Information Collection

Live Poultry Dealer Disclosure Document

IC 254120 under ICR 202307-0581-001 · OMB 0581-0337.

Documents and Forms

Document Name Document Type
PSD Form 6100 Live Poultry Dealer Disclosure Document Form Instructions 11-16-23 Final.docx Instruction
PSD Form 6100 Live Poultry Dealer Disclosure Document Form Instructions12-12-2023.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Live Poultry Dealer Disclosure Document	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 201.100

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			PSD Form 6100 Live Poultry Dealer Disclosure Document Form Instructions12-12-2023.docx		Yes	No	Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 42	Number of Respondents for Small Entity: 20

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	46,203	46,203
Annual IC Time Burden (Hours)	17,209	17,209
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.