Information Collection

Nomination Request Form - Animal Disease Training (State, Local or Tribal Government)

IC 185390 under ICR 202606-0579-002 · OMB 0579-0353.

Documents and Forms

Document Name Document Type
Form VS 1-5 Nomination Request Form - Animal Disease Training Nomination Request Form - Animal Disease Training (State, Local or Tribal Government) Form
VS 1-5 Nomination Request Form - Animal Disease Training VS 1-5 NOV 2021-ICR-FIL-508 (20220216)_Updated PRA Statement for ICR 0353.pdf www.aglearn.usda.gov/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Nomination Request Form - Animal Disease Training (State, Local or Tribal Government)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 1-5	Nomination Request Form - Animal Disease Training	VS 1-5 NOV 2021-ICR-FIL-508 (20220216)_Updated PRA Statement for ICR 0353.pdf	http://www.aglearn.usda.gov/	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: 250	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	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.

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