Information Collection

Private Sector

IC 2183 under ICR 202501-0579-005 · OMB 0579-0101.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form VS 5-18
Private Sector
Form
Form VS 5-18
Record of Animals Moved Private Sector
Form
Form VS 5-19D
Scrapie Epidemiology Report Private Sector
Form
Form VS 5-19
Flock Inspection and Epidemiology Report Private Sector
Form
Form VS 5-20
Individual Animal Information Report Private Sector
Form
Form VS 1-23
Appraisal and Indemnity Claim Form Private Sector
Form
Form VS 1-23A
Indemnity Worksheet - Owner/Company Private Sector
Form
Form VS 1-24
Proceeds from Animals/Animal Products/Materials Sold for Salvage Private Sector
Form
Form VS 5-19C
Scrapie PEMMP Inspection Report Private Sector
Form
Form VS 5-29
Cooperative State - Scrapie Control Program Private Sector
Form
Form VS 5-29A
Scrapie Test Record - Continuation Sheet Private Sector
Form
Form VS 10-4
Specimen Submission Private Sector
Form
Form VS 5-22
Application for the Scrapie Flock Certification Program Private Sector
Form
Form VS 5-18 A
Record of Animals Acquired Private Sector
Form
Form VS 5-19 A
Flock Inspection and Epidemnity Report Initial Flock Inspection for Complete Monitored Status in SCrapie Flock Certification Program Private Sector
Form
Form VS 5-19 b
Flock Inspection and Epidemiology Report Flock Inspection for Complete Monitored Status in the Scrapie Flock Certification Program Private Sector
Form
Form VS 17-140
United States Origin Health Certificate Private Sector
Form
Form VS 1-27
Permit for Movement of Restricted Animals Private Sector
Form
Form VS 5-10
TERMINAL FEEDLOT APPROVAL Private Sector
Form
Form VS 5-13
OWNER / HAULER STATEMENT FOR SHEEP AND GOATS Private Sector
Form
Form VS 10-4A
Continuation Sheet for Specimen Submission Private Sector
Form
Form VS 5-13
Owner/Hauler Statement for Sheep and Goats Private Sector
Form
VS 5-18 Record of Animals Moved
VS 5-18 Dec 2011.pdf

www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf
Form
VS 5-18 Record of Animals Moved
VS 5-18 Dec 2011.pdf

www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf
Form
VS 5-19D Scrapie Epidemiology Report
VS 5-19D Feb 2011.pdf
Form
VS 5-19D Scrapie Epidemiology Report
VS 5-19D Feb 2011.pdf
Form
VS 5-19 Flock Inspection and Epidemiology Report
VS 5-19 DEC 2011.pdf
Form
VS 5-19 Flock Inspection and Epidemiology Report
VS 5-19 DEC 2011.pdf
Form
VS 5-20 Individual Animal Information Report
VS 5-20 DEC 2011.pdf
Form
VS 5-20 Individual Animal Information Report
VS 5-20 DEC 2011.pdf
Form
VS 1-23 Appraisal and Indemnity Claim Form
VS 1-23 AUG 2018.pdf
Form
VS 1-23 Appraisal and Indemnity Claim Form
VS 1-23 AUG 2018.pdf
Form
VS 1-23A Indemnity Worksheet - Owner/Company
VS 1-23A-work May 2009.pdf
Form
VS 1-23A Indemnity Worksheet - Owner/Company
VS 1-23A-work May 2009.pdf
Form
VS 1-24 Proceeds from Animals/Animal Products/Materials Sold for
VS 1-24 AUG 2018 (SECURE).pdf
Form
VS 1-24 Proceeds from Animals/Animal Products/Materials Sold for
VS 1-24 AUG 2018 (SECURE).pdf
Form
VS 5-19C Scrapie PEMMP Inspection Report
VS 5-19C Feb 2011.pdf
Form
VS 5-19C Scrapie PEMMP Inspection Report
VS 5-19C Feb 2011.pdf
Form
VS 5-29 Cooperative State - Scrapie Control Program
NSC - VS 5-29 JAN 2025-ICR-FIL-508 (20240701).pdf
Form
VS 5-29 Cooperative State - Scrapie Control Program
NSC - VS 5-29 JAN 2025-ICR-FIL-508 (20240701).pdf
Form
VS 5-29A Scrapie Test Record - Continuation Sheet
NSC - VS 5-29A JAN 2025-ICR-FIL-508.pdf
Form
VS 5-29A Scrapie Test Record - Continuation Sheet
NSC - VS 5-29A JAN 2025-ICR-FIL-508.pdf
Form
VS 10-4 Specimen Submission
VS 10-4 FEB 2021 SEC.pdf

www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf
Form
VS 10-4 Specimen Submission
VS 10-4 FEB 2021 SEC.pdf

www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf
Form
VS 5-22 Application for the Scrapie Flock Certification Program
VS 5-22 June 2013.pdf

www.aphis.usda.gov/library/forms/pdf/vs5_22.pdf
Form
VS 5-22 Application for the Scrapie Flock Certification Program
VS 5-22 June 2013.pdf

www.aphis.usda.gov/library/forms/pdf/vs5_22.pdf
Form
VS 5-18 A Record of Animals Acquired
VS 5-18A Dec 2011.pdf

www.aphis.usda.gov/library/forms/pdf/vs5_18a.pdf
Form
VS 5-18 A Record of Animals Acquired
VS 5-18A Dec 2011.pdf

www.aphis.usda.gov/library/forms/pdf/vs5_18a.pdf
Form
VS 5-19 A Flock Inspection and Epidemnity Report Initial Flock Ins
VS 5-19A June 2013 Final.pdf
Form
VS 5-19 A Flock Inspection and Epidemnity Report Initial Flock Ins
VS 5-19A June 2013 Final.pdf
Form
VS 5-19 b Flock Inspection and Epidemiology Report Flock Inspectio
VS 5-19B June 2013 Final.pdf
Form
VS 5-19 b Flock Inspection and Epidemiology Report Flock Inspectio
VS 5-19B June 2013 Final.pdf
Form
VS 17-140 United States Origin Health Certificate
VS 17-140 AUG 2018.pdf
Form
VS 17-140 United States Origin Health Certificate
VS 17-140 AUG 2018.pdf
Form
VS 1-27 Permit for Movement of Restricted Animals
VS 1-27 JUL 2011 (OMB).pdf
Form
VS 1-27 Permit for Movement of Restricted Animals
VS 1-27 JUL 2011 (OMB).pdf
Form
VS 5-10 TERMINAL FEEDLOT APPROVAL
VS 5-10 NOV 2018).pdf
Form
VS 5-10 TERMINAL FEEDLOT APPROVAL
VS 5-10 NOV 2018).pdf
Form
VS 5-13 OWNER / HAULER STATEMENT FOR SHEEP AND GOATS
VS 5-13 OCT 2024-ICR (20240701).docx
Form
VS 5-13 OWNER / HAULER STATEMENT FOR SHEEP AND GOATS
VS 5-13 OCT 2024-ICR (20240701).docx
Form
VS 10-4A Continuation Sheet for Specimen Submission
VS 10-4A AUG 2009 (20200629) Secure.pdf
Form
VS 10-4A Continuation Sheet for Specimen Submission
VS 10-4A AUG 2009 (20200629) Secure.pdf
Form
VS 5-13 Owner/Hauler Statement for Sheep and Goats
VS 5-13 NOV 2018.pdf
Form
VS 5-13 Owner/Hauler Statement for Sheep and Goats
VS 5-13 NOV 2018.pdf
Form
FY23 VS Grant and Cooperative Agreements Recipient Guide.pdf
Grant and Coop Agreement Guide
IC Document
FY23 VS Grant and Cooperative Agreements Recipient Guide.pdf
Grant and Coop Agreement Guide
IC Document
MOU template.docx
MOU Template
IC Document
MOU template.docx
MOU Template
IC Document
On-farm_worksheet.pdf
On-Farm Worksheet
IC Document
On-farm_worksheet.pdf
On-Farm Worksheet
IC Document
VSLS Goat RSSS_Collection_worksheet_Circle choice.pdf
VSLS Goat RSSS Collection Worksheet Circle
IC Document
VSLS Goat RSSS_Collection_worksheet_Circle choice.pdf
VSLS Goat RSSS Collection Worksheet Circle
IC Document
VSLS Goat RSSS_Collection_worksheet_Fill in.pdf
VSLS Goat RSSS Collection Worksheet Fill-in
IC Document
VSLS Goat RSSS_Collection_worksheet_Fill in.pdf
VSLS Goat RSSS Collection Worksheet Fill-in
IC Document
VSLS Sheep RSSS_Collection_worksheet_Circle choice.pdf
VSLS Sheep RSSS Collection Worksheet Circle
IC Document
VSLS Sheep RSSS_Collection_worksheet_Circle choice.pdf
VSLS Sheep RSSS Collection Worksheet Circle
IC Document
VSLS sheep RSSS_Collection_worksheet_Fill in.pdf
VSLS Sheep RSSS Collection Worksheet Fill-in
IC Document
VSLS sheep RSSS_Collection_worksheet_Fill in.pdf
VSLS Sheep RSSS Collection Worksheet Fill-in
IC Document
Appendix C-E Screen Shots SCS-SCR VSLS AIMS_Redacted.pdf
Appdx C thru E VSLS AIMS Screenshots
IC Document
Appendix C-E Screen Shots SCS-SCR VSLS AIMS_Redacted.pdf
Appdx C thru E VSLS AIMS Screenshots
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Form VS 5-18 http://www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf Yes No Printable Only
Form VS 5-19D No   Paper Only
Form VS 5-19 No   Paper Only
Form VS 5-20 No   Paper Only
Form VS 1-23 No   Paper Only
Form VS 1-23A No   Paper Only
Form VS 1-24 No   Paper Only
Form VS 5-19C No   Paper Only
Form VS 5-29 No   Fillable Printable
Form VS 5-29A No   Fillable Printable
Form VS 10-4 http://www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf Yes No Printable Only
Form VS 5-22 http://www.aphis.usda.gov/library/forms/pdf/vs5_22.pdf Yes No Printable Only
Form VS 5-18 A http://www.aphis.usda.gov/library/forms/pdf/vs5_18a.pdf Yes No Printable Only
Form VS 5-19 A No   Paper Only
Form VS 5-19 b No   Paper Only
Form VS 17-140 No   Paper Only
Form VS 1-27 No   Paper Only
Form VS 5-10 No   Paper Only
Form VS 5-13 Yes Yes Fillable Printable
Form VS 10-4A Yes No Fillable Printable
Form VS 5-13 No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 1,063,788 0 0 0 0 1,063,788
Annual IC Time Burden (Hours) 810,927 0 0 0 0 810,927
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Grant and Coop Agreement Guide 10/10/2023
MOU Template 10/10/2023
On-Farm Worksheet 10/10/2023
VSLS Goat RSSS Collection Worksheet Circle 10/10/2023
VSLS Goat RSSS Collection Worksheet Fill-in 10/10/2023
VSLS Sheep RSSS Collection Worksheet Circle 10/10/2023
VSLS Sheep RSSS Collection Worksheet Fill-in 10/10/2023
Appdx C thru E VSLS AIMS Screenshots 10/10/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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