Information Collection

U.s. Origin Health Certificate

IC 101509 under ICR 198710-0579-002 · OMB 0579-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0020 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	U.S. ORIGIN HEALTH CERTIFICATE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 17-50				No	No
Form	VS 17-140				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 39,040	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	39,040	9,000	30,040
Annual IC Time Burden (Hours)	19,520	4,500	15,020
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.