Information Collection

State, Local, Tribal Governments

IC 273466 under ICR 202412-0579-004 · OMB 0579-0502.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0502 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HPAI Biosecurity Audit Tool (JUN 2024).docx	Other-template
HPAI Biosecurity Audit Tool (JUN 2024).docx	Other-template

IC Title:

State, Local, Tribal Governments

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 9 CFR 53.10(g) 9 CFR 53.11(e) 9 CFR 53-11(f) (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Other-template					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: 52

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	156	156
Annual IC Time Burden (Hours)	832	832
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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