Animal Welfare Part 3

INSTRUCTIONS: Use this form when a single information collection document involves multiple TITLE OF INFORMATION COLLECTION DOCUMENT
public reporting and recordkeeping requirements. The totals of the figures in cols. (d), (F), (H), (I)
and (K) should be entered in item 13 of OMB 83-1. For cols. (E), (G), & (J), the averages of the
Animal Welfare, Part 3, Subparts A, B, C, D, E, AND
totals shall be computed, as follows, and then entered on the OMB 83-1.
(F) Total
(H)
Total
(K)
Total
= (E)
= (G)
= (J) Average
(D) Total A
(F) Total
(I) Total
A

PAGE

OMB NO.

0579F

0093

DATE PREPARED

1
5
.........OF........

4-6-2006
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
SECTION OF
REGULATIONS

FORM NO(S).
(If "none",
so state)

DESCRIPTION

(B)

(A)

3.6(b)(1)(iii)

Approval for less than minimum housing requirements

3.6(c)(1)(ii),

for dogs and cats

(C)

NO. OF
RESPONDENTS

NO. OF
RESPONSE
PER
RESPONDENT
(E)

(D)

TOTAL
ANNUAL
RESPONSES
(Col. D x E)

RECORDS
HOURS
PER
RESPONSE
(G)

(F)

TOTAL
HOURS
(Col. F x G)
(H)

NO. OF
RECORD
KEEPERS
(I)

none

30

1.000

30

1.000

30

none

750

1.000

750

1.000

750

none

800

1.000

800

1.000

800

none

3000

1.000

3000

2.000

none

500

5.000

2500

ANNUAL
HOURS
PER
RECORDKEEPER

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

(J)

30.000

0.500

15

6000

3000.000

1.000

3000

0.500

1250

500.000

1.000

500

3.6(d)
3.8(b)(1)(2)

Proposal approved by research facility committee and
attending veternarian

3.8(c))1)

Consultation and dreview by the committee and attending
veterinarian

3.8(c)(3)(iii)

Written stanard procedures (plan) for exercise and
recording thereof

3.8(d)(1)(3)

Documentation for exercise exemption and
recordkeeping

3.8(d)(2)

Review by committee, exemptions for dogs and cats

none

200

10.000

2000

1.000

2000

3.13(b), 3.86(b)

Consignment to carriers and intermediate handlers

none

5000

1.000

5000

0.100

500

3.136(b), 3.35(b),

Certification of transport enclosure compliance by

none

100

1.000

100

0.100

10

3.60(b)

consignor

3.13(c), (c)(1)(2)

Certification by consigner for transport consignor name

none

5100

1.000

5100

0.250

1275

(3)(4), 3.16(a)

and address, ID, tag number of tattoo, and each animal

3.86(c), (c)(1)(2)

offered food and water (dogs, cats, primates)

none

5700

1.000

5700

0.050

285

(3)(4), 3.89(a)
3.13(c), 3.14(h),

Shipping documents and written instructions for food,

3.16(b), 3.36(h),

water, medication, and special care attached to

3.61(g), 3.86(c)

enclosure. Numbers accounted for under 3.113(g).

3.87(g), 3.89(b),

Consignment to carriers - marine mammals shipping

3.112(b), 3.113(g)

documents..

3.137(f), 3.139(d)

REGS. 3.112(b) & 3.113(g) WERE FORMERLY LISTED IN
0579-0115. REGS. 3.137(f) & 3.139(d) WERE ADDED
TO 0579-0093

APHIS FORM 71 (JAN 96)

(Previous editions are obsolete.)

21180

24980

12900

3515

SUMMARY OF INFORMATION COLLECTIONS (Public Burden)
USDA - APHIS