State

National Veterinary Services Laboratories Request Forms

Documents and Forms

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-exp xxx (20241105).pdf www.aphis.usda.gov/organization/business-services/forms/aphis-forms?column=form%20number&filter=vs- Form
VS 4-10 NVSL Contact Information Update VS 4-10 JUN 2024-ICR-FIL-508-exp xxx (20241105).pdf www.aphis.usda.gov/organization/business-services/forms/aphis-forms?column=form%20number&filter=vs- Form
VS 4-11 NVSL Application for Laboratory Training VS 4-11 MAY 2015-ICR-FIL-508-exp xxx (20241105).pdf www.aphis.usda.gov/organization/business-services/forms/aphis-forms?column=form%20number&filter=vs- Form
VS 4-12 National Veterinary Services Laboratories Kit and Instru VS 4-12 FEB 2021-ICR-FIL-508-exp xxx (20241105).pdf www.aphis.usda.gov/organization/business-services/forms/aphis-forms?column=form%20number&filter=vs- Form

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	URL	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-exp xxx (20241105).pdf	https://www.aphis.usda.gov/organization/business-services/forms/aphis-forms?column=form%20number&filter=vs-	Yes	Yes	Fillable Fileable
Form	VS 4-10	NVSL Contact Information Update	VS 4-10 JUN 2024-ICR-FIL-508-exp xxx (20241105).pdf	https://www.aphis.usda.gov/organization/business-services/forms/aphis-forms?column=form%20number&filter=vs-	Yes	Yes	Fillable Fileable
Form	VS 4-11	NVSL Application for Laboratory Training	VS 4-11 MAY 2015-ICR-FIL-508-exp xxx (20241105).pdf	https://www.aphis.usda.gov/organization/business-services/forms/aphis-forms?column=form%20number&filter=vs-	Yes	Yes	Fillable Fileable
Form	VS 4-12	National Veterinary Services Laboratories Kit and Instrument Order Form	VS 4-12 FEB 2021-ICR-FIL-508-exp xxx (20241105).pdf	https://www.aphis.usda.gov/organization/business-services/forms/aphis-forms?column=form%20number&filter=vs-	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: 109	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 70 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	616	-21	637
Annual IC Time Burden (Hours)	149	15	134
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.