Information Collection

State

IC 203516 under ICR 201207-0579-013 · OMB 0579-0409.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0409 can be found here:

Documents and Forms

Document Name Document Type
Form VS 17-146 State Form and Instruction
VS 17-146 BSE Surviellnace Submission Form VS 17-146 MAY 2012.pdf Form and Instruction
VS 17-146A BSE Surviellance Submission Form Continuation Sheet VS 17-146A MAY 2012.pdf Form and Instruction
VS 17-131 BSE Surviellance Data Collection Form VS 17-131 MAY 2012.pdf Form and Instruction

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: Mandatory

CFR Citation: 9 CFR 130.49

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	VS 17-146	BSE Surviellnace Submission Form	VS 17-146 MAY 2012.pdf	No	Paper Only
Form and Instruction	VS 17-146A	BSE Surviellance Submission Form Continuation Sheet	VS 17-146A MAY 2012.pdf	No	Paper Only
Form and Instruction	VS 17-131	BSE Surviellance Data Collection Form	VS 17-131 MAY 2012.pdf	No	Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	5,131	5,131
Annual IC Time Burden (Hours)	434	434
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.