Information Collection

State, Tribal, Local Gov't

IC 273646 under ICR 202501-0579-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Single Premises US SHIP Enrollment Form (MAY 2024).pdf	Other-Template
Single Premises US SHIP Enrollment Form (MAY 2024).pdf	Other-Template
OSA Qualtrics Monthly Report Combined (sample).pdf	Other-Template
OSA Qualtrics Monthly Report Combined (sample).pdf	Other-Template
US SHIP Site Status Verification Database.pdf	Other-Template
US SHIP Site Status Verification Database.pdf	Other-Template
US SHIP Program Standards (DEC 2024).docx US SHIP Program Standards (DEC 2024)	IC Document
US SHIP Program Standards (DEC 2024).docx US SHIP Program Standards (DEC 2024)	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 149 9 CFR 148

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Template	Yes	Yes	Fillable Fileable
Other-Template	Yes	Yes	Fillable Fileable
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: 51

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	77,212	77,212
Annual IC Time Burden (Hours)	19,196	19,196
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
US SHIP Program Standards (DEC 2024)		01/14/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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