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

DATE PREPARED

5
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)

(C)

3.111(f)(7)

Injury report within 24 hours, written report within 7 days

none

3.111(g)(3)

Dolphin profile - accounted for under 3.111(f)(3)(4)

none

3.111(g)(4)

Nutritional and reproductive status

3.111(g)(5)
3.112(a),3.116(b)(4

NO. OF
RESPONSE
PER
RESPONDENT

NO. OF
RESPONDENTS

(E)

(D)

RECORDS

TOTAL
ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE
(G)

(F)

NO. OF
RECORD
KEEPERS

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

(I)

1

1.000

1

1.000

1

none

25

16.000

400

0.250

100

Written assessment by veterinarian

none

25

4.000

100

0.500

50

Health certificate for transport - marine mammals and

none

400

6.000

2400

0.200

480

ANNUAL
HOURS
PER
RECORDKEEPER
(J)

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

primates
3.113(c)&3.118(a)(2

Acclimation Certificate

none

129

1.000

129

0.100

13

3.113(f)

Marking requirements

none

645

1.000

645

0.100

65

Transport plan - marine mammals

none

130

5.000

650

0.200

130

PAGE 1

none

21180

24980

12900

3515

PAGE 2

none

9440

38840

9515

3300

PAGE 3

none

1586

65436

9906

2617

PAGE 4

none

950

13320

3385

1614

34511

146901

36545

11046

The following regulation was added to 0579-0093
3.116(a)

APHIS FORM 71 (JAN 96)

(Previous editions are obsolete.)

SUMMARY OF INFORMATION COLLECTIONS (Public Burden)
USDA - APHIS