APHIS Form 71 Worksheet

71 Form as of 3-24-12 Final.xls

User Fee Regulations, 7 CFR 354 and 9 CFR 130

APHIS Form 71 Worksheet

OMB: 0579-0094

Document [xlsx]
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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.







User Fee Regulations, 7 CFR 354 and 9 CFR 130 0579-0094




DATE PREPARED
31-Mar-11
Page 1 of 7
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN








REPORTS RECORDS





















TOTAL






FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS
REGS.




so state)
PER (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J)








RESPONDENT



KEEPER
(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K)
9CFR 130.2(a) User Fees for animals or birds in quarantine facilities - Individuals - 16 and Private Sector - 12 none 28 115 3,220 0.0330 106.26

0.00
9CFR 130.2(b) Requests for non-standard housing - Private Sector - 7 none 7 1 7 0.0830 0.581

0.00
9CFR 130.2(c) Requests for non-standard animal feed - Private Sector -8 none 8 1 8 0.0830 0.664

0.00
9CFR 130.3 (a)(1) User fees for exclusive use of buildings- Private Sector -2 APHIS 81 2 2 4 0.0830 0.332

0.00
9CFR 130.3 (b) & 130.4 User fees for import or intransit permit application - Individual - 5848, Private Sector - 1950 VS 17-129 7,798 1 7,798 0.1700 1,325.66

0.00
9CFR 130.3(c) (2) & (3) Additional animal health technicians/feed - Private Sector- 20 none 20 2 40 0.6600 26.40

0.00

SUBTOTAL
7,863
11,077 1,459.90
0

TOTAL OF ALL PAGES
51,981
295,339
11,661.37 542
4,336.00
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c


295,881
15,997.37















































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0579-0094




DATE PREPARED
31-Mar-11
Page 2 of 7
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN








REPORTS RECORDS





















TOTAL






FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS
REGS.




so state)
PER (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J)








RESPONDENT



KEEPER
(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K)
130.4 Application for permit to import controlled items - Private Sector - 205 VS 16-3 205 2 410 1.0000 410

0.00
130.4 Additional information for cell cultures and their products - Private Sector - 281 VS 16-7 281 1 281 0.3330 93.57


130.5 User fees for services at privately owned permanent and temporary quarantine faciities - Private Sector - 15 APHIS 81 15 20 300 0.0330 9.90


130.6 User fees for import or entry services - live animals along the U.S. - Mexico border - Individual - 175, Private Sector -175 APHIS 81 350 40 14,000 0.0330 462

0.00
130.7 (a) User fees for import or entry services - live animals along the U.S. - Canada border - Individuals -15, Private Sector - 45 APHIS 81 60 18 1,080 0.0330 35.64

0.00
130.8 (a) User fees for other services- Individual 95, Private Sector - 495 APHIS 81 590 6 3,540 0.0330 116.82

0.00
130.10 (a) User fees for pet birds - Private Sector - 481 APHIS 81 481 1 481 0.0830 39.92

0.00
130.10 (b) User fees for pet birds quarantined - Private Sector - 1,510 APHIS 81 1,510 2 3,020 0.0330 99.66

0.00

SUBTOTAL
3,492
23,112
1,267.51 0
0.00













































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0579-0094-




DATE PREPARED
31-Mar-11
Page 3 of 7
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN








REPORTS RECORDS





















TOTAL






FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS
REGS.




so state)
PER (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J)








RESPONDENT



KEEPER
(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K)
130.10 (d) Request for additional services for pet birds - Private Sector - 24 none 24 1 24 0.0830 1.99

0.00
130.11 (a) User fees for inspecting and approving import/export facilities and establishments - Private Sector - 199 APHIS 81 199 1 199 0.0830 16.52

0.00
130.14 (a) User fees for diagnostic reagents from the Foreign Animal Diseases Diagnostic Lab (FADDL) - Individual - 13, Private Sector - 160, Federal Gov - 28 APHIS 81 201 2 402 0.0330 13.27

0.00
130.14 (b) User fees for tests performed at FADDL- Individual - 20, Private Sector - 103, Federal Gov - 28 APHIS 81 151 4 604 0.0330 19.93

0.00
130.14 (c) User fees for other FADDL services - Private Sector - 8 APHIS 81 8 3 24 0.0330 0.792

0.00
130.15 (a) & (b) and 130.16 (a) & (b) User fees for test performed at the National Veterinary Services Laboratories in Ames, IA (NVSL)- Individual - 1,497, Private Sector - 5,713, Federal Gov - 100 APHIS 81 7,310 3 21,930 0.0330 723.69

0.00

SUBTOTAL
7,893
23,159
776.19 0
0.00













































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0579-0094




DATE PREPARED
11-Mar-08
Page 4 of 7
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN








REPORTS RECORDS





















TOTAL






FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS
REGS.




so state)
PER (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J)








RESPONDENT



KEEPER
(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K)
130.17 (a) and 130.19 (a) User fees for other NVSL services - Individual 97, Private Sector 195, Federal Gov 30 APHIS 81 322 1 322 0.0330 10.63

0.00
130.18 (a) & (b) User Fees for diagnostic reagents at NVSL - Private Sector - 122 APHIS 81 122 15 1,830 0.0830 151.89

0.00
130.20 (a) & (b) User fees for export health certificate endorsements- Individual- 17,326, Private Sector-9,814 APHIS 81 27,140 3 81,420 0.0330 2,686.86

0.00
130.22 User fees for inspection services outside the U.S. - Private Sector - 5 APHIS 81 5 1 5 0.0330 0.17

0.00
130.22 (b) & (c) Request and agreement for inspection services - Private Sector - 5 none 5 1 5 0.1660 0.83

0.00
130.22 (e) Written notice of termination - Private Sector - 2 none 2 1 2 0.0330 0.07

0.00

SUBTOTAL
27,596
83,584
2,850.45 0
0.00













































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0579-0094




DATE PREPARED
1-Mar-11
Page 5 of 7
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN








REPORTS RECORDS





















TOTAL






FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS
REGS.




so state)
PER (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J)








RESPONDENT



KEEPER
(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K)
354.3 (b) (1) and 354.4 (a) User fees for commercial vessels, fees collected by Customs and Border Protection (CBP) personnel APHIS 81




0.00
354.3 (c) (1) User fees for commercial trucks, fees collected by CBP personnel APHIS 81




0.00
354.3 (c) (3) (i) Prepayment for user fee for commercial trucks, fees collected by CBP personnel APHIS 81




0.00
354.3 (d) (1) User fee for commercial railroad cars - Private Sector - 22 APHIS 81 22 6 132 0.0830 10.96

0.00
354.3 (d) (3) (i) Prepayment for user fee for commercial railroad cars APHIS 81 0 0 0 0.00 0.00

0.00
354.3 (d) (4) & (d) (5) Monthly statement submissions for commercial railroad cars APHIS 81 0 0 0 0.00 0.00

0.00

SUBTOTAL
22
132
10.96 0
0.00













































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0579-0094




DATE PREPARED
1-Mar-11
Page 6 of 7
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN








REPORTS RECORDS





















TOTAL






FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS
REGS.




so state)
PER (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J)








RESPONDENT



KEEPER
(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K)
354.3 (d) (6) Compliance - recordkeeping - Private Sector - 11 none 11 1 11 0.0830 0.91 11 8.000 88.00
354.3 (e) (1) Agricultural clearance or safeguard order (signature only) - Private Sector - 27 PPQ-250 27 1 27 0.0830 2.24

0.00
354.3 (e) (3) (1) & 354.4 (a) User fees for commercial aircraft - Private Sector - 311 APHIS 81 311 4 1,244 0.0830 103.25

0.00
354.3 (e) (4) Compliance - recordkeeping - Private Sector - 311 none 311 4 1,244 0.0830 103.25 311 8.000 2,488
354.3 (f)(1), (f)(4)(i), (f)(4)(i)(b), and (f)(5)(i) User fee for international air passengers- Private Sector - 311 APHIS 81 311 4 1,244 0.0170 21.15

0.00
354.3 (f)(4)(i)(a) Marketing requirements (fee indication on ticket). International air tickets show a combined inspection fee. No additional markings will be required for our fees. none



0.00

SUBTOTAL
971
3,770
230.80 322
2,576













































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0579-0094




DATE PREPARED
1-Mar-11
Page 7 of 7
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN








REPORTS RECORDS





















TOTAL






FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS
REGS.




so state)
PER (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J)








RESPONDENT



KEEPER
(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K)
354.3 (f)(5)(ii) and (iii) Remittance statement submissions for international passengers - Private Sector - 311 APHIS 81 311 4 1,244 0.0830 103.25

0.00
354.3 (f)(6) Notification of all flights - Private Sector- 311 none 311 4 1,244 0.0500 62.20

0.00
354.3 (f)(7) Compliance-recordkeeping - Private Sector 311 none 311 1 311 0.0830 25.81 220 8.000 1,760
354.3 (g)(1) and (g)(3) Phytosanitary Certificates and State Issuance of certificates- Individual -111, Private Sector - 3,055, Federal Gov -45 PPQ 577, 578, or 579 3,211 46 147,706 0.0330 4,874.30

0.00








0.00








0.00

SUBTOTAL
4,144
150,505
5,065.56 220
1,760








































































































File Typeapplication/vnd.ms-excel
Authoruser
Last Modified ByMcDuffie, Cathy A - APHIS
File Modified2012-03-22
File Created2000-01-10

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