Information Collection

Brucellosis Program - State

IC 2111 under ICR 200901-0579-008 · OMB 0579-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0047 can be found here:

Documents and Forms

Document Name Document Type
Form VS 4-1 Brucellosis Program - State Form
VS 4-1D Application for Validation of a Brucellosis Free Area 4-1D.doc Oracle Application Server web address: cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt Form
VS 4-13 Certified Herd - Cooperative Brucellosis Eradication 4-13.pdf Form
VS 4-80 Application for Validated Brucellosis-Free Herd Certific 4-80.doc Form
VS 4-33D Monthly report of Brucellosis Eradication Activities VS 4-33D.doc Form
VS 4-54D Monthly Report of Brucellosis Program Surveillance Activ VS 4-54D.doc Form
VS 4-59 Monthly Report of Swine Brucellosis Eradication Activiti 4-59.doc Form
VS 4-33 Brucellosis Test Record 4-33.doc Form
VS 4-33A Brucellosis Test Record Continuation Sheet 4-33A.doc Form
VS 4-34 Cooperative-State Federal Brucellosis Eradication Progra VS4-34.doc Form
VS 4-54 Brucellosis Test Record Market Cattle Testing Program 4-54.doc Form
VS 4-39 Brucellosis Ring Test Patron List vs 4-39.doc Form
VS 4-39A Patron Listing Cooperating 4-39A.doc Form
VS 4-38 Brucellosis Ring Test Rack Chart 4-38.doc Form
VS 4-24 Calfhood Vaccination Record - Short Form 4-24.doc Form
VS 4-26 Vaccination Record - Long Form 4-26.doc Form
VS 4-100 Log for Market Cattle Test Reactors 4-100.doc Form
VS 1-27 Permit for Movement of Animals 1-27.doc Form
VS 4-6 Justification for Brucellosis Herd Depopulation VS 4-6.doc Form
VS 4-1 Application for Brucellosis Classification or Reclassifi 4-1.doc Form
VS 4-108 Epidemiologic Investigation of Brucellosis Reactor Herd VS 4-108.doc Form
VS 4-108A Origin of Reactors/Herd Additions VS 4-108A 2009.doc Form
VS 4-108B Animals Removed from Infected Herd VS 4-108B 2009.doc Form
VS 4-108C Epidemoiolgy Report - Area Herds VS 4-108C.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Brucellosis Program - State	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 4-1	Application for Brucellosis Classification or Reclassificaton of State	4-1.doc		No		Paper Only
Form	VS 4-108	Epidemiologic Investigation of Brucellosis Reactor Herd	VS 4-108.doc		No		Paper Only
Form	VS 4-108A	Origin of Reactors/Herd Additions	VS 4-108A 2009.doc		No		Paper Only
Form	VS 4-108B	Animals Removed from Infected Herd	VS 4-108B 2009.doc		No		Paper Only
Form	VS 4-108C	Epidemoiolgy Report - Area Herds	VS 4-108C.doc		No		Paper Only
Form	VS 4-1D	Application for Validation of a Brucellosis Free Area	4-1D.doc	Oracle Application Server web address: http://cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt	Yes	Yes	Fillable Fileable
Form	VS 4-13	Certified Herd - Cooperative Brucellosis Eradication	4-13.pdf		No		Paper Only
Form	VS 4-80	Application for Validated Brucellosis-Free Herd Certification	4-80.doc		No		Paper Only
Form	VS 4-33D	Monthly report of Brucellosis Eradication Activities	VS 4-33D.doc		No		Paper Only
Form	VS 4-54D	Monthly Report of Brucellosis Program Surveillance Activities	VS 4-54D.doc		No		Paper Only
Form	VS 4-59	Monthly Report of Swine Brucellosis Eradication Activities	4-59.doc		No		Paper Only
Form	VS 4-33	Brucellosis Test Record	4-33.doc		No		Paper Only
Form	VS 4-33A	Brucellosis Test Record Continuation Sheet	4-33A.doc		No		Paper Only
Form	VS 4-34	Cooperative-State Federal Brucellosis Eradication Program Brucellosis Test Record	VS4-34.doc		No		Paper Only
Form	VS 4-54	Brucellosis Test Record Market Cattle Testing Program	4-54.doc		No		Paper Only
Form	VS 4-39	Brucellosis Ring Test Patron List	vs 4-39.doc		No		Paper Only
Form	VS 4-39A	Patron Listing Cooperating	4-39A.doc		No		Paper Only
Form	VS 4-38	Brucellosis Ring Test Rack Chart	4-38.doc		No		Paper Only
Form	VS 4-24	Calfhood Vaccination Record - Short Form	4-24.doc		No		Paper Only
Form	VS 4-26	Vaccination Record - Long Form	4-26.doc		No		Paper Only
Form	VS 4-100	Log for Market Cattle Test Reactors	4-100.doc		No		Paper Only
Form	VS 1-27	Permit for Movement of Animals	1-27.doc		No		Paper Only
Form	VS 4-6	Justification for Brucellosis Herd Depopulation	VS 4-6.doc		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 209	Number of Respondents for Small Entity: 100

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	395,016	-264,940	132,470	527,486
Annual IC Time Burden (Hours)	221,436	68,795	134,960	17,681
Annual IC Cost Burden (Dollars)	0	0	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.