Information Collection

State

IC 212482 under ICR 202406-0579-001 · OMB 0579-0430.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0430 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 4-9 State	Form
VS 4-9 Request for Reagents or Supplies VS 4-9 JUN 2024-ICR-FIL-508 (20240603) - NSC.pdf	Form
VS 4-9 Request for Reagents or Supplies VS 4-9 JUN 2024-ICR-FIL-508 (20240603) - NSC.pdf	Form
VS 4-10 NVSL Contact Information Update VS 4-10 JUN 2024-ICR (20240603) - NSC.docx	Form
VS 4-10 NVSL Contact Information Update VS 4-10 JUN 2024-ICR (20240603) - NSC.docx	Form
VS 4-11 NVSL Application for Laboratory Training VS 4-11 MAY 2015 (20220208).pdf	Form
VS 4-11 NVSL Application for Laboratory Training VS 4-11 MAY 2015 (20220208).pdf	Form
VS 4-12 National Veterinary Services Laboratories Kit and Instru VS 4-12 FEB 2021 (20220208).pdf	Form
VS 4-12 National Veterinary Services Laboratories Kit and Instru VS 4-12 FEB 2021 (20220208).pdf	Form

IC Title:

State

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 130.14

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 4-9	Request for Reagents or Supplies	VS 4-9 JUN 2024-ICR-FIL-508 (20240603) - NSC.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-10	NVSL Contact Information Update	VS 4-10 JUN 2024-ICR (20240603) - NSC.docx	Yes	Yes	Fillable Fileable
Form	VS 4-11	NVSL Application for Laboratory Training	VS 4-11 MAY 2015 (20220208).pdf	Yes	Yes	Fillable Fileable
Form	VS 4-12	National Veterinary Services Laboratories Kit and Instrument Order Form	VS 4-12 FEB 2021 (20220208).pdf	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 107

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	637	637
Annual IC Time Burden (Hours)	134	134
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.