Information Collection

Business

IC 2106 under ICR 202410-0579-001 · OMB 0579-0040.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 17-12 Business	Form
Form VS 17-12 Daily Log for Birds Quarantine Facility Business	Form
Form VS 17-32 Application for Inspection and Dipping Business	Form
Form VS 10-4 Specimen Submission Business	Form and Instruction
Form VS 10-4A Continuation Sheet for Specimen Submission Business	Form and Instruction
Form VS 16-3 Application for Permit To Import or Transport Controlled Material or Organisms or Vectors Business	Form
Form VS 17-136 Refusal of Entry and Order to Dispose of Fish Business	Form
Form VS 16-78 Report of Entry and Shipment of Restricted Imported Animal Products or Byproducts Business	Form
Form VS 16-79 On-Hold Shipment Notification Application Business	Form
Form VS 17-139 Certificate for Importing Sheep and Goat Semen from Canada Business	Form
Form PPQ 523 Emergency Action Notification Business	Form
Form VS 17-129 Application for Import or in Transit Permit (Animals, Animal Semen, Poultry, and Hatching Eggs) Business	Form
Form VS 17-65A Zoological Park Inspection Report Business	Form
Form VS 17-65B Agreement for the Importation, Quarantine, and Exhibition of Certain Wild Ruminants and Wild Swine Business	Form
Form VS 17-65C Post Entry Quarantine Record of Zoo Animals Business	Form
Form VS 17-65D Agreement for the Transfer of Certain WIld Animals Business	Form
Form VS 17-13 Summary of Quarantine Birds Business	Form
Form VS 17-29 Declaration of Importation Business	Form
Form VS 17-30 Report of Animals, Poultry, or Eggs Offered for Importation Business	Form
Form VS 17-31 Equine Import Testing Submission Business	Form
Form VS 17-31A Equine Import Testing Submission Continuation Sheet Business	Form
Form VS 17-36 Inspection Report of Establishment for Immediate Slaughter Import Animals Business	Form
Form VS 17-37 Certification of Inspection of Export Animals Business	Form
Form VS 17-41 Notice of Animals Not Shipped Business	Form
Form VS 17-128 Application/Permit for Ratite(s) or Ratite Hatching Eggs and Space Reservation Request Business	Form
Form VS 17-33 Animals Imported for Immediate Slaughter Business	Form
MOU Final Permanent Private Equine Import Quarantine Agreement.docx	Other-Agreement template
MOU Final Permanent Private Equine Import Quarantine Agreement.docx	Other-Agreement template
Cooperative Service Agreement.docx	Other-Cooperative Service Agreement
Cooperative Service Agreement.docx	Other-Cooperative Service Agreement
info_request_recognition_region.pdf	Instruction
info_request_recognition_region.pdf	Instruction
VS 16-78 IS MAY 2020 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vsform-16-78-instructions.pdf	Instruction
VS 16-78 IS MAY 2020 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vsform-16-78-instructions.pdf	Instruction
VS 17-31 IS JUN 2017 SEC.pdf www.aphis.usda.gov/library/forms/pdf/VS-17-31instructions.pdf	Instruction
VS 17-31 IS JUN 2017 SEC.pdf www.aphis.usda.gov/library/forms/pdf/VS-17-31instructions.pdf	Instruction
VS 17-12 Daily Log for Birds Quarantine Facility VS 17-12 FEB 2014 (20210416) SEC.pdf	Form
VS 17-12 Daily Log for Birds Quarantine Facility VS 17-12 FEB 2014 (20210416) SEC.pdf	Form
VS 17-32 Application for Inspection and Dipping VS 17-32 May 2011 SEC (20211206).pdf	Form
VS 17-32 Application for Inspection and Dipping VS 17-32 May 2011 SEC (20211206).pdf	Form
VS 10-4 Specimen Submission VS 10-4 JUN 2022-ICR-FIL-508-RE (20240312).pdf www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf	Form and Instruction
VS 10-4 Specimen Submission VS 10-4 JUN 2022-ICR-FIL-508-RE (20240312).pdf www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf	Form and Instruction
VS 10-4A Continuation Sheet for Specimen Submission VS 10-4A AUG 2009 SEC.pdf www.aphis.usda.gov/library/forms/pdf/VS_Form10_4a.pdf	Form and Instruction
VS 10-4A Continuation Sheet for Specimen Submission VS 10-4A AUG 2009 SEC.pdf www.aphis.usda.gov/library/forms/pdf/VS_Form10_4a.pdf	Form and Instruction
VS 16-3 Application for Permit To Import or Transport Controlled VS 16-3 JUL 2012 SEC.pdf www.aphis.usda.gov/library/forms/pdf/VS_16_3.pdf	Form
VS 16-3 Application for Permit To Import or Transport Controlled VS 16-3 JUL 2012 SEC.pdf www.aphis.usda.gov/library/forms/pdf/VS_16_3.pdf	Form
VS 17-136 Refusal of Entry and Order to Dispose of Fish VS 17-136 SEP 2009 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vs-17-136.pdf	Form
VS 17-136 Refusal of Entry and Order to Dispose of Fish VS 17-136 SEP 2009 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vs-17-136.pdf	Form
VS 16-78 Report of Entry and Shipment of Restricted Imported Anim VS 16-78 JUL 2021 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vsform-16-78.pdf	Form
VS 16-78 Report of Entry and Shipment of Restricted Imported Anim VS 16-78 JUL 2021 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vsform-16-78.pdf	Form
VS 16-79 On-Hold Shipment Notification Application VS 16-79 JUN 2020 SEC.pdf	Form
VS 16-79 On-Hold Shipment Notification Application VS 16-79 JUN 2020 SEC.pdf	Form
VS 17-139 Certificate for Importing Sheep and Goat Semen from Cana VS 17-139 JUL 2017 SEC.pdf	Form
VS 17-139 Certificate for Importing Sheep and Goat Semen from Cana VS 17-139 JUL 2017 SEC.pdf	Form
PPQ 523 Emergency Action Notification PPQ 523 SEP 2018-ICR-FIL-508-RE (20230320).pdf	Form
PPQ 523 Emergency Action Notification PPQ 523 SEP 2018-ICR-FIL-508-RE (20230320).pdf	Form
VS 17-129 Application for Import or in Transit Permit (Animals, An VS 17-129 DEC 2020 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vs17_129.pdf	Form
VS 17-129 Application for Import or in Transit Permit (Animals, An VS 17-129 DEC 2020 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vs17_129.pdf	Form
VS 17-65A Zoological Park Inspection Report VS 17-65A DEC 2014 SEC.pdf	Form
VS 17-65A Zoological Park Inspection Report VS 17-65A DEC 2014 SEC.pdf	Form
VS 17-65B Agreement for the Importation, Quarantine, and Exhibitio VS 17-65B DEC 2014 SEC.pdf	Form
VS 17-65B Agreement for the Importation, Quarantine, and Exhibitio VS 17-65B DEC 2014 SEC.pdf	Form
VS 17-65C Post Entry Quarantine Record of Zoo Animals VS 17-65C DEC 2014 SEC.pdf	Form
VS 17-65C Post Entry Quarantine Record of Zoo Animals VS 17-65C DEC 2014 SEC.pdf	Form
VS 17-65D Agreement for the Transfer of Certain WIld Animals VS 17-65D DEC 2014.pdf	Form
VS 17-65D Agreement for the Transfer of Certain WIld Animals VS 17-65D DEC 2014.pdf	Form
VS 17-13 Summary of Quarantine Birds VS 17-13 MAY 2020 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vs-17-13.pdf	Form
VS 17-13 Summary of Quarantine Birds VS 17-13 MAY 2020 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vs-17-13.pdf	Form
VS 17-29 Declaration of Importation VS 17-29 MAY 2017 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vs17_29.pdf	Form
VS 17-29 Declaration of Importation VS 17-29 MAY 2017 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vs17_29.pdf	Form
VS 17-30 Report of Animals, Poultry, or Eggs Offered for Importat VS 17-30 JAN 2023 FIL (20230109).pdf	Form
VS 17-30 Report of Animals, Poultry, or Eggs Offered for Importat VS 17-30 JAN 2023 FIL (20230109).pdf	Form
VS 17-31 Equine Import Testing Submission VS 17-31 JUN 2017 SEC.pdf www.aphis.usda.gov/library/forms/pdf/VS_Form17_31.pdf	Form
VS 17-31 Equine Import Testing Submission VS 17-31 JUN 2017 SEC.pdf www.aphis.usda.gov/library/forms/pdf/VS_Form17_31.pdf	Form
VS 17-31A Equine Import Testing Submission Continuation Sheet VS 17-31A JUN 2017 SEC.pdf www.aphis.usda.gov/library/forms/pdf/VS-17-31A.pdf	Form
VS 17-31A Equine Import Testing Submission Continuation Sheet VS 17-31A JUN 2017 SEC.pdf www.aphis.usda.gov/library/forms/pdf/VS-17-31A.pdf	Form
VS 17-36 Inspection Report of Establishment for Immediate Slaught VS 17-36 OCT 2024-ICR-FIL (20241007).pdf	Form
VS 17-36 Inspection Report of Establishment for Immediate Slaught VS 17-36 OCT 2024-ICR-FIL (20241007).pdf	Form
VS 17-37 Certification of Inspection of Export Animals VS 17-37 APR 2024 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vs17_37.pdf	Form
VS 17-37 Certification of Inspection of Export Animals VS 17-37 APR 2024 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vs17_37.pdf	Form
VS 17-41 Notice of Animals Not Shipped VS 17-41 AUG 2011 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vs17_41.pdf	Form
VS 17-41 Notice of Animals Not Shipped VS 17-41 AUG 2011 SEC.pdf www.aphis.usda.gov/library/forms/pdf/vs17_41.pdf	Form
VS 17-128 Application/Permit for Ratite(s) or Ratite Hatching Eggs VS 17-128 APR 2014 SEC.pdf	Form
VS 17-128 Application/Permit for Ratite(s) or Ratite Hatching Eggs VS 17-128 APR 2014 SEC.pdf	Form
VS 17-33 Animals Imported for Immediate Slaughter VS 17-33 AUG 2009 SEC (20240425).pdf	Form
VS 17-33 Animals Imported for Immediate Slaughter VS 17-33 AUG 2009 SEC (20240425).pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Business

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 93

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 17-12		No		Paper Only
Form	VS 17-32		Yes	Yes	Fillable Fileable
Form and Instruction	VS 10-4	https://www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	VS 10-4A	https://www.aphis.usda.gov/library/forms/pdf/VS_Form10_4a.pdf	Yes	Yes	Fillable Fileable Signable
Form	VS 16-3	https://www.aphis.usda.gov/library/forms/pdf/VS_16_3.pdf	Yes	Yes	Fillable Fileable Signable
Form	VS 17-136	https://www.aphis.usda.gov/library/forms/pdf/vs-17-136.pdf	Yes	No	Printable Only
Form	VS 16-78	https://www.aphis.usda.gov/library/forms/pdf/vsform-16-78.pdf	Yes	No	Fillable Printable
Form	VS 16-79		Yes	No	Fillable Printable
Form	VS 17-139		Yes	No	Fillable Printable
Form	PPQ 523		Yes	No	Fillable Printable
Form	VS 17-129	https://www.aphis.usda.gov/library/forms/pdf/vs17_129.pdf	Yes	Yes	Fillable Fileable
Form	VS 17-65A		No		Printable Only
Form	VS 17-65B		No		Printable Only
Form	VS 17-65C		No		Printable Only
Form	VS 17-65D		No		Printable Only
Other-Agreement template			No		Printable Only
Other-Cooperative Service Agreement			No		Printable Only
Instruction			No		Paper Only
Instruction		https://www.aphis.usda.gov/library/forms/pdf/vsform-16-78-instructions.pdf	Yes	No	Printable Only
Form	VS 17-13	https://www.aphis.usda.gov/library/forms/pdf/vs-17-13.pdf	Yes	Yes	Fillable Fileable
Form	VS 17-29	https://www.aphis.usda.gov/library/forms/pdf/vs17_29.pdf	Yes	Yes	Fillable Fileable
Form	VS 17-30		Yes	No	Fillable Printable
Form	VS 17-31	https://www.aphis.usda.gov/library/forms/pdf/VS_Form17_31.pdf	Yes	Yes	Fillable Printable
Instruction		https://www.aphis.usda.gov/library/forms/pdf/VS-17-31instructions.pdf	Yes	No	Printable Only
Form	VS 17-31A	https://www.aphis.usda.gov/library/forms/pdf/VS-17-31A.pdf	Yes	Yes	Fillable Fileable
Form	VS 17-36		Yes	Yes	Fillable Printable
Form	VS 17-37	https://www.aphis.usda.gov/library/forms/pdf/vs17_37.pdf	Yes	Yes	Fillable Printable
Form	VS 17-41	https://www.aphis.usda.gov/library/forms/pdf/vs17_41.pdf	Yes	Yes	Fillable Printable
Form	VS 17-128		No		Paper Only
Form	VS 17-33		No		Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title: Privacy Act Systems of Records; APHIS Comprehensive Electronic Permitting System (ePermits)

FR Citation: 73 FR 23406

Number of Respondents: 65,452

Number of Respondents for Small Entity: 16,363

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	392,080	392,080
Annual IC Time Burden (Hours)	202,709	202,709
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.

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