APHIS 81 Statement of Services

See reverse side for Information Collection Burden Statement

OMB APPROVED
0579-0094
EXP DATE XX/XXXX

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information
unless it displays a valid OMB control number. The time required to complete this information collection is estimated to
average from .033 to .083 hours per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.