State, Local, Tribal Gov't

HPAI: Testing, Surveillance, and Reporting of HPAI in Livestock; Dairy Herd Certification

OMB: 0579-0494

IC ID: 268874

Documents and Forms
Document Name
Document Type
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

State, Local, Tribal Gov't
 
No New
 
Mandatory
 
9 CFR 71.3(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-temporary form HPAI H5N1 Milk Submission Form.pdf Yes Yes Fillable Fileable
Other-temporary form HPAI Livestock Non-NAHLN Lab Reporting Results Template.xlsx Yes Yes Fillable Fileable
Form and Instruction VS 10-4 Specimen Submission VS 10-4 JUN 2022-ICR-FIL-508-RE.pdf Yes Yes Fillable Printable
Form and Instruction VS 10-4A Continuation Sheet for Specimen Submission VS 10-4A AUG 2009-ICR-FIL-508-RE.pdf Yes Yes Fillable Printable
Other-temporary form Dairy Cattle Emerging Health Event Epi Questionnaire.pdf Yes Yes Fillable Fileable
Form and Instruction VS 1-27 Permit for Movement of Restricted Animals VS 1-27 JUL 2011-ICR-FIL-508-RE.pdf Yes Yes Fillable Fileable
Form and Instruction VS 1-27A Continuation Sheet for Permit for Movement of Restricted Animals VS 1-27A SEP 1991-ICR-FIL-508-RE.pdf Yes Yes Fillable Fileable
Other-temporary form Herd Monitoring Plan Template.pdf Yes Yes Fillable Fileable
Form VS 8-18 Statement of Services Performed VS 8-18 AUG 2023.pdf Yes Yes Fillable Printable
Other-temporary form Dairy HPAI Expense Tracker.xlsx Yes Yes Fillable Fileable
Other-temporary form Financial Support - HPAI Affected Dairy Premises Agreement.pdf Yes Yes Fillable Printable
Other-temporary form Financial Support - Participating Premises Agreement.pdf Yes Yes Fillable Printable

Natural Resources Agricultural Innovation and Services

 

52 0
   
State, Local, and Tribal Governments
 
   75 %

  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 36,304 0 36,304 0 0 0
Annual IC Time Burden (Hours) 138,866 0 138,866 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
USDA Support to HPAI-Affected Premises USDA Support to HPAI-Affected Premises.pdf 06/21/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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