Information Collection

State

IC 183917 under ICR 202202-0579-003 · OMB 0579-0013.

Documents and Forms

Document Name Document Type
Form APHIS Form 2080 State Form
APHIS Form 2080 Adverse Event Report APHIS 2080 APR 2020 SEC.pdf www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 107.2

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	APHIS Form 2080	Adverse Event Report	APHIS 2080 APR 2020 SEC.pdf	https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms	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: 1	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1	-5,333	5,334
Annual IC Time Burden (Hours)	1	-10,668	10,669
Annual IC Cost Burden (Dollars)	0	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.