State Animal Health Officials

Veterinary Medicine Loan Repayment Program (VMLRP)

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.