OMB control number

Scrapie in Sheep and Goats; Interstate Movement Restrictions and Indemnity Program

OMB 0579-0101 · USDA/APHIS.

OMB 0579-0101

The purpose of this collection is for APHIS interstate movement requirements to minimize any contact between high-risk animals and healthy animals, while the animal identification requirements help trace scrapie-positive and scrapie-exposed animals. The APHIS indemnity program encourages flock owners to report scrapie signs and to eliminate scrapie from their flocks.

The latest form for Scrapie in Sheep and Goats; Interstate Movement Restrictions and Indemnity Program expires 2027-05-31 and is listed under ICR 202501-0579-005.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form VS 5-13 Owner/Hauler Statement for Sheep and Goats	Form
Form VS 10-4A Continuation Sheet for Specimen Submission	Form
Form VS 5-13 OWNER / HAULER STATEMENT FOR SHEEP AND GOATS	Form
Form VS 5-10 TERMINAL FEEDLOT APPROVAL	Form
Form VS 1-27 Permit for Movement of Restricted Animals	Form
Form VS 17-140 United States Origin Health Certificate	Form
Form VS 5-19 b Flock Inspection and Epidemiology Report Flock Inspection for Complete Monitored Status in the Scrapie Flock Certification Program	Form
Form VS 5-19 A Flock Inspection and Epidemnity Report Initial Flock Inspection for Complete Monitored Status in SCrapie Flock Certification Program	Form
Form VS 5-18 A Record of Animals Acquired	Form
Form VS 5-22 Application for the Scrapie Flock Certification Program	Form
Form VS 10-4 Specimen Submission	Form
Form VS 5-29A Scrapie Test Record - Continuation Sheet	Form
Form VS 5-29 Cooperative State - Scrapie Control Program	Form
Form VS 5-19C Scrapie PEMMP Inspection Report	Form
Form VS 1-24 Proceeds from Animals/Animal Products/Materials Sold for Salvage	Form
Form VS 1-23A Indemnity Worksheet - Owner/Company	Form
Form VS 1-23 Appraisal and Indemnity Claim Form	Form
Form VS 5-20 Individual Animal Information Report	Form
Form VS 5-19 Flock Inspection and Epidemiology Report	Form
Form VS 5-19D Scrapie Epidemiology Report	Form
Form VS 5-18 Record of Animals Moved	Form
Form VS 5-18 Private Sector	Form
Form VS 10-4A Continuation Sheet for Specimen Submission	Form
Form VS 17-140 UNITED STATES ORIGIN HEALTH CERTIFICATE	Form
Form VS 1-27 PERMIT FOR MOVEMENT OF RESTRICTED ANIMALS	Form
Form VS 5-18A RECORD OF ANIMALS ACQUIRED	Form
Form VS 5-24 Application for Scrapie Classification, Classification Renewal, or Reclassification of a State	Form
Form Vs 5-19b Flock Inspection and Epidemiology Report Flock Inspection for Complete Monitored Status in the Scrapie Flock Certification Program	Form
Form Vs 5-19A Flock Inspection and Epidemiology Report Initial Flcok Inspection for Complete Monitored Status in Scrapie Flock Certification Program	Form
Form VS 10-4 Specimen Submission	Form
Form Vs 5-29A Scrapie Test Record - Continuation Sheet	Form
Form VS 5-29 Cooperative State - Scrapie Control Program	Form
Form VS 5-19C Scrapie PEMMP Inspection Report	Form
Form VS 1-23 A Indemnity Worksheet - Owner/Company	Form
Form VS 1-23 Appraisal and Indemnity Claim Form	Form
Form VS 5-20 Individual Animal Information Report	Form
Form VS 5-19 D Scrapie Epidemiology Report	Form
Form VS 5-19 FLOCK INSPECTION AND EPIDEMIOLOGY REPORT	Form
Form VS 5-18 Record of Animals Moved	Form
Form VS 5-18 State, Local, or Tribal Government	Form
0101 Request for Nonsubstantive Change - 3.docx	Supplementary Document
0101 Request for Nonsubstantive Change - 3.docx	Supplementary Document
0101 Request for Nonsubstantive Change - 2.docx	Supplementary Document
0101 Request for Nonsubstantive Change - 2.docx	Supplementary Document
NSC 0101 2024.docx	Justification for No Material/Nonsubstantive Change
NSC 0101 2024.docx	Justification for No Material/Nonsubstantive Change
0101 2023 APHIS 71 (Rev) (20240411).xlsx	Supplementary Document
0101 2023 APHIS 71 (Rev) (20240411).xlsx	Supplementary Document
0101 2024 SS (Rev) (20240411).docx	Supporting Statement A
0101 2024 SS (Rev) (20240411).docx	Supporting Statement A
0101 2023 APHIS 79.xlsx	Supplementary Document
0101 2023 APHIS 79.xlsx	Supplementary Document
0101 2023 APHIS 71.xlsx	Supplementary Document
0101 2023 APHIS 71.xlsx	Supplementary Document
Private Sector	Form
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State, Local, or Tribal Government	Form
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State, Local, or Tribal Government	Form
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State, Local, or Tribal Government	Form
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All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202501-0579-005	No material or nonsubstantive change to a currently approved collection	2025-02-10
202410-0579-003	No material or nonsubstantive change to a currently approved collection	2024-10-10
202407-0579-001	No material or nonsubstantive change to a currently approved collection	2024-07-03	Approved without change
202310-0579-004	Extension without change of a currently approved collection	2023-10-24	Approved with change
202102-0579-004	No material or nonsubstantive change to a currently approved collection	2021-02-05	Approved without change
202003-0579-001	Revision of a currently approved collection	2020-03-31	Approved with change
201808-0579-004	No material or nonsubstantive change to a currently approved collection	2018-08-10	Approved without change
201611-0579-005	Reinstatement with change of a previously approved collection	2016-12-29	Approved with change
201211-0579-002	Revision of a currently approved collection	2012-11-21	Approved with change
201203-0579-010	Revision of a currently approved collection	2012-03-26	Withdrawn and continue
201110-0579-003	Revision of a currently approved collection	2011-12-20	Improperly submitted and continue
200804-0579-005	Revision of a currently approved collection	2008-04-29	Approved without change
200410-0579-005	Revision of a currently approved collection	2004-10-21	Approved without change
200108-0579-002	Revision of a currently approved collection	2001-08-08	Approved without change
200003-0579-005	Extension without change of a currently approved collection	2000-03-13	Approved without change
199608-0579-004	Revision of a currently approved collection	1996-08-19	Approved without change
199303-0579-002	Revision of a currently approved collection	1993-03-31	Approved without change
199302-0579-001	No material or nonsubstantive change to a currently approved collection	1993-02-25	Approved with change
199209-0579-003	No material or nonsubstantive change to a currently approved collection	1992-09-09	Approved with change
199112-0579-003	New collection (Request for a new OMB Control Number)	1991-12-09	Approved without change

OMB Details

Private Sector

Federal Enterprise Architecture: Natural Resources - Agricultural Innovation and Services

Information collection instruments
Form	Name	Electronic access	Type
Form VS 5-10	TERMINAL FEEDLOT APPROVAL	Paper Only	Form
Form VS 5-13	Owner/Hauler Statement for Sheep and Goats	Paper Only	Form
Form VS 10-4A	Continuation Sheet for Specimen Submission	Fillable Printable	Form
Form VS 1-23A	Indemnity Worksheet - Owner/Company	Paper Only	Form
Form VS 5-22	Application for the Scrapie Flock Certification Program	www.aphis.usda.gov/library/forms/pdf/vs5_22.pdf	Form
Form VS 5-19 A	Flock Inspection and Epidemnity Report Initial Flock Inspection for Complete Monitored Status in SCrapie Flock Certification Program	Paper Only	Form
Form VS 10-4	Specimen Submission	www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf	Form
Form VS 5-29	Cooperative State - Scrapie Control Program	Fillable Printable	Form
Form VS 5-29A	Scrapie Test Record - Continuation Sheet	Fillable Printable	Form
Form VS 5-13	OWNER / HAULER STATEMENT FOR SHEEP AND GOATS	Fillable Printable	Form
Form VS 1-27	Permit for Movement of Restricted Animals	Paper Only	Form
Form VS 5-19C	Scrapie PEMMP Inspection Report	Paper Only	Form
Form VS 1-24	Proceeds from Animals/Animal Products/Materials Sold for Salvage	Paper Only	Form
Form VS 5-19	Flock Inspection and Epidemiology Report	Paper Only	Form
Form VS 5-18 A	Record of Animals Acquired	www.aphis.usda.gov/library/forms/pdf/vs5_18a.pdf	Form
Form VS 5-19D	Scrapie Epidemiology Report	Paper Only	Form
Form VS 5-18	Record of Animals Moved	www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf	Form
Form VS 17-140	United States Origin Health Certificate	Paper Only	Form
Form VS 5-19 b	Flock Inspection and Epidemiology Report Flock Inspection for Complete Monitored Status in the Scrapie Flock Certification Program	Paper Only	Form
Form VS 5-20	Individual Animal Information Report	Paper Only	Form
Form VS 1-23	Appraisal and Indemnity Claim Form	Paper Only	Form

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