Information Collection

State

IC 203516 under ICR 202308-0579-004 · OMB 0579-0409.

Documents and Forms

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

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.