Information Collection

Health Certificate for the Export of Live Crustaceans, Finfish, Mollusks, and Related Products- Business

IC 187435 under ICR 201201-0579-007 · OMB 0579-0278.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 17-141 Health Certificate for the Export of Live Crustaceans, Finfish, Mollusks, and Related Products- Business	Form and Instruction
VS 17-141 Health Certificate for the Export of Live Crustaceans, F VS 17-141 Mar 2006.pdf	Form and Instruction
VS 17-140 UNITED STATES ORIGIN HEALTH CERTIFICATE VS 17-140 SEP 2010.docx	Form
APHIS 7001 UNITED STATES INTERSTATE AND INTERNATIONAL CERTIFICATE O APHIS 7001.doc www.aphis.usda.gov/library/forms/pdf/APHIS7001.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 91.3, 91.15, 91.16

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 and Instruction	VS 17-141	Health Certificate for the Export of Live Crustaceans, Finfish, Mollusks, and Related Products	VS 17-141 Mar 2006.pdf		No		Paper Only
Form	VS 17-140	UNITED STATES ORIGIN HEALTH CERTIFICATE	VS 17-140 SEP 2010.docx		No		Paper Only
Form	APHIS 7001	UNITED STATES INTERSTATE AND INTERNATIONAL CERTIFICATE OF HEALTH EXAMINATION	APHIS 7001.doc	http://www.aphis.usda.gov/library/forms/pdf/APHIS7001.pdf	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 69

Number of Respondents for Small Entity: 66

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 15 %

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	1,976	1,776	50	150
Annual IC Time Burden (Hours)	1,020	920	25	75
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.