OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Private Sector

IC 268910 under ICR 202412-0579-002 · OMB 0579-0494.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-temporary form
Other-template
Other-template
Form and Instruction
Form and Instruction
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Private Sector
 
No Modified
 
Mandatory
 
9 CFR 71.3(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction VS 12-1 HPAI H5N1 Milk Submission Form VS 12-1 HPAI H5N1 Milk Submission Form NOV 2024 (20241210).pdf No   Fillable Fileable
Other-temporary form HPAI Livestock Non-NAHLN Lab Reporting Results Template JUL 2024 (20241210).xlsx Yes Yes Fillable Fileable
Other-temporary form Dairy Cattle Emerging Health Event Epi Questionnaire APR 2024 (20241210).pdf Yes Yes Fillable Fileable
Other-temporary form Herd Monitoring Plan Template SEP 2024 (20241210).pdf Yes Yes Fillable Fileable
Form VS 8-18 Statement of Services Performed VS 8-18 AUG 2023 (20241210).pdf Yes Yes Fillable Printable
Other-temporary form Dairy HPAI Expense Tracker JUN 2024 (20241210).xlsx Yes Yes Fillable Fileable
Other-temporary form Financial Support - HPAI Affected Dairy Premises Agreement AUG 2024 (20241210).pdf Yes Yes Fillable Printable
Other-temporary form Financial Support - Participating Premises Agreement AUG 2024 (20241210).pdf Yes Yes Fillable Printable
Other-template Biosecurity Plan Template SEP 2023 (20241210).docx Yes Yes Fillable Fileable

Natural Resources Agricultural Innovation and Services

 

6,000 3,000
   
Private Sector Farms, Businesses or other for-profits
 
   75 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 69,000 0 -31,200 0 0 100,200
Annual IC Time Burden (Hours) 366,000 0 -13,200 0 0 379,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
USDA Support to HPAI-Affected Premises USDA Support to HPAI-Affected Premises.pdf 06/21/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.