aphis 71

aphis71.pdf

Low Pathogenic Avian Influenza; Voluntary Control Program and Payment of Indemnity

aphis 71

OMB: 0579-0305

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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 Low Pathogenic Avian Influenza; Payment of Indemnity
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-

305

DATE PREPARED

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

6/19/2007
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
SECTION OF
REGULATIONS

DESCRIPTION

(B)

(A)

146.13

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

(C)

NO. OF
RESPONSE
PER
RESPONDENT

NO. OF
RESPONDENTS

TOTAL
ANNUAL
RESPONSES
(Col. D x E)

(E)

(D)

RECORDS
HOURS
PER
RESPONSE
(G)

(F)

NO. OF
RECORD
KEEPERS

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

(I)

ANNUAL
HOURS
PER
RECORDKEEPER

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

(J)

LABS (SIGNATURE ONLY)
SUMMARY OF BREEDING FLOCK PARTICIPATION

VS 9-4

Business

24

7

168

4.000

672

State

24

7

168

4.000

672

24

2

48

0.500

24

24

2

48

0.500

24

Business

1

1

1

0.500

1

State

1

1

1

0.500

1

Report of Hatcheries, Dealers, and Independent Flocks
Participating in NPIP
Business

VS 9-5

State
56.4(b), 56.4(a)

All Species Appraisal & Indemnity Application (sign only)

VS 1-23

56.4(c), 56.6, 56.7

INDEMNITY WORKSHEET

VS 1-23A

MOU (Signature Only)
146.4(a), 146.11

146.14(b)

Recordkeeping
Business

1150

20.000

23000

State

1150

20.000

23000

Flock Selecting and Testing Report
Most Type Chicken Slaughter Plants
Business

VS 9-2

85

520

44200

0.083

3669

85

520

44200

0.083

3669

25

12

300

0.083

25

25

12

300

0.083

25

Business

1000

1

1000

0.083

83

State

1000

1

1000

0.083

83

State
146.44(a)(iii)

Turkey Slaughter Plants
Business

VS 9-2

State
Table Egg Producers

VS 9-2

2318
APHIS FORM 71 (JAN 96)

(Previous editions are obsolete.)

93734

54948

46000

SUMMARY OF INFORMATION COLLECTIONS (Public Burden)
USDA - APHIS

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 Low Pathogenic Avian Influenza; Payment of Indemnity
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-

305

DATE PREPARED

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

6/19/2007
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
SECTION OF
REGULATIONS

DESCRIPTION

(B)

(A)

146.13

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

(C)

NO. OF
RESPONSE
PER
RESPONDENT

NO. OF
RESPONDENTS

TOTAL
ANNUAL
RESPONSES
(Col. D x E)

(E)

(D)

RECORDS
HOURS
PER
RESPONSE
(G)

(F)

NO. OF
RECORD
KEEPERS

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

(I)

ANNUAL
HOURS
PER
RECORDKEEPER

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

(J)

LABS (SIGNATURE ONLY)
SUMMARY OF BREEDING FLOCK PARTICIPATION

VS 9-4

Business

24

7

168

4.000

672

State

24

7

168

4.000

672

24

2

48

0.500

24

24

2

48

0.500

24

Business

1

1

1

0.500

1

State

1

1

1

0.500

1

Report of Hatcheries, Dealers, and Independent Flocks
Participating in NPIP
Business

VS 9-5

State
56.4(b), 56.4(a)

All Species Appraisal & Indemnity Application (sign only)

VS 1-23

56.4(c), 56.6, 56.7

INDEMNITY WORKSHEET

VS 1-23A

MOU (Signature Only)
146.4(a), 146.11

146.14(b)

Recordkeeping
Business

1150

20.000

23000

State

1150

20.000

23000

Flock Selecting and Testing Report
Most Type Chicken Slaughter Plants
Business

VS 9-2

85

520

44200

0.083

3669

85

520

44200

0.083

3669

25

12

300

0.083

25

25

12

300

0.083

25

Business

1000

1

1000

0.083

83

State

1000

1

1000

0.083

83

State
146.44(a)(iii)

Turkey Slaughter Plants
Business

VS 9-2

State
Table Egg Producers

VS 9-2

2318
APHIS FORM 71 (JAN 96)

(Previous editions are obsolete.)

93734

54948

46000

SUMMARY OF INFORMATION COLLECTIONS (Public Burden)
USDA - APHIS


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