OMB.report

Federal forms, ICRs, and supporting documents

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
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)

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 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


table that charts list of burden
  Requested 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
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.