Information Collection

Equine 2015 Study

IC 213105 under ICR 201409-0579-003 · OMB 0579-0269.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0269 can be found here:

Documents and Forms

Document Name Document Type
Form NAHMS 331 Equine 2015 Study Form and Instruction
NAHMS 331 General Equine Management Questionnaire NAHMS 331 General Equine Mgmt Ques....docx Form and Instruction
NAHMS 332 Participant Agreement NAHMS 332 Participant Agreement_omb.docx Form and Instruction
NAHMS 333 VMO Questionnaire NAHMS 333 Equine 2015 VS Visit.docx Form and Instruction
NAHMS 335 Parasite Fecal Data Collection Record NAHMS 335 Equine Fecal Parasite CER - 2Post_omb.docx Form and Instruction
NAHMS 336 Blood Instructions and Data Collection Record NAHMS 336 Equine Blood CER_omb.docx Form and Instruction
NAHMS 338 On=site Biosecurity Assessment NAHMS 338 Biosecurity Assessment 8.11.2014.docx Form and Instruction
NAHMS 339 Fecal Data Collection Record NAHMS 339 Equine Fecal Collection CER_omb.docx Form and Instruction
NAHMS 334 Parasite Fecal Collection Instructions NAHMS 334 Equine Fecal Parasite CER - Instructions 8.11.2014.docx Form and Instruction
NAHMS 337 Tick Evaluation and Data Collection Record NAHMS 337 Equine Tick CER_omb.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Equine 2015 Study	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	NAHMS 331	General Equine Management Questionnaire	NAHMS 331 General Equine Mgmt Ques....docx	No	Paper Only
Form and Instruction	NAHMS 332	Participant Agreement	NAHMS 332 Participant Agreement_omb.docx	No	Paper Only
Form and Instruction	NAHMS 333	VMO Questionnaire	NAHMS 333 Equine 2015 VS Visit.docx	No	Paper Only
Form and Instruction	NAHMS 335	Parasite Fecal Data Collection Record	NAHMS 335 Equine Fecal Parasite CER - 2Post_omb.docx	No	Paper Only
Form and Instruction	NAHMS 336	Blood Instructions and Data Collection Record	NAHMS 336 Equine Blood CER_omb.docx	No	Paper Only
Form and Instruction	NAHMS 338	On=site Biosecurity Assessment	NAHMS 338 Biosecurity Assessment 8.11.2014.docx	No	Paper Only
Form and Instruction	NAHMS 339	Fecal Data Collection Record	NAHMS 339 Equine Fecal Collection CER_omb.docx	No	Paper Only
Form and Instruction	NAHMS 334	Parasite Fecal Collection Instructions	NAHMS 334 Equine Fecal Parasite CER - Instructions 8.11.2014.docx	No	Paper Only
Form and Instruction	NAHMS 337	Tick Evaluation and Data Collection Record	NAHMS 337 Equine Tick CER_omb.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: 10,772	Number of Respondents for Small Entity: 10,341

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,772	10,772
Annual IC Time Burden (Hours)	12,123	12,123
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.