State

National Veterinary Services Laboratories; Bovine Spongiform Encephalopathy Surveillance Program

Documents and Forms

Document Name Document Type
Form VS 17-146 State Form and Instruction
VS 17-146 BSE Surviellnace Submission Form VS 17-146 FEB 2014 (20210209) FIL-ICR-508-RE.pdf www.aphis.usda.gov/library/forms/pdf/VS_17_146.pdf Form and Instruction
VS 17-146 BSE Surviellnace Submission Form VS 17-146 FEB 2014 (20210209) FIL-ICR-508-RE.pdf www.aphis.usda.gov/library/forms/pdf/VS_17_146.pdf Form and Instruction
VS 17-146A BSE Surviellance Submission Form Continuation Sheet VS 17-146A FEB 2014 (20210209) FIL-ICR-508-RE.pdf www.aphis.usda.gov/library/forms/pdf/VS_17_146a.pdf Form and Instruction
VS 17-146A BSE Surviellance Submission Form Continuation Sheet VS 17-146A FEB 2014 (20210209) FIL-ICR-508-RE.pdf www.aphis.usda.gov/library/forms/pdf/VS_17_146a.pdf Form and Instruction
VS 17-131 BSE Surviellance Data Collection Form VS 17-131 FEB 2014-FIL-ICR-508-RE (20210209).pdf www.aphis.usda.gov/library/forms/pdf/VS_17_131.pdf Form and Instruction
VS 17-131 BSE Surviellance Data Collection Form VS 17-131 FEB 2014-FIL-ICR-508-RE (20210209).pdf www.aphis.usda.gov/library/forms/pdf/VS_17_131.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	State	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 130.49

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VS 17-146	BSE Surviellnace Submission Form	VS 17-146 FEB 2014 (20210209) FIL-ICR-508-RE.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_17_146.pdf	Yes	Yes	Fillable Printable
Form and Instruction	VS 17-146A	BSE Surviellance Submission Form Continuation Sheet	VS 17-146A FEB 2014 (20210209) FIL-ICR-508-RE.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_17_146a.pdf	Yes	Yes	Fillable Printable
Form and Instruction	VS 17-131	BSE Surviellance Data Collection Form	VS 17-131 FEB 2014-FIL-ICR-508-RE (20210209).pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_17_131.pdf	Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 64	Number of Respondents for Small Entity: 58

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,456	-663	3,831	4,288
Annual IC Time Burden (Hours)	1,339	527	384	428
Annual IC Cost Burden (Dollars)	0	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.