aphis 71

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 CSF STATUS OF CHILE
totals shall be computed, as follows, and then entered on the OMB 83-1.
(F) Total
(H) Total = (G)
(K) Total = (J) Average
= (E)
(D) Total A
(F) Total
(I) Total
A

PAGE

OMB NO.

0579-

0235

DATE PREPARED

1
1
.........OF........

8/11/2006
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
SECTION OF
REGULATIONS

DESCRIPTION

(B)

(A)

94.9(b)(3)

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

(C)

CERTIFICATION STATEMENT FOR LIVE SWINE, PORK,

NO. OF
RESPONSE
PER
RESPONDENT

NO. OF
RESPONDENTS

(E)

(D)

5

TOTAL
ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE
(G)

(F)

10

RECORDS

50

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

1.000

NO. OF
RECORD
KEEPERS
(I)

ANNUAL
HOURS
PER
RECORDKEEPER
(J)

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

50

PORK PRODUCTS

5
APHIS FORM 71 (JAN 96)

(Previous editions are obsolete.)

50

50

SUMMARY OF INFORMATION COLLECTIONS (Public Burden)
USDA - APHIS