OMB control number

Conditions for Payment of Avian Influenza Indemnity Claims

OMB 0579-0440 · USDA/APHIS.

OMB 0579-0440

The information collected is used to characterize and understand the scope of on-farm biosecurity practices, and to further develop plans for minimizing future outbreaks of Highly Pathogenic Avian Influenza (HPAI) using improved control options.

The latest form for Conditions for Payment of Avian Influenza Indemnity Claims expires 2026-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form VS 1-23A Appraisal and Indemnity Claim Continuation Sheet Form
Form VS 1-23 Appraisal and Indemnity Claim Form
Form VS 9-16 Initial Contact Epidemiological Report Form
Form VS 9-15 Compost Windrow Checklists Form
Form VS 9-14 Indemnity and Compensation Decision Determination Worksheet Form
Form VS 9-13 (Contract Appraisal and Indemnity Request Form Form
Form VS 9-13 (Owner) Appraisal and Indemnity Request Form Form
Form VS 1-23A Appraisal and Indemnity Claim Continuation Sheet Form
Form VS 1-23 Appraisal and Indemnity Claim Form
Form VS 9-14 Indemnity and Compensation Decision Determination Worksheet Form
Business Form
Business Form
Business Form
Business Form
Business Form
Business Form
Business Form
Business Form
State Form
State Form
State Form
State Form

All Historical Document Collections

202603-0579-003	Revision of a currently approved collection	2026-03-25
202107-0579-002 Approved without change	Reinstatement with change of a previously approved collection	2021-07-21
201601-0579-002 Approved without change	New collection (Request for a new OMB Control Number)	2016-01-21

OMB Details

State

Federal Enterprise Architecture: Natural Resources - Agricultural Innovation and Services

Form VS 1-23	Appraisal and Indemnity Claim	Printable Only	Form
Form VS 9-14	Indemnity and Compensation Decision Determination Worksheet	Printable Only	Form
Form VS 1-23A	Appraisal and Indemnity Claim Continuation Sheet	Printable Only	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.