Information Collection

State Animal Health Officials

IC 222227 under ICR 202212-0524-001 · OMB 0524-0050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0524-0050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Veterinarian Short State Animal Health Officials	Form
Survey of Animal Health Officials.pdf	Other-Survey
Survey of Animal Health Officials.pdf	Other-Survey
Veterinarian Short Veterinarian Shortage Situation Nomination Form.pdf	Form
Veterinarian Short Veterinarian Shortage Situation Nomination Form.pdf	Form

IC Title:

State Animal Health Officials

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	Veterinarian Shortage Situation Nomination Form	N/A	Veterinarian Shortage Situation Nomination Form.pdf		Yes	Yes	Fillable Fileable
Other-Survey			Survey of Animal Health Officials.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	300	60	240
Annual IC Time Burden (Hours)	500	20	480
Annual IC Cost Burden (Dollars)	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.