Information Collection

Live Poultry Dealer Disclosure Document

IC 254120 under ICR 202307-0581-001 · OMB 0581-0337.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PSD Form 6100 Live Poultry Dealer Disclosure Document Form Instructions 11-16-23 Final.docx	Instruction
PSD Form 6100 Live Poultry Dealer Disclosure Document Form Instructions12-12-2023.docx	Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 201.100

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
Instruction			PSD Form 6100 Live Poultry Dealer Disclosure Document Form Instructions12-12-2023.docx		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: 42

Number of Respondents for Small Entity: 20

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	46,203	46,203
Annual IC Time Burden (Hours)	17,209	17,209
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.