Information Collection

Animal Welfare (State, Local, and Tribal Governments)

IC 189492 under ICR 201102-0579-002 · OMB 0579-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0036 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form APHIS 7009 Request for Approval of Holding Facility Animal Welfare (State, Local, and Tribal Governments)	Form
Form APHIS 7003A Application for License - New License Animal Welfare (State, Local, and Tribal Governments)	Form
Form APHIS 7003 Application for License - Renewal Animal Welfare (State, Local, and Tribal Governments)	Form
Form APHIS 7002 Animal Care - Program of Veterinary Care for Research Facilities or Exhibitors/Dealers Animal Welfare (State, Local, and Tribal Governments)	Form
Form APHIS 7005 Record of Acquisition of Dogs and Cats On Hand Animal Welfare (State, Local, and Tribal Governments)	Form
Form APHIS 7006 Record of Disposition of Dogs and Cats Animal Welfare (State, Local, and Tribal Governments)	Form
Form APHIS 7006 A Continuation Sheet for Record of Disposition of Dogs and Cats Animal Welfare (State, Local, and Tribal Governments)	Form
Form APHIS 7001 United States Interstate and International Certificate of Health Examination for Small Animals Animal Welfare (State, Local, and Tribal Governments)	Form
APHIS 7030 NOV 2011.doc	Other-Draft Form
APHIS 7009 Request for Approval of Holding Facility APHIS 7009.doc	Form
APHIS 7003A Application for License - New License APHIS 7003-A aug 2011.rtf	Form
APHIS 7003 Application for License - Renewal APHIS 7003 kh2.doc	Form
APHIS 7002 Animal Care - Program of Veterinary Care for Research Fa APHIS 7002 JUN 2011.doc	Form
APHIS 7005 Record of Acquisition of Dogs and Cats On Hand APHIS 7005.doc	Form
APHIS 7006 Record of Disposition of Dogs and Cats APHIS 7006.doc	Form
APHIS 7006 A Continuation Sheet for Record of Disposition of Dogs and APHIS 7006-A.doc	Form
APHIS 7001 United States Interstate and International Certificate o APHIS 7001[1].doc www.aphis.usda.gov/library/forms/pdf/APHIS7001.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Animal Welfare (State, Local, and Tribal Governments)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 1 - 3

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	APHIS 7009	Request for Approval of Holding Facility	APHIS 7009.doc		No		Paper Only
Form	APHIS 7003A	Application for License - New License	APHIS 7003-A aug 2011.rtf		No		Paper Only
Form	APHIS 7003	Application for License - Renewal	APHIS 7003 kh2.doc		No		Paper Only
Form	APHIS 7002	Animal Care - Program of Veterinary Care for Research Facilities or Exhibitors/Dealers	APHIS 7002 JUN 2011.doc		No		Paper Only
Form	APHIS 7005	Record of Acquisition of Dogs and Cats On Hand	APHIS 7005.doc		No		Paper Only
Form	APHIS 7006	Record of Disposition of Dogs and Cats	APHIS 7006.doc		No		Paper Only
Form	APHIS 7006 A	Continuation Sheet for Record of Disposition of Dogs and Cats	APHIS 7006-A.doc		No		Paper Only
Form	APHIS 7001	United States Interstate and International Certificate of Health Examination for Small Animals	APHIS 7001[1].doc	http://www.aphis.usda.gov/library/forms/pdf/APHIS7001.pdf	Yes	No	Fillable Printable
Other-Draft Form			APHIS 7030 NOV 2011.doc		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 258

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,479	266	2,203	10
Annual IC Time Burden (Hours)	1,013	237	773	3
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.