APHIS Form 71

Status: Original and derived artifacts are available for this document.

Download: xlsx | pdf | html

REPRODUCE LOCALLY. Include form number and date on all reproductions.

Page 1 of 2

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 (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.

STANDARDS FOR PERMANENT, PRIVATELY OWNED HORSE
QUARANTINE FACILITIES

0579-0313
DATE PREPARED

August 16, 2012
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)

(C)

(D)

(E)

ANNUAL
HOURS PER
RECORD-

RECORDKEEPING HOURS

(Col. I x J)

KEEPER
(F)

(G)

(H)

(I)

(J)

(K)

93.308(b)(iii)(E)

ENVIRONMENTAL CERTIFICATION (Local
Government)

2

1.00

2.00

1.00

2

0

93.308(c)(1)(i)

APPLICATION FOR FACILITY APPROVAL
(Business)

2

1.00

2.00

1.00

2

0

93.308(c)(1)(i)(A)

SERVICE AGREEMENTS (Business)

2

1.00

2.00

0.50

1

0

1

1.00

1.00

0.50

1

0

93.308(c)(1)(iv)(B) CLOSURE (Business)

1

1.00

1.00

0.50

1

93.308(c)(2)

2

1.00

2.00

0.50

1

0

1

1.00

1.00

0.08

1

0

LETTER CHALLENGING WITHDRAWAL FOR

93.308(c)(1)(iv)(A) FACILITY APPROVAL (Business)

LETTER NOTIFYING APHIS OF FACILITY

COMPLIANCE AGREEMENTS (Business)

93.308(c)(3)(iv)(C) SECURITY INSTRUCTIONS (Business)
SUBTOTAL

11.00

9

0.00

0

TOTAL OF ALL PAGES

19.00

15

2.00

2

TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS
"H" AND "K" = OMB 831, 13c

21.00

17

SUMMARY OF INFORMATION COLLECTION
AMS-71
(04-00) Electronic versions designed using Word Perfect;
InForms; Microsoft Excel by USDA-AMS.

USDA-AMS

REPRODUCE LOCALLY. Include form number and date on all reproductions.

Page 2 of 2

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 (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.

STANDARDS FOR PERMANENT, PRIVATELY OWNED HORSE
QUARANTINE FACILITIES

0579-0313
DATE PREPARED

August 16, 2012
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)

(C)

(D)

(E)

KEEPER
(F)

(G)

(H)

(I)

(J)

(K)

93.308(c)(3)(iv)(C) ALARM NOTIFICATION (Business)

1

1.00

1.00

0.83

1

0

93.308(c)(3)(iv)(C) SECURITY BREACH (Business)

1

1.00

1.00

0.83

1

0

93.308(c)(4)(ii)(B)

LIST OF PERSONNEL (Business)

1

1.00

1.00

0.42

1

0

93.308(c)(4)(ii)(C)

SIGNED STATEMENTS (Business)

4

1.00

4.00

0.16

1

0

93.308(c)(4)(iv)

DAILY LOG/RECORD KEEPING (Business)

93.308(c)(6)

REQUEST FOR VARIANCE (Business)

0

1

1.00

SUBTOTAL

8.00

SUMMARY OF INFORMATION COLLECTION
AMS-71
(04-00) Electronic versions designed using Word Perfect;
InForms; Microsoft Excel by USDA-AMS.

1.00

2.00

2

2

0

2
6

1.00

2

2

USDA-AMS