OMB control number
Conditions for Payment of Avian Influenza Indemnity Claims
OMB 0579-0440 · USDA/APHIS.
OMB 0579-0440
The information collected is used to characterize and understand the scope of on-farm biosecurity practices, and to further develop plans for minimizing future outbreaks of Highly Pathogenic Avian Influenza (HPAI) using improved control options.
The latest form for Conditions for Payment of Avian Influenza Indemnity Claims expires 2026-07-31 and is listed under ICR 202107-0579-002.
Latest Forms, Documents, and Supporting Material
Form VS 1-23A Appraisal and Indemnity Claim Continuation Sheet
0440 APHIS 79 (20260322).xlsx
0440 2025 SS 20260322.docx 
BusinessAll Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202603-0579-003 | Revision of a currently approved collection | 2026-03-25 | ||
| 202107-0579-002 | Reinstatement with change of a previously approved collection | 2021-07-21 | Approved without change | |
| 201601-0579-002 | New collection (Request for a new OMB Control Number) | 2016-01-21 | Approved without change |
OMB Details
State
Federal Enterprise Architecture: Natural Resources - Agricultural Innovation and Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form VS 1-23 | Appraisal and Indemnity Claim | Printable Only | Form |
| Form VS 9-14 | Indemnity and Compensation Decision Determination Worksheet | Printable Only | Form |
| Form VS 1-23A | Appraisal and Indemnity Claim Continuation Sheet | Printable Only | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.