Information Collection

Brucellosis Program - State, Local, and Tribal Government

IC 2111 under ICR 201903-0579-001 · OMB 0579-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0047 can be found here:

2022-07-25 - Revision of a currently approved collection

Documents and Forms

Document Name Document Type
Form VS 4-1D Brucellosis Program - State, Local, and Tribal Government Form
VS 4-1D Application for Validation of a Brucellosis Free Area VS 4-1D Feb 2009.pdf Oracle Application Server web address: cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt Form
VS 4-13 Certified Herd - Cooperative Brucellosis Eradication VS 4-13 Nov 1972 FINAL.pdf Form
VS 4-59 Monthly Report of Swine Brucellosis Eradication Activiti VS 4-59 Apr 2009.pdf Form
VS 4-33 Brucellosis Test Record VS 4-33 (JUN 2014) Fillable.pdf www.aphis.usda.gov/library/forms/pdf/VS_4_33.pdf Form
VS 4-33A Brucellosis Test Record Continuation Sheet VS 4-33A (JUN 2014) Fillable.pdf www.aphis.usda.gov/library/forms/pdf/VS_4_33A.pdf Form
VS 4-54 Brucellosis Test Record Market Cattle Testing Program VS 4-54 (MAY 2014) Fillable.pdf www.aphis.usda.gov/library/forms/pdf/VS_Form4_54.pdf Form
VS 4-26 Vaccination Record - Long Form VS 4-26 (JUN 2014) Fillable.pdf www.aphis.usda.gov/library/forms/pdf/VS_4_26.pdf Form
VS 4-100 Log for Market Cattle Test Reactors VS 4-100 Apr 2009.pdf Form
VS 1-27 Permit for Movement of Restricted Animals VS 1-27 (JUL 2011) Fillable.pdf Form
VS 4-6 Telecopier Justification for Brucellosis Herd Depopulati VS 4-6 APR 2009.pdf Form
VS 4-1 Application for Brucellosis Classification or Reclassifi VS 4-1 Feb 2009.doc Oracle Application Server web address: cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt Form
VS 4-108 Epidemiologic Investigation of Brucellosis Reactor Herd VS 4-108 Apr 2009.pdf Form and Instruction
VS 4-108A Origin of Reactors/Herd Additions VS 4-108A Apr 2009.pdf Form and Instruction
VS 4-108B Animals Removed from Infected Herd VS 4-108B Apr 2009.pdf Form and Instruction
VS 4-108C Epidemoiolgy Report - Area Herds VS 4-108C Apr 2009.pdf Form and Instruction
VS 4-106 Field Investigation of Brucellosis Market Test Reactor(s VS 4-106 Apr 2009.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Brucellosis Program - State, Local, and Tribal Government	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 51 and 78

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 4-1D	Application for Validation of a Brucellosis Free Area	VS 4-1D Feb 2009.pdf	Oracle Application Server web address: http://cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt	Yes	Yes	Fillable Fileable
Form	VS 4-13	Certified Herd - Cooperative Brucellosis Eradication	VS 4-13 Nov 1972 FINAL.pdf		No		Paper Only
Form	VS 4-59	Monthly Report of Swine Brucellosis Eradication Activities	VS 4-59 Apr 2009.pdf		No		Paper Only
Form	VS 4-33	Brucellosis Test Record	VS 4-33 (JUN 2014) Fillable.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_4_33.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-33A	Brucellosis Test Record Continuation Sheet	VS 4-33A (JUN 2014) Fillable.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_4_33A.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-54	Brucellosis Test Record Market Cattle Testing Program	VS 4-54 (MAY 2014) Fillable.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_Form4_54.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-26	Vaccination Record - Long Form	VS 4-26 (JUN 2014) Fillable.pdf	https://www.aphis.usda.gov/library/forms/pdf/VS_4_26.pdf	Yes	Yes	Fillable Fileable
Form	VS 4-100	Log for Market Cattle Test Reactors	VS 4-100 Apr 2009.pdf		No		Paper Only
Form	VS 1-27	Permit for Movement of Restricted Animals	VS 1-27 (JUL 2011) Fillable.pdf		Yes	Yes	Fillable Fileable
Form	VS 4-6	Telecopier Justification for Brucellosis Herd Depopulations	VS 4-6 APR 2009.pdf		No		Paper Only
Form	VS 4-1	Application for Brucellosis Classification or Reclassificaton of State	VS 4-1 Feb 2009.doc	Oracle Application Server web address: http://cowebforms.aphis.usda.gov/forms90/f90servlet?config=gdbnatrpt	Yes	Yes	Fillable Fileable
Form and Instruction	VS 4-108	Epidemiologic Investigation of Brucellosis Reactor Herd	VS 4-108 Apr 2009.pdf		No		Paper Only
Form and Instruction	VS 4-108A	Origin of Reactors/Herd Additions	VS 4-108A Apr 2009.pdf		No		Paper Only
Form and Instruction	VS 4-108B	Animals Removed from Infected Herd	VS 4-108B Apr 2009.pdf		No		Paper Only
Form and Instruction	VS 4-108C	Epidemoiolgy Report - Area Herds	VS 4-108C Apr 2009.pdf		No		Paper Only
Form	VS 4-106	Field Investigation of Brucellosis Market Test Reactor(s)	VS 4-106 Apr 2009.pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title: USDA/APHIS-6, Veterinary Services -- Brucellosis Information System and Brucellosis Recording and Reporting System	FR Citation: 66 FR 57698

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	303,018	303,018
Annual IC Time Burden (Hours)	44,819	44,819
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.