Information Collection

Tuberculosis - State, Local Or Tribal Government

IC 189452 under ICR 201102-0579-003 · OMB 0579-0146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0146 can be found here:

Documents and Forms

Document Name Document Type
Form VS 1-27 TUBERCULOSIS - STATE, LOCAL OR TRIBAL GOVERNMENT Form
VS 6-38 ACCREDITED AREA SURVEILLANCE FOR TUBERCULOSIS VS 6-38 June 2009.doc Form
VS 6-22C Tuberculin Test Record VS 6-22C Dec 2009.doc Form
VS 6-22D Comparative Cervical Tuberculin Test Records VS 6-22D Feb 1999.pdf Form
VS 6-35 Report of Suspicious TB Lessions or Thoracic Granulomas VS 6-35 JUL 2010.doc Form and Instruction
VS 10-4 Necropsy Specimen Submission VS 10-4 Aug 2009.doc Form and Instruction
VS 1-27 Restricted Animals Movement Permit VS 1-27 APR 2009.doc Form
VS 6-4A Investigation for Evidence of TB (Reactor) VS 6-4A Jun 2005.pdf Form
VS 1-23 Apprasial and Indemity Report VS 1-23 Sep 2010.docx Form
VS 6-22A Tuberculosis Infected Herd VS 6-22A.pdf Form
VS 6-4B Investigation for Evidence of Tuberculosis VS 6-4B.pdf Form
VS 6-22B Tuberculosis Test Record - Continuation Sheet VS 6-22B.pdf Form
VS 6-22 Cooperative State-Federal Tuberculosis Eradiccation Prog VS 6-22.pdf Form
VS 6-2 Report of Tuberculosis Eradication VS 6-2.pdf Form
VS 6-4 Report on Herd Revealing Reactors to Tuberculin Test VS 6-4.pdf Form
MOU.2009.doc MOU IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TUBERCULOSIS - STATE, LOCAL OR TRIBAL GOVERNMENT	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 77

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	VS 1-27	Restricted Animals Movement Permit	VS 1-27 APR 2009.doc	No	Paper Only
Form	VS 6-4	Report on Herd Revealing Reactors to Tuberculin Test	VS 6-4.pdf	No	Paper Only
Form	VS 6-4A	Investigation for Evidence of TB (Reactor)	VS 6-4A Jun 2005.pdf	No	Paper Only
Form	VS 1-23	Apprasial and Indemity Report	VS 1-23 Sep 2010.docx	No	Paper Only
Form	VS 6-22A	Tuberculosis Infected Herd	VS 6-22A.pdf	No	Paper Only
Form	VS 6-4B	Investigation for Evidence of Tuberculosis	VS 6-4B.pdf	No	Paper Only
Form	VS 6-22B	Tuberculosis Test Record - Continuation Sheet	VS 6-22B.pdf	No	Paper Only
Form	VS 6-22	Cooperative State-Federal Tuberculosis Eradiccation Program - Tuberculosis Test Record	VS 6-22.pdf	No	Paper Only
Form	VS 6-2	Report of Tuberculosis Eradication	VS 6-2.pdf	No	Paper Only
Form	VS 6-38	ACCREDITED AREA SURVEILLANCE FOR TUBERCULOSIS	VS 6-38 June 2009.doc	No	Paper Only
Form	VS 6-22C	Tuberculin Test Record	VS 6-22C Dec 2009.doc	No	Paper Only
Form	VS 6-22D	Comparative Cervical Tuberculin Test Records	VS 6-22D Feb 1999.pdf	No	Paper Only
Form and Instruction	VS 6-35	Report of Suspicious TB Lessions or Thoracic Granulomas in Regular Kill Cattle	VS 6-35 JUL 2010.doc	No	Paper Only
Form and Instruction	VS 10-4	Necropsy Specimen Submission	VS 10-4 Aug 2009.doc	No	Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,500	Number of Respondents for Small Entity: 0

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	29,883	27,751	-33	2,165
Annual IC Time Burden (Hours)	11,247	8,280	-985	3,952
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
MOU	MOU.2009.doc	06/11/2009

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