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Private Sector
Scrapie Flock Certification, Animal Identification, and Indemnification Procedures
OMB: 0579-0101
IC ID: 2183
OMB.report
USDA/APHIS
OMB 0579-0101
ICR 200804-0579-005
IC 2183
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0101 can be found here:
2025-02-10 - No material or nonsubstantive change to a currently approved collection
2024-10-10 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form VS 5-19C
Private Sector
Form
VS 5-18 Record of Animals Moved
vs5-18.pdf
www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf
Form
VS 5-19D Scrapie Epidemiology Report
vs5-19d.pdf
Form
VS 5-19 Flock Inspection and Epidemiology Report
vs5-19.pdf
Form
VS 5-20 Individual Animal Information Report
vs5-20.pdf
Form
VS 1-23 Appraisal and Indemnity Claim Form
vs1-23.pdf
Form
VS 1-23A Indemnity Worksheet - Owner/Company
vs1-23a.pdf
Form
VS 1-24 Proceeds from Animals Sold for Slaughter
vs 1-24.pdf
Form
VS 5-19C Scrapie PEMMP Inspection Report
vs5-19c.pdf
Form
VS 5-19 C Scarpie PEMMP Inspection Report (continuation sheet)
vs5-19c2.pdf
Form
VS 5-29 Cooperative State - Scrapie Control Program
vs5-29.pdf
Form
VS 5-29 A Scrapie Test Record - Continuation Sheet
vs5-29a.pdf
Form
VS 10-4 Specimen Submission
vs10-4.pdf
www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf
Form
VS 5-22 Application for the Scrapie Flock Certification Program
vs 5-22.pdf
www.aphis.usda.gov/library/forms/pdf/vs5_22.pdf
Form
VS 5-18 A Record of Animals Acquired
vs5-18a.pdf
www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf
Form
VS 5-19 A Flock Inspection and Epidemnity Report Initial Flock Ins
vs5-19a.pdf
Form
VS 5-19 b Flock Inspection and Epidemiology Report Flock Inspectio
vs5-19b.pdf
Form
VS 17-140 United States Origin Health Certificate
vs17-140.pdf
Form
VS 5-21 Agreement to Conduct the Official Histopathology Examina
vs5-21.pdf
Form
VS 1-27 Permit for Movement of Restricted Animals
vs1-27.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Private Sector
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
VS 5-19C
Scrapie PEMMP Inspection Report
vs5-19c.pdf
No
Paper Only
Form
VS 5-19 C
Scarpie PEMMP Inspection Report (continuation sheet)
vs5-19c2.pdf
No
Paper Only
Form
VS 5-29
Cooperative State - Scrapie Control Program
vs5-29.pdf
No
Paper Only
Form
VS 5-29 A
Scrapie Test Record - Continuation Sheet
vs5-29a.pdf
No
Paper Only
Form
VS 10-4
Specimen Submission
vs10-4.pdf
http://www.aphis.usda.gov/library/forms/pdf/VS_Form10_4.pdf
Yes
No
Printable Only
Form
VS 5-22
Application for the Scrapie Flock Certification Program
vs 5-22.pdf
http://www.aphis.usda.gov/library/forms/pdf/vs5_22.pdf
Yes
No
Printable Only
Form
VS 5-18 A
Record of Animals Acquired
vs5-18a.pdf
http://www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf
Yes
No
Printable Only
Form
VS 5-19 A
Flock Inspection and Epidemnity Report Initial Flock Inspection for Complete Monitored Status in SCrapie Flock Certification Program
vs5-19a.pdf
No
Paper Only
Form
VS 5-19 b
Flock Inspection and Epidemiology Report Flock Inspection for Complete Monitored Status in the Scrapie Flock Certification Program
vs5-19b.pdf
No
Paper Only
Form
VS 17-140
United States Origin Health Certificate
vs17-140.pdf
No
Paper Only
Form
VS 5-21
Agreement to Conduct the Official Histopathology Examination for the Diagnosis of Scrapie in Sheep and Goats and Bovine Spongiform Encephalopathy in Cattle
vs5-21.pdf
No
Paper Only
Form
VS 1-27
Permit for Movement of Restricted Animals
vs1-27.pdf
No
Paper Only
Form
VS 5-18
Record of Animals Moved
vs5-18.pdf
http://www.aphis.usda.gov/library/forms/pdf/vs5_18.pdf
Yes
No
Printable Only
Form
VS 5-19D
Scrapie Epidemiology Report
vs5-19d.pdf
No
Paper Only
Form
VS 5-19
Flock Inspection and Epidemiology Report
vs5-19.pdf
No
Paper Only
Form
VS 5-20
Individual Animal Information Report
vs5-20.pdf
No
Paper Only
Form
VS 1-23
Appraisal and Indemnity Claim Form
vs1-23.pdf
No
Paper Only
Form
VS 1-23A
Indemnity Worksheet - Owner/Company
vs1-23a.pdf
No
Paper Only
Form
VS 1-24
Proceeds from Animals Sold for Slaughter
vs 1-24.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Agricultural Innovation and Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
113,056
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Farms, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
22 %
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
608,659
0
10,586
-152,127
0
750,200
Annual IC Time Burden (Hours)
661,217
0
12,144
563,922
0
85,151
Annual IC Cost Burden (Dollars)
0
0
0
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.