Information Collection

Private Sector

IC 225773 under ICR 201702-0579-003 · OMB 0579-0462.

Documents and Forms

Document Name Document Type
Form NAHMS 379 Antimicrobial Use Confidentiality Pledge Private Sector Form
Form NAHMS 380 Cattle on Feed Antibiotic Use 2017 Private Sector Form
Form NAHMS 381 Large Swine Operation Screening Questionaire 2017 Private Sector Form
Form NAHMS 382 Weaned Pig Antibiotic Use Questionaire Private Sector Form
Swine-LaunchInfoSheet.docx Other-Information Sheet
AMU-Feedlot Launch.docx Other-Information Sheet
Pre-survey COF Letter.docx Other-letter
Pre-survey Swine Letter.docx Other-letter
NAHMS 379 Antimicrobial Use Confidentiality Pledge NAHMS 379 MAR 2017 Antimicrobial Use Confidentiality Pledge.pdf Form
NAHMS 380 Cattle on Feed Antibiotic Use 2017 NAHMS 380 MAR 2017 Cattle on Feed.pdf Form
NAHMS 381 Large Swine Operation Screening Questionaire 2017 NAHMS 381 MAR 2017 Weaned Pig Operations.pdf Form
NAHMS 382 Weaned Pig Antibiotic Use Questionaire NAHMS 382 MAR 2017 Weaned Pig Sites.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Private Sector	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 1-199 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NAHMS 379	Antimicrobial Use Confidentiality Pledge	NAHMS 379 MAR 2017 Antimicrobial Use Confidentiality Pledge.pdf	No		Paper Only
Form	NAHMS 380	Cattle on Feed Antibiotic Use 2017	NAHMS 380 MAR 2017 Cattle on Feed.pdf	No		Paper Only
Form	NAHMS 381	Large Swine Operation Screening Questionaire 2017	NAHMS 381 MAR 2017 Weaned Pig Operations.pdf	No		Paper Only
Form	NAHMS 382	Weaned Pig Antibiotic Use Questionaire	NAHMS 382 MAR 2017 Weaned Pig Sites.pdf	No		Paper Only
Other-Information Sheet			Swine-LaunchInfoSheet.docx	Yes	No	Printable Only
Other-Information Sheet			AMU-Feedlot Launch.docx	Yes	No	Printable Only
Other-letter			Pre-survey COF Letter.docx	Yes	No	Printable Only
Other-letter			Pre-survey Swine Letter.docx	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,375	Number of Respondents for Small Entity: 0

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	23,064	23,064
Annual IC Time Burden (Hours)	7,830	7,830
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.

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