Specimen Submission

OMB 0579-0090

The purpose of this collection is to identify the individual animal from which specimens were taken, the animal's herd or flock, the type of specimen submitted, and the purpose for submitting the specimen.

The latest form for Specimen Submission expires 2022-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form VS 10-4 Specimen Submission - State Form and Instruction
Form VS 5-38 Specimen Submission - Business Form and Instruction
0090 2022 APHIS 79 (20211221).xlsx Supplementary Document
0090 2022 APHIS 71 (20211221).xlsx Supplementary Document
0090 2022 SS (20211216).docx Supporting Statement A
Specimen Submission - State Form and Instruction
Specimen Submission - Business Form and Instruction

All Historical Document Collections

202111-0579-002 Approved without change	Revision of a currently approved collection	2022-01-03
202106-0579-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-06-07
201803-0579-005 Approved without change	Reinstatement with change of a previously approved collection	2018-12-03
201511-0579-001 Approved without change	Reinstatement with change of a previously approved collection	2016-10-19
201212-0579-001 Approved without change	Extension without change of a currently approved collection	2012-12-26
200909-0579-007 Approved without change	Revision of a currently approved collection	2009-10-30
200607-0579-008 Approved without change	Revision of a currently approved collection	2006-07-13
200309-0579-004 Approved without change	Revision of a currently approved collection	2003-09-26
200007-0579-002 Approved without change	Extension without change of a currently approved collection	2000-07-31
199701-0579-002 Approved without change	Revision of a currently approved collection	1997-01-27
199311-0579-004 Approved without change	Reinstatement with change of a previously approved collection	1993-11-26
199106-0579-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1991-06-14
199103-0579-001 Approved without change	Revision of a currently approved collection	1991-03-05
199009-0579-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1990-09-06
199006-0579-002 Approved without change	New collection (Request for a new OMB Control Number)	1990-06-04

OMB Details

Specimen Submission - State

Federal Enterprise Architecture: Natural Resources - Agricultural Innovation and Services

Form VS 10-4	SPECIMEN SUBMISSION	Paper Only	Form and instruction
Form VS 5-38	PARASITE SUBMISSION FORM	Paper Only	Form and instruction
Form VS 10-4A	SPECIMEN SUBMISSION CONTINUATION SHEET	Paper Only	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.