Information Collection

Live Poultry Dealer Disclosure Document

IC 254120 under ICR 202206-0581-001 · OMB 0581-0337.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0337 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PDS-6100 Live Poultry Dealer Disclosure Document	Form
PSD 6100 Live poultry Dealer Disclosure Statement instructions 06 01 2022.pdf	Instruction
PSD 6100 Live poultry Dealer Disclosure Statement instructions 06 01 2022.pdf	Instruction
PDS-6100 Live Poultry Dealer Disclosure Document PSD-6100 Live Poultry Dealer Disclosure Document 06 01 2022.pdf	Form
PDS-6100 Live Poultry Dealer Disclosure Document PSD-6100 Live Poultry Dealer Disclosure Document 06 01 2022.pdf	Form

IC Title:

Live Poultry Dealer Disclosure Document

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

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	PDS-6100	Live Poultry Dealer Disclosure Document	PSD-6100 Live Poultry Dealer Disclosure Document 06 01 2022.pdf		Yes	No	Fillable Printable
Instruction			PSD 6100 Live poultry Dealer Disclosure Statement instructions 06 01 2022.pdf		Yes	No	Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 89

Number of Respondents for Small Entity: 52

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	55,091	55,091
Annual IC Time Burden (Hours)	29,346	29,346
Annual IC Cost Burden (Dollars)	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.