Information Collection

State

IC 201768 under ICR 201203-0579-017 · OMB 0579-0237.

Documents and Forms

Document Name Document Type
Form VS 11-2 State Form
VS 11-2 APPLICATION FOR CHRONIC WASTING DISEASE HERD CERTIFICATI VS 11-2 APR 2012 2.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 55 9 CFR 81

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 11-2	APPLICATION FOR CHRONIC WASTING DISEASE HERD CERTIFICATION PROGRAM (CWD HCP) APPROVAL, RENEWAL, OR REINSTATEMENT OF A STATE	VS 11-2 APR 2012 2.docx		No		Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	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
Annual Number of Responses for this IC	2,833	2,833
Annual IC Time Burden (Hours)	20,660	20,660
Annual IC Cost Burden (Dollars)	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.