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 SPRING VIREMIA OF CARP-SUSCEPTIBLE FINFISH AND
totals shall be computed, as follows, and then entered on the OMB 83-1.
AND DIAGNOSTIC SPECIMENS IMPORTATION PERMITS
(F) Total
(H) Total = (G)
(K) Total = (J) Average
= (E)
(D) Total A
(F) Total
(I) Total
A

PAGE

OMB NO.

0579-

THEIR GAMETES,

0301

DATE PREPARED

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

1/19/2007
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
SECTION OF
REGULATIONS

DESCRIPTION

(B)

(A)

93.901(3), 93.903

FISH IMPORT PERMIT APPLICATION

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

(C)

VS 17-129

NO. OF
RESPONDENTS

NO. OF
RESPONSE
PER
RESPONDENT

TOTAL
ANNUAL
RESPONSES
(Col. D x E)

(E)

(D)

RECORDS
HOURS
PER
RESPONSE
(G)

(F)

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

NO. OF
RECORD
KEEPERS
(I)

12000

1

12000

0.170

2040

12000

1

12000

0.160

1920

10

1

10

1.600

16

12000

1

12000

0.083

996

ANNUAL
HOURS
PER
RECORDKEEPER

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

(J)

(a)(b)(d)
93.904(a)(c)(3)

HEALTH CERTIFICATE DOCUMENTATION

(c)(1)
122.3

DIAGNOSTIC SPECIMEN APPLICATION

VS 16-3

93.905

REFUSAL OF ENTRY AND ORDER TO DISPOSE OF FISH VS 17-136

93.906(b)
RECORDKEEPING

12010

36010
APHIS FORM 71 (JAN 96)

(Previous editions are obsolete.)

36010

0.083

4972

997

997

SUMMARY OF INFORMATION COLLECTIONS (Public Burden)
USDA - APHIS