Information Collection Request

Conditions for Payment of Avian Influenza Indemnity Claims

ICR 202603-0579-003 · OMB 0579-0440 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form VS 1-23A Appraisal and Indemnity Claim Continuation Sheet Form Modified Available
Form VS 1-23 Appraisal and Indemnity Claim Form Modified Available
Form VS 9-16 Initial Contact Epidemiological Report Form Modified Available
Form VS 9-15 Compost Windrow Checklists Form Modified Available
Form VS 9-14 Indemnity and Compensation Decision Determination Worksheet Form Modified Available
Form VS 9-13 (Contract Appraisal and Indemnity Request Form Form Modified Available
Form VS 9-13 (Owner) Appraisal and Indemnity Request Form Form Modified Available
Form VS 1-23A Appraisal and Indemnity Claim Continuation Sheet Form Modified Available
Form VS 1-23 Appraisal and Indemnity Claim Form Modified Available
Form VS 9-14 Indemnity and Compensation Decision Determination Worksheet Form Modified Available
0440 Comment - Jean Publie.pdf Public Comments Uploaded 2025-09-29 Available
0440 Comment - Anonymous 4.pdf Public Comments Uploaded 2025-11-17 Available
0440 Comment - Anonymous 3.pdf Public Comments Uploaded 2025-11-17 Available
0440 Comment - Anonymous 2.pdf Public Comments Uploaded 2025-09-11 Available
0440 Comment - Anonymous.pdf Public Comments Uploaded 2025-09-15 Available
0440 APHIS 79 (20260322).xlsx Supplementary Document Uploaded 2026-03-22 Available
0440 APHIS 71 (20260322).xlsx Supplementary Document Uploaded 2026-03-22 Available
0440 2025 SS 20260322.docx Supporting Statement A Uploaded 2026-03-22 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
219634 Business Form ModifiedAppraisal and Indemnity Claim Continuation Sheet
219634 Business Form ModifiedAppraisal and Indemnity Claim
219634 Business Form ModifiedInitial Contact Epidemiological Report
219634 Business Form ModifiedCompost Windrow Checklists
219634 Business Form ModifiedIndemnity and Compensation Decision Determination Worksheet
219634 Business Form ModifiedAppraisal and Indemnity Request Form
219634 Business Form ModifiedAppraisal and Indemnity Request Form
219634 Business Form Modified
219632 State Form ModifiedAppraisal and Indemnity Claim Continuation Sheet
219632 State Form ModifiedAppraisal and Indemnity Claim
219632 State Form ModifiedIndemnity and Compensation Decision Determination Worksheet
219632 State Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 04/30/2026
22,038 19,763
49,814 48,714
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Business VS 9-13 (Owner), VS 9-13 (Contract Grower), VS 9-14, VS 9-15, VS 9-16, VS 1-23, VS 1-23A ,   ,   ,   ,   ,   ,  
State VS 1-23, VS 1-23A, VS 9-14 ,   ,  

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 22,038 19,763 0 1,000 1,275 0
Annual Time Burden (Hours) 49,814 48,714 0 500 600 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No