Information Collection

State

IC 238714 under ICR 201911-0579-003 · OMB 0579-0475.

Documents and Forms

Document Name Document Type
Form VS 12-10 State Form
VS 12-10 NLRAD NAHRS Monthly Report Form VS 12-10 FEB 2020 (20200309).pdf 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: Mandatory

CFR Citation: 9 CFR 57.2

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 12-10	NLRAD NAHRS Monthly Report Form	VS 12-10 FEB 2020 (20200309).pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,068	7,068
Annual IC Time Burden (Hours)	7,237	7,237
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.