Document
APHIS 71
ICR 201203-0579-013 · OMB 0579-0213 · Object 31403901.
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Document Metadata
| File Type | application/vnd.ms-excel |
|---|---|
| File Title | APHIS 71 |
| Author | user |
| Last Modified By | Calc |
| File Modified | 2011-12-05 |
| File Created | 2026-10-21 |
| Conversion State | complete |
Extracted Text
REPRODUCE LOCALLY. Include form number and date on all reproductions. SUMMARY OF INFORMATION COLLECTION 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 TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. Select Agent Registration 0579-0213 (H)Total/(F)Total = (G)Average Page 1 of 3 DATE PREPARED (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. December 6, 2011 ANNUAL BURDEN IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT REPORTS RECORDS TOTAL SECTION OF REGS. FORMS NO (S) (If "none" so state) DESCRIPTION NO. OF RESPONDENTS NO OF RESPONSES PER TOTAL ANNUAL RESPONSES (Col. D x E) HOURS PER RESPONSE TOTAL HOURS (Col. F x G) NO. OF RECORDKEEPERS RESPONDENT (A) (B) 121.10, 331.10 121.7, 331.7 121.16, 331.16 121.16 (C) Request for Expedited Access Approval Review (business) (E) RECORDKEEPING HOURS (Col. I x J) KEEPER (F) (G) (H) (I) (J) (K) 2 1.00 2.00 3.00 6.00 0.00 (State and local government) 1 1.00 1.00 3.00 3.00 0.00 Application for Registration for Possession, Use and APHIS/CDC Transfer of Select Agents and Toxins (business) + 1 (not-for-profit) 7 1.00 7.00 3.75 26.25 0.00 (State and local government) 9 1.00 9.00 1.00 9.00 0.00 Request to Transfer Select Agents and Toxins APHIS/CDC 2 (business) + (not-for-profit) 25 1.00 25.00 1.50 37.50 0.00 (State and local government) 28 1.00 28.00 1.50 42.00 0.00 2 1.00 2.00 1.00 2.00 0.00 1 1.00 1.00 1.00 1.00 0.00 Report of Transfer of Proficiency Test (business) + (not-for-profit) (State and local government) Letter (D) ANNUAL HOURS PER RECORD- None SUBTOTAL 75.00 126.75 0.00 0.00 TOTAL OF ALL PAGES 1,163.00 2,289.41 1.00 1.00 TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c 1,164.00 2,290.41 SUMMARY OF INFORMATION COLLECTION APHIS FORM 71 (AUG 2005) Electronic versions designed using InForms and Microsoft Excel by USDA-APHIS. USDA-APHIS REPRODUCE LOCALLY. Include form number and date on all reproductions. SUMMARY OF INFORMATION COLLECTION 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. Page 2 of 3 TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. Select Agent Registration 0579- 0213 (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. DATE PREPARED ANNUAL BURDEN IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT REPORTS RECORDS TOTAL SECTION OF DESCRIPTION REGS. FORMS NO (S) NO. OF NO OF TOTAL ANNUAL (If "none" RESPONDENTS RESPONSES RESPONSES PER PER (Col. D x E) RESPONSE so state) HOURS TOTAL NO. OF ANNUAL RECORD- HOURS RECORD- HOURS PER KEEPING HOURS (Col. F x G) KEEPERS RECORD- (Col. I x J) RESPONDENT (A) 121.19, 331.19 121.4.5.6.9, 331.5, 9 121.5, 331.5 (B) (C) Report of Theft, Loss, or Release of Select Agent and Toxins (business) + (not-for-profit) APHIS/CDC 3 (E) (F) (G) (H) (I) (J) (K) 5 1.00 5.00 1.00 5.00 0.00 (State and local government) 10 1.00 10.00 1.00 10.00 0.00 Reporting the Identification of a Select Agent or APHIS/CDC 4 A, B, and Toxin in a Clinical/Diagnostic Specimen C (business) + (not-for-profit) 2 1.00 2.00 1.00 2.00 0.00 (State and local government) 24 1.00 24.00 1.00 24.00 0.00 2 1.00 2.00 1.00 2.00 0.00 1 1.00 1.00 1.00 1.00 0.00 2 1.00 2.00 1.00 2.00 0.00 1 1.00 1.00 1.00 1.00 0.00 2 1.00 2.00 1.00 2.00 0.00 1 1.00 1.00 1.00 1.00 0.00 Request for Exemption of Select Agents and Toxins for Public Health or Agricultural Emergency or Investigational Product (business) + (not-for-profit) APHIS CDC/5 (State and local government) Appeal of Registration Denial, Surrender of 121.8, 331.17 Registration Certificate (business) + (not-forprofit) Letter (State and local government) 121.9, 331.9 (D) KEEPER Request of ID Select Agents or Toxins Contained in Specimens Presented for Diagnosis or Verification (business)+ (not-forprofit) (State and local government) Letter SUBTOTAL 50.00 SUMMARY OF INFORMATION COLLECTION APHIS FORM 71 (AUG 2005) Electronic versions designed using InForms and Microsoft Excel by USDA-APHIS. 50.00 1 0.00 USDA-APHIS REPRODUCE LOCALLY. Include form number and date on all reproductions. SUMMARY OF INFORMATION COLLECTION 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 TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. Select Agent Registration 0579- 0213 (H)Total/(F)Total = (G)Average Page 3 of 3 DATE PREPARED (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. November 30, 2010 ANNUAL BURDEN IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT REPORTS RECORDS TOTAL SECTION OF DESCRIPTION REGS. FORMS NO (S) NO. OF NO OF TOTAL ANNUAL (If "none" RESPONDENTS RESPONSES RESPONSES PER PER (Col. D x E) RESPONSE so state) HOURS TOTAL NO. OF ANNUAL RECORD- HOURS RECORD- HOURS PER KEEPING HOURS (Col. F x G) KEEPERS RECORD- (Col. I x J) RESPONDENT (A) (B) 121.9, 331.9 Report of ID or Select Agents or Toxins Contained in Specimens Presented for Proficency Testing (business) + (not-for-profit) (C) Letter (State and local government) (D) (E) KEEPER (F) (G) (H) (I) (J) (K) 2 1.00 2.00 1.00 2.00 0.00 1 1.00 1.00 1.00 1.00 0.00 121.17, 331.17 Recordkeeping (business) None 121.18, 331.18 Inspection of Facilities (business) + (not-forprofit) None 33 1.00 33.00 8.00 264.00 0.00 (State and local government) None 42 1.00 42.00 8.00 336.00 0.00 121.6 Application for Permit to Import or Transport Controlled Material or Organisms or Vectors (business) VS 16-3 941 1.00 941.00 1.60 1,505.60 0.00 121.16 Additional Information for Cell Cultures and their Products (business) VS 16-7 1 1.00 1.00 0.33 1.00 0.00 PPQ 526 18 1.00 18.00 0.17 3.06 331.16 Application and Permit to Move Live Plants or Noxious Weeds (business) 0.00 SUBTOTAL 1,038.00 SUMMARY OF INFORMATION COLLECTION APHIS FORM 71 (AUG 2005) Electronic versions designed using InForms and Microsoft Excel by USDA-APHIS. 0.00 2,112.66 1 1 0.500 1.00 1.00 USDA-APHIS