OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

U.S. Origin Health Certificate

IC 2093 under ICR 202402-0579-001 · OMB 0579-0020.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form VS 17-140
U.S. Origin Health Certificate		 Form and Instruction
VS 17-140 United States Origin Health Certificate
VS 17-140 (NOV 2014).pdf 		Form and Instruction
VS 17-140 United States Origin Health Certificate
VS 17-140 (NOV 2014).pdf 		Form and Instruction
VS Form 17-140A Continuation Sheet for United States Origin Health Certi
VS 17-140A (JAN 2011).pdf 		Form
VS Form 17-140A Continuation Sheet for United States Origin Health Certi
VS 17-140A (JAN 2011).pdf 		Form
VS Form 17-140B Continuation Sheet for U.S. Origin Health Certificate
VS 17-140B (JAN 2011).pdf 		Form
VS Form 17-140B Continuation Sheet for U.S. Origin Health Certificate
VS 17-140B (JAN 2011).pdf 		Form
VS Form 17-145 United States Origin Health Certificate for the Export o
VS 17-145 FEB 2022.pdf 		Form
VS Form 17-145 United States Origin Health Certificate for the Export o
VS 17-145 FEB 2022.pdf 		Form
APHIS Form 7001 United States Interstate and International Certificate o
APHIS 7001 (NOV 2010).pdf 		Form
APHIS Form 7001 United States Interstate and International Certificate o
APHIS 7001 (NOV 2010).pdf 		Form
VS 17-141 Health Certificate for the Export of Live Finfish, Mollu
VS 17-141 (MAR 2006).pdf 		Form and Instruction
VS 17-141 Health Certificate for the Export of Live Finfish, Mollu
VS 17-141 (MAR 2006).pdf 		Form and Instruction
VS 17-6 Export Health Certificate for Poultry or Hatching Eggs f
VS 17-6 JUL 2014 FIL (20240221).pdf 		Form
VS 17-6 Export Health Certificate for Poultry or Hatching Eggs f
VS 17-6 JUL 2014 FIL (20240221).pdf 		Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 17-140 United States Origin Health Certificate VS 17-140 (NOV 2014).pdf Yes No Printable Only
Form VS Form 17-140A Continuation Sheet for United States Origin Health Certificate VS 17-140A (JAN 2011).pdf Yes No Printable Only
Form VS Form 17-140B Continuation Sheet for U.S. Origin Health Certificate VS 17-140B (JAN 2011).pdf Yes No Printable Only
Form VS Form 17-145 United States Origin Health Certificate for the Export of Horses from the U.S. to Canada VS 17-145 FEB 2022.pdf Yes No Fillable Printable
Form APHIS Form 7001 United States Interstate and International Certificate of Health Examination for Small Animals APHIS 7001 (NOV 2010).pdf Yes No Fillable Printable
Form and Instruction VS 17-141 Health Certificate for the Export of Live Finfish, Mollusks, and Crustaceans (and Their Gametes) VS 17-141 (MAR 2006).pdf Yes No Fillable Printable
Form VS 17-6 Export Health Certificate for Poultry or Hatching Eggs for Export VS 17-6 JUL 2014 FIL (20240221).pdf Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 491,678 0 0 105,487 0 386,191
Annual IC Time Burden (Hours) 516,556 0 0 92,240 0 424,316
Annual IC Cost Burden (Dollars) 0 0 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.