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

4
5
.........OF........

4-6-2006
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
SECTION OF
REGULATIONS

DESCRIPTION

(B)

(A)

3.104a(1)

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

Written justification to hold animals in noncompliant

(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)

ANNUAL
HOURS
PER
RECORDKEEPER

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

(J)

none

30

1.000

30

1.000

30

30.000

0.100

3

none

130

30.000

3900

0.200

780

130.000

3.000

390

enclosures
3.105(c)

Report inappetenance exceeding 24 hours; maintain
feeding records for 1 year

3.106(b)

Water quality records

none

130

52.000

6760

0.200

1352

130.000

5.200

676

3.108(b)

Documentation of training for employees - participation

none

130

3.000

390

0.200

78

130.000

3.000

390

and completion
3.109

Written plans for animals housed separately

none

50

1.000

50

0.500

25

50.000

0.500

25

3.110(b))

Medical isolation

none

20

1.000

20

0.500

10

50.000

0.500

25

none

130

8.000

1040

0.500

520

130.000

0.500

65

3.110(d)

Individual animal medical records - must accompany

3.111(f)(2)

animals when moved/transferred

3.110(e)

Veterinary care records for transport

none

130

5.000

650

0.200

130

3.110(f)

Exception from annual examination for cetaceans and

none

20

2.000

40

0.500

20

20.000

0.200

4

Preliminary and final necropsy reports

none

130

3.000

390

1.000

390

130.000

0.250

32

3.111(e)(5)

Written instructions to participants

none

25

1.000

25

1.000

25

25.000

0.100

2

3.111(f)(1)

Description of SWTD program submitted to APHIS

25

1.000

25

1.000

25

25.000

0.100

2

sirenians
3.110(g)
3.111(g)(6)

950
APHIS FORM 71 (JAN 96)

(Previous editions are obsolete.)

13320

3385

1614

SUMMARY OF INFORMATION COLLECTIONS (Public Burden)
USDA - APHIS