Information Collection

State, Local, Tribal Governments

IC 273466 under ICR 202412-0579-004 · OMB 0579-0502.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0502 can be found here:

Documents and Forms

Document Name Document Type
HPAI Biosecurity Audit Tool (JUN 2024).docx Other-template
HPAI Biosecurity Audit Tool (JUN 2024).docx Other-template

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State, Local, Tribal Governments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 9 CFR 53.10(g) 9 CFR 53.11(e) 9 CFR 53-11(f) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-template			HPAI Biosecurity Audit Tool (JUN 2024).docx		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: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	156	156
Annual IC Time Burden (Hours)	832	832
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.