Poultry 2010 Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NAHMS-238 Urban Chicken Questionnaire	Form and Instruction	New	Available
Form NAHMS-241 Urban Chicken Prevalence Record	Form and Instruction	New	Available
Form NAHMS-240 Poultry 2010 Clostridial Dermatitis Sample Collection Record	Form and Instruction	New	Available
Form NAHMS-239 Poultry 2010 Company Agreement	Form and Instruction	New	Available
Form NAHMS-237 Poultry 2010 Turkey Questionnaire	Form and Instruction	New	Available
Form NAHMS-236 Poultry 2010 Breeder Questionnaire	Form and Instruction	New	Available
Form NAHMS-235 Poultry 2010 - Company Questionnaire	Form and Instruction	New	Available
APHIS 79.xls	Supplementary Document	Uploaded 2010-03-15	Available
APHIS 71.xls	Supplementary Document	Uploaded 2010-03-15	Available
Urban chicken letter.pdf	Supplementary Document	Uploaded 2010-03-05	Available
SS - Part B.doc	Supporting Statement B	Uploaded 2010-03-05	Available
SS - Part A.doc	Supporting Statement A	Uploaded 2010-03-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191889	Poultry 2010 Study - Non Respondents	Other-Mock Form	New
191888	Poultry 2010 Study - Business	Form and Instruction	New	Urban Chicken Questionnaire
191888	Poultry 2010 Study - Business	Form and Instruction	New	Urban Chicken Prevalence Record
191888	Poultry 2010 Study - Business	Form and Instruction	New	Poultry 2010 Clostridial Dermatitis Sample Collection Record
191888	Poultry 2010 Study - Business	Form and Instruction	New	Poultry 2010 Company Agreement
191888	Poultry 2010 Study - Business	Form and Instruction	New	Poultry 2010 Turkey Questionnaire
191888	Poultry 2010 Study - Business	Form and Instruction	New	Poultry 2010 Breeder Questionnaire
191888	Poultry 2010 Study - Business	Form and Instruction	New	Poultry 2010 - Company Questionnaire

ICR Details

OMB Control No: 0579-0364	ICR Reference No: 201001-0579-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/APHIS	Agency Tracking No:
Title: Poultry 2010 Study
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/24/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/15/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2013	36 Months From Approved
Responses	13,790	0	0
Time Burden (Hours)	1,552	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this study is to collect information through questionnaires and biologic sampling on the U.S. poultry population.

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Authorizing Statute(s): US Code: 7 USC 8301 Name of Law: National Animal Health Protection Act of 2002
  

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:
	74 FR 119	06/23/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 48	03/12/2010
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Poultry 2010 Study - Business	NAHMS-236, NAHMS-240, NAHMS-241, NAHMS-238, NAHMS-235, NAHMS-237, NAHMS-239	Poultry 2010 - Company Questionnaire ,   Poultry 2010 Breeder Questionnaire ,   Poultry 2010 Turkey Questionnaire ,   Poultry 2010 Company Agreement ,   Poultry 2010 Clostridial Dermatitis Sample Collection Record ,   Urban Chicken Prevalence Record ,   Urban Chicken Questionnaire
Poultry 2010 Study - Non Respondents

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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	13,790	0	0	13,790	0	0
Annual Time Burden (Hours)	1,552	0	0	1,552	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection to investigate current issues and examine management practices of the poultry industry. The information collected through this study will be used by APHIS to establish national production measures, predict or detect national trends in disease emergence and movement, address emerging issues, examine the economic impact of health management practices, provide estimates of both outcome and exposure variables that can be used in analytic studies in the future, and provide input into the design of surveillance systems and disease models for specific diseases.

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Annual Cost to Federal Government: $96,213

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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]? No

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)? No

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: 03/15/2010

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