NAHMS Needs Assessment Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NAHMS 285 NAHMS Needs Assessment Surveys - Equines	Form and Instruction	New	Available
Form NAHMS 284 NAHMS Needs Assessment Surveys - Dairy	Form and Instruction	New	Available
Part B Resubmit.docx	Supporting Statement B	Uploaded 2013-02-14	Available
Part A Resubmit.doc	Supporting Statement A	Uploaded 2012-10-02	Available
DAIRY 2014 Focus Group Topics.doc	Supplementary Document	Uploaded 2012-04-05	Available
Needs Assess APHIS 79.xls	Supplementary Document	Uploaded 2012-04-05	Available
Needs Assessment APHIS 71.xls	Supplementary Document	Uploaded 2012-04-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
204359	NAHMS Needs Assessment Surveys - Equine Non Respondents	Other-Place Holder	New
204358	NAHMS Needs Assessment Surveys - Dairy Non Respondents	Other-Place Holder	New
204357	NAHMS Needs Assessment Surveys - Equines	Form and Instruction	New
204356	NAHMS Needs Assessment Surveys - Dairy	Form and Instruction	New

ICR Details

OMB Control No: 0579-0398	ICR Reference No: 201210-0579-001
Status: Historical Active	Previous ICR Reference No: 201203-0579-014
Agency/Subagency: USDA/APHIS	Agency Tracking No:
Title: NAHMS Needs Assessment Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/18/2013
	Date Received in OIRA: 11/06/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved
Responses	5,000	0	0
Time Burden (Hours)	3,751	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The purpose of the NAHMS needs assessments studies is to gather producer, veterinary, and industry representatives' opinions, which help determine the focus and scope of NAHMS studies.

---

Authorizing Statute(s): US Code: 7 USC 391 Name of Law: Animal Industry Act of 1884
   US Code: 7 USC 8308 Name of Law: Animal Health Protection Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 50	03/15/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 127	07/01/2011
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
NAHMS Needs Assessment Surveys - Dairy	NAHMS 284, NAHMS 284	NAHMS Dairy 2014 Needs Assessment Survey ,   DAIRY 2014 Web Survey
NAHMS Needs Assessment Surveys - Dairy Non Respondents
NAHMS Needs Assessment Surveys - Equines	NAHMS 285, NAHMS 285, NAHMS 285	NAHMS Equine 2015 Needs Assessment ,   NAHMS Equine 2015 Needs Assessment ,   Equine 2015 Web Survey
NAHMS Needs Assessment Surveys - Equine Non Respondents

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,000	0	0	5,000	0	0
Annual Time Burden (Hours)	3,751	0	0	3,751	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

---

Annual Cost to Federal Government: $5,407

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/06/2012

---