Information Collection

Nomination Request Form: Animal Disease Training (State, Local or Tribal Government)

IC 185390 under ICR 202111-0579-016 · OMB 0579-0353.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0353 can be found here:

Documents and Forms

Document Name Document Type
Form VS 1-5 Nomination Request Form: Animal Disease Training (State, Local or Tribal Government) Form
VS 1-5 Nomination Request Form VS 1-5 NOV 2021 FIL (20211119).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Nomination Request Form: Animal Disease Training (State, Local or Tribal Government)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 1-5	Nomination Request Form	VS 1-5 NOV 2021 FIL (20211119).pdf		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	83	83
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.