U.S. Origin Health Certificate

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VS 17-140 U.S. Origin Health Certificate	Form	Modified	Available
SS 0020 U.S. Origin Health Certificate.pdf	Supporting Statement A	Uploaded 2007-11-16	Available
0020 71.pdf	Supplementary Document	Uploaded 2007-07-03	Available
0020-79.pdf	Supplementary Document	Uploaded 2007-04-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
2093	U.S. Origin Health Certificate	Form	Modified
179759	U.S. Origin Health Certificate		Removed

ICR Details

OMB Control No: 0579-0020	ICR Reference No: 200711-0579-005
Status: Historical Active	Previous ICR Reference No: 200704-0579-011
Agency/Subagency: USDA/APHIS	Agency Tracking No:
Title: U.S. Origin Health Certificate
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/18/2008
	Date Received in OIRA: 11/19/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2011	36 Months From Approved	01/31/2008
Responses	90,067	0	45,067
Time Burden (Hours)	26,290	0	22,554
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this information collection is to gather information on animals exported from the US thereby preventing the international dissemination of animal disease.

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Authorizing Statute(s): US Code: 21 USC 117 Name of Law: Animal Industry Act of 1884
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 52	03/19/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 97	05/21/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
U.S. Origin Health Certificate
U.S. Origin Health Certificate	VS 17-140, VS 17-140A	United States Origin Health Certificate ,   United States Origin Health Certificate - Continuation Sheet

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	90,067	45,067	0	-35,311	80,311	0
Annual Time Burden (Hours)	26,290	22,554	0	-17,592	21,328	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The different of +3736 is the result of recorkeeping now being accounted for in the information collection.

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Annual Cost to Federal Government: $1,073,074

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/19/2007

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