APPLICATION FOR LICENSE OR ANNUAL REPORT (UNDER ANIMAL WELFARE ACT)

ICR 197505-0579-001

OMB: 0579-0029

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0579-0029 197505-0579-001
Historical Active
USDA/APHIS
APPLICATION FOR LICENSE OR ANNUAL REPORT (UNDER ANIMAL WELFARE ACT)
Revision of a currently approved collection   No
Regular
Approved without change 06/11/1975
Retrieve Notice of Action (NOA) 05/30/1975
  Inventory as of this Action Requested Previously Approved
12/31/1980 12/31/1980
6,000 0 0
1,500 0 0
0 0 0

FORM SERVES A DUAL PURPOSE: (1) APPLICATION FOR LICENSE BY DEALERS/EXHIBITORS AS REQUIRED BY SEC. 3 ANIMAL WELFARE ACT; AND (2) ANNUAL REPORT OF OPERATIONS BY LICENSES. DATA SERVES TO DEMONSTRATE TO USDA THAT THE DEALER/EXHIBITOR COMPLIES WITH THE STANDARDS PROMULGATED BY THE SECRETARY PURSUANT TO SEC. 2143 OF THE ACT.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR LICENSE OR ANNUAL REPORT (UNDER ANIMAL WELFARE ACT) VS 18-3

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,000 0 0 0 6,000 0
Annual Time Burden (Hours) 1,500 0 0 0 1,500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/30/1975


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