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Animal Welfare (State, Local, and Tribal Governments)
Animal Welfare
OMB: 0579-0036
IC ID: 189492
OMB.report
USDA/APHIS
OMB 0579-0036
ICR 201102-0579-002
IC 189492
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0036 can be found here:
2024-05-16 - No material or nonsubstantive change to a currently approved collection
2023-02-17 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form APHIS 7009
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:
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,479
0
266
2,203
0
10
Annual IC Time Burden (Hours)
1,013
0
237
773
0
3
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.