologic Investigation of Brucellosis Reactor Herd
VS 4-108 Apr 2009 exp xx-xxxx (20220719).pdf
Form and Instruction
VS 4-108 Epidemiologic Investigation of Brucellosis Reactor Herd
VS 4-108 Apr 2009 exp xx-xxxx (20220719).pdf
Form and Instruction
VS 4-108A Origin of Reactors/Herd Additions
VS 4-108A Apr 2009 xx-xxxx (20220719).pdf
Form and Instruction
VS 4-108A Origin of Reactors/Herd Additions
VS 4-108A Apr 2009 xx-xxxx (20220719).pdf
Form and Instruction
VS 4-108B Animals Removed from Infected Herd
VS 4-108B Apr 2009 xx-xxxx (20220719).pdf
Form and Instruction
VS 4-108B Animals Removed from Infected Herd
VS 4-108B Apr 2009 xx-xxxx (20220719).pdf
Form and Instruction
VS 4-108C Epidemoiolgy Report - Area Herds
VS 4-108C Apr 2009 xx-xxxx (20220719).pdf
Form and Instruction
VS 4-108C Epidemoiolgy Report - Area Herds
VS 4-108C Apr 2009 xx-xxxx (20220719).pdf
Form and Instruction
VS 4-106 Field Investigation of Brucellosis Market Test Reactor(s
VS 4-106 Apr 2009.pdf
Form
VS 4-106 Field Investigation of Brucellosis Market Test Reactor(s
VS 4-106 Apr 2009.pdf
Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 4-1D Oracle Application Server web address: http://cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt Yes Yes Fillable Fileable
Form VS 4-13 No   Paper Only
Form VS 4-59 No   Paper Only
Form VS 4-33 https://www.aphis.usda.gov/library/forms/pdf/VS_4_33.pdf Yes Yes Fillable Fileable
Form VS 4-33A https://www.aphis.usda.gov/library/forms/pdf/VS_4_33A.pdf Yes Yes Fillable Fileable
Form VS 4-54 https://www.aphis.usda.gov/library/forms/pdf/VS_Form4_54.pdf Yes Yes Fillable Fileable
Form VS 4-26 https://www.aphis.usda.gov/library/forms/pdf/VS_4_26.pdf Yes Yes Fillable Fileable
Form VS 4-100 No   Paper Only
Form VS 1-27 Yes Yes Fillable Fileable
Form VS 4-6 No   Paper Only
Form VS 4-1 Oracle Application Server web address: http://cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt Yes Yes Fillable Fileable
Form and Instruction VS 4-108 No   Paper Only
Form and Instruction VS 4-108A No   Paper Only
Form and Instruction VS 4-108B No   Paper Only
Form and Instruction VS 4-108C No   Paper Only
Form VS 4-106 No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved 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 303,018 0 0 0 0 303,018
Annual IC Time Burden (Hours) 44,821 0 0 2 0 44,819
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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