Information Collection

Individuals

IC 182355 under ICR 202208-0579-003 · OMB 0579-0335.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WS 12A Individuals	Form and Instruction
WS 12A Work Initiation Document for Wildlife Damage Management WS 12A W INSTR AUG 2021 SEC.pdf usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Form and Instruction
WS 12 Addendum Addendum to a Work Initiation Document WS FORM 12 ADDENDUM OCT 2017 SECURE.pdf usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Form
WS 12B Work Initiation Document for Wildlife Damage Management WS FORM 12B W INSTR OCT 2017 SECURE.pdf usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Form and Instruction
WS 12C Work Initiation Document for Management of Wildlife Dama WS FORM 12C W INSTR OCT 2017 SECURE.pdf usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Form and Instruction
WS 17 Pocatello Supply Depot Order Form WS FORM 17 NOV 2016 SECURE.pdf usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Form
WS 18 Control Materials Sales Record WS FORM 18 APR 2017 SECURE.pdf usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Form
WS 30 Wildlife Services Assistance Request WS FORM 30 W INSTR APR 2017 SECURE.pdf usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Form and Instruction
WS 35 Report of Injury or Death to Non-target Animals WS FORM 35 W INSTR DEC 2016 SECURE.pdf usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Form and Instruction
WS 49 Permanent Assignment of Pyrotechnics and Repellants WS FORM 49 NOV 2016 SECURE.pdf	Form
WS 92 Livestock Protection Collar (LPC) Accident Report WS FORM 92 NOV 2016 SECURE.pdf	Form
WS 37 USFWS Migratory Bird Permit Application or Review WS FORM 37 W INSTR APR 2018 SEC.pdf usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Individuals

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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 and Instruction	WS 12A	Work Initiation Document for Wildlife Damage Management	WS 12A W INSTR AUG 2021 SEC.pdf	https://usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Yes	No	Fillable Printable
Form	WS 12 Addendum	Addendum to a Work Initiation Document	WS FORM 12 ADDENDUM OCT 2017 SECURE.pdf	https://usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Yes	No	Fillable Printable
Form and Instruction	WS 12B	Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners	WS FORM 12B W INSTR OCT 2017 SECURE.pdf	https://usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Yes	No	Fillable Printable
Form and Instruction	WS 12C	Work Initiation Document for Management of Wildlife Damage on Urban Properties	WS FORM 12C W INSTR OCT 2017 SECURE.pdf	https://usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Yes	No	Fillable Printable
Form	WS 17	Pocatello Supply Depot Order Form	WS FORM 17 NOV 2016 SECURE.pdf	https://usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Yes	Yes	Fillable Fileable
Form	WS 18	Control Materials Sales Record	WS FORM 18 APR 2017 SECURE.pdf	https://usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Yes	No	Fillable Printable
Form and Instruction	WS 30	Wildlife Services Assistance Request	WS FORM 30 W INSTR APR 2017 SECURE.pdf	https://usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Yes	Yes	Fillable Fileable
Form and Instruction	WS 35	Report of Injury or Death to Non-target Animals	WS FORM 35 W INSTR DEC 2016 SECURE.pdf	https://usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Yes	Yes	Fillable Fileable
Form	WS 49	Permanent Assignment of Pyrotechnics and Repellants	WS FORM 49 NOV 2016 SECURE.pdf		Yes	No	Fillable Printable
Form	WS 92	Livestock Protection Collar (LPC) Accident Report	WS FORM 92 NOV 2016 SECURE.pdf		Yes	No	Fillable Printable
Form and Instruction	WS 37	USFWS Migratory Bird Permit Application or Review	WS FORM 37 W INSTR APR 2018 SEC.pdf	https://usdagcc.sharepoint.com/sites/aphis-ws/WS%20Forms/Forms/AllItems.aspx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title: APHIS-9: Wildlife Services Management Information System

FR Citation: 80 FR 60872

Number of Respondents: 31,741

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	35,680	-5,420	1,347	39,753
Annual IC Time Burden (Hours)	1,515	-96	-21	1,632
Annual IC Cost Burden (Dollars)	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.