Information Collection

Respondents

IC 2151 under ICR 202009-0579-004 · OMB 0579-0079.

Documents and Forms

Document Name Document Type
Form VS 21-300 Respondents Form
VS 21-300 Health Management on U.S. Feedlots 2021 Confidentiality FH 2021 VS Form 21-300 Confidentiality Pledge.pdf Form
VS 21-301 Health Management on U.S. Feedlots 2021 Phase I Question FH 2021 VS Form 21-301 Phase 1 Questionnaire.pdf Form
VS 21-302 Health Management on U.S. Feedlots 2021 Consent to Conta FH 2021 VS Form 21-302 NASS Consent.pdf Form
VS 21-303 Health Management on U.S. Feedlots 2021 Phase II Questio FH 2021 VS Form 21-303 Phase 2 Questionnaire.pdf Form
VS 21-303 Mobile Health Management on U.S. Feedlots 2021 Phase II Questio VS Form 21-303 mobile collection screen shots.pdf Form
VS 21-304 Health Management on U.S. Feedlots 2021 Informed Consent FH 2021 VS Form 21-304 NASS California Informed Consent.pdf Form
VS 21-305 Health Management on U.S. Feedlots 2021 Informed Consent FH 2021 VS Form 21-305 VS California Informed Consent.pdf Form
VS 21-306 Health Management on U.S. Feedlots 2021 Study Participan FH 2021 VS Form 21-306 Study Participant Survey.pdf Form
VS 21-307 Health Management on U.S. Feedlots 2021 After Action Sur VS Form 21-307 After Action Survey VMOs.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Respondents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 21-300	Health Management on U.S. Feedlots 2021 Confidentiality Pledge	FH 2021 VS Form 21-300 Confidentiality Pledge.pdf	No		Paper Only
Form	VS 21-301	Health Management on U.S. Feedlots 2021 Phase I Questionnaire	FH 2021 VS Form 21-301 Phase 1 Questionnaire.pdf	No		Paper Only
Form	VS 21-302	Health Management on U.S. Feedlots 2021 Consent to Contact	FH 2021 VS Form 21-302 NASS Consent.pdf	No		Paper Only
Form	VS 21-303	Health Management on U.S. Feedlots 2021 Phase II Questionnaire	FH 2021 VS Form 21-303 Phase 2 Questionnaire.pdf	Yes	No	Paper Only
Form	VS 21-303 Mobile	Health Management on U.S. Feedlots 2021 Phase II Questionnaire	VS Form 21-303 mobile collection screen shots.pdf	Yes	Yes	Fillable Fileable
Form	VS 21-304	Health Management on U.S. Feedlots 2021 Informed Consent for Feedlots in the State of California	FH 2021 VS Form 21-304 NASS California Informed Consent.pdf	No		Paper Only
Form	VS 21-305	Health Management on U.S. Feedlots 2021 Informed Consent for Feedlots in the State of California	FH 2021 VS Form 21-305 VS California Informed Consent.pdf	No		Paper Only
Form	VS 21-306	Health Management on U.S. Feedlots 2021 Study Participant Survey	FH 2021 VS Form 21-306 Study Participant Survey.pdf	No		Paper Only
Form	VS 21-307	Health Management on U.S. Feedlots 2021 After Action Survey - All Phase 2 Data Collectors	VS Form 21-307 After Action Survey VMOs.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: 2,976	Number of Respondents for Small Entity: 893

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,918	6,918
Annual IC Time Burden (Hours)	3,601	3,601
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.