Document Name Document Type
Form VS 4-1D 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 Oracle Application Server web address: cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt 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 4-33 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 4-54 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 4-100 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 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 Oracle Application Server web address: cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt Form
VS 4-108 Epidemiologic Investigation of Brucellosis Reactor Herd VS 4-108 Apr 2009 exp xx-xxxx (20220719).pdf Form and Instruction
VS 4-108A 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 4-108C 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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Brucellosis Program - State, Local, and Tribal Government	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 51 and 78

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 4-1D	Application for Validation of a Brucellosis Free Area	VS 4-1D Feb 2009.pdf	Oracle Application Server web address: http://cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt	Yes	Yes	Fillable Fileable
Form	VS 4-13	Certified Herd - Cooperative Brucellosis Eradication	VS 4-13 Nov 1972 FINAL.pdf		No		Paper Only
Form	VS 4-59	Monthly Report of Swine Brucellosis Eradication Activities	VS 4-59 Apr 2009.pdf		No		Paper Only
Form	VS 4-33	Brucellosis Test Record	VS 4-33 (JUN 2014) Fillable.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_4_33.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-33A	Brucellosis Test Record Continuation Sheet	VS 4-33A (JUN 2014) Fillable.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_4_33A.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-54	Brucellosis Test Record Market Cattle Testing Program	VS 4-54 (MAY 2014) Fillable.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_Form4_54.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-26	Vaccination Record - Long Form	VS 4-26 (JUN 2014) Fillable.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_4_26.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-100	Log for Market Cattle Test Reactors	VS 4-100 Apr 2009.pdf		No		Paper Only
Form	VS 1-27	Permit for Movement of Restricted Animals	VS 1-27 (JUL 2011) Fillable.pdf		Yes	Yes	Fillable Fileable
Form	VS 4-6	Telecopier Justification for Brucellosis Herd Depopulations	VS 4-6 APR 2009.pdf		No		Paper Only
Form	VS 4-1	Application for Brucellosis Classification or Reclassificaton of State	VS 4-1 Feb 2009.doc	Oracle Application Server web address: http://cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt	Yes	Yes	Fillable Fileable
Form and Instruction	VS 4-108	Epidemiologic Investigation of Brucellosis Reactor Herd	VS 4-108 Apr 2009 exp xx-xxxx (20220719).pdf		No		Paper Only
Form and Instruction	VS 4-108A	Origin of Reactors/Herd Additions	VS 4-108A Apr 2009 xx-xxxx (20220719).pdf		No		Paper Only
Form and Instruction	VS 4-108B	Animals Removed from Infected Herd	VS 4-108B Apr 2009 xx-xxxx (20220719).pdf		No		Paper Only
Form and Instruction	VS 4-108C	Epidemoiolgy Report - Area Herds	VS 4-108C Apr 2009 xx-xxxx (20220719).pdf		No		Paper Only
Form	VS 4-106	Field Investigation of Brucellosis Market Test Reactor(s)	VS 4-106 Apr 2009.pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title: USDA/APHIS-6, Veterinary Services -- Brucellosis Information System and Brucellosis Recording and Reporting System	FR Citation: 66 FR 57698

Number of Respondents: 52	Number of Respondents for Small Entity: 47

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	303,018	0	303,018
Annual IC Time Burden (Hours)	44,821	2	44,819
Annual IC Cost Burden (Dollars)	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.

Brucellosis Program - State, Local, and Tribal Government

Cooperative State-Federal Brucellosis Eradication Program

OMB: 0579-0047

IC ID: 2111

View Information Collection (IC)