Document
APHIS Form 71
ICR 201304-0579-006 · OMB 0579-0335 · Object 39332601.
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Document Metadata
| File Type | application/vnd.ms-excel |
|---|---|
| File Title | APHIS Form 71 |
| Author | user |
| Last Modified By | Calc |
| File Modified | 2013-04-25 |
| File Created | 2026-09-13 |
| Conversion State | complete |
Extracted Text
REPRODUCE LOCALLY. Include form number and date on all reproductions. Page 1 of 4 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. TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. National Management Information System - pg 1 of 4 0579-0335 (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 August 9, 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 ANNUAL HOURS PER RECORD- RESPONDENT (A) (B) (C) Work Initiation Document for Wildlife Damage Management (individual) 12A/12A Addendum Work Initiation Document for Wildlife Damage Management (Private Sector) 12A/12A Addendum 426; 426b Work Initiation Document for Wildlife Damage Management (State, Local or Tribal Group) 12A/12A Addendum 426; 426b Work Initiation Document for Wildlife Damage Management (Multiple Resource Owners) (individual) 426; 426b 426; 426b (D) (E) RECORDKEEPING HOURS (Col. I x J) KEEPER (F) (G) (H) (I) (J) (K) 1.0000 3,613.00 0.0590 213 0.00 1.0000 27,540.00 0.0590 1,625 0.00 6,461 1.0000 6,461.00 0.0590 381 0.00 12B/12B Addendum 55 1.0000 55.00 0.0380 2 0.00 Work Initiation Document for Wildlife Damage Management (Multiple Resource Owners) (Private Sector) 12B/12B Addendum 427 1.0000 427.00 0.0380 16 0.00 426; 426b Work Initiation Document for Wildlife Damage Management (Multiple Resource Owners) (State, Local or Tribal Group) 12B/12B Addendum 99 1.0000 99.00 0.0380 4 0.00 426; 426b Work Initiation Document for Wildlife Damage Management on Urban Properties (Indivual) 12C 1,358 1.0000 1,358.00 0.0210 29 0.00 426; 426b Work Initiation Document for Wildlife Damage Management on Urban Properties (Private Sector) 12C 10,357 1.0000 10,357.00 0.0210 217 0.00 426; 426b Work Initiation Document for Wildlife Damage Management on Urban Properties (State, Local or Tribal Group) 12C 2,432 1.0000 2,432.00 0.0210 51 0.00 426b; 426c Pocatello Supply Depot Order Form (Individual) 17 77 1.0000 77.00 0.0650 5 0.00 426; 426b SUBTOTAL 3,613 27,540 52,419 52,419.00 2,543 0 0.00 TOTAL OF ALL PAGES 117,772 5,448 0.00 0.00 TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c 117,772 5,448 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. Page 2 of 4 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. National Management Information System - pg 2 of 4 0579-0335 (H)Total/(F)Total = (G)Average 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. August 9, 2012 ANNUAL BURDEN IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT REPORTS RECORDS TOTAL SECTION OF FORMS NO (S) NO. OF NO OF TOTAL ANNUAL (If "none" RESPONDENTS RESPONSES RESPONSES PER PER (Col. D x E) RESPONSE DESCRIPTION REGS. 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) 426b; 426c Pocatello Supply Depot Order Form (Private Sector) 17 592 1.0000 592.00 0.0650 38 0.00 426b; 426c Pocatello Supply Depot Order Form (State, Local or 17 Tribal Group) 138 1.0000 138.00 0.0650 9 0.00 426; 426b Project Report (Individual) 14 24 1.0000 24.00 0.0440 1 0.00 426; 426b Project Report (Private Sector) 14 173 1.0000 173.00 0.0440 8 0.00 426; 426b Project Report (State, Local or Tribal Group) 14 39 1.0000 39.00 0.0440 2 0.00 426b Control Materials Sales Records (Individual) 18 49 1.0000 49.00 0.0630 3 0.00 426b Control Materials Sales Records (Private Sector) 18 365 1.0000 365.00 0.0630 23 0.00 426b Control Materials Sales Records (State, Local or Tribal Group) 18 77 1.0000 77.00 0.0630 5 0.00 426; 426b Wildlife Services Assistance Request (Individual) 30 21,738 1.0000 21,738.00 0.0350 761 0.00 426; 426b Wildlife Services Assistance Request (Private Sector) 30 28,013 1.0000 28,013.00 0.0350 980 0.00 426; 426b Wildlife Services Assistance Request (State, Local or Tribal Group) 30 8,003 1.0000 8,003.00 0.0350 280 0.00 SUBTOTAL 59,211 SUMMARY OF INFORMATION COLLECTION APHIS FORM 71 (AUG 2005) Electronic versions designed using InForms and Microsoft Excel by USDA-APHIS. 59,211 2,110 0 0 USDA-APHIS REPRODUCE LOCALLY. Include form number and date on all reproductions. Page 3 of 4 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. National Management Information System pg. 3 of 4 0579-0335 (H)Total/(F)Total = (G)Average 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. August 9, 2012 ANNUAL BURDEN IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT REPORTS RECORDS TOTAL SECTION OF FORMS NO (S) NO. OF NO OF TOTAL ANNUAL (If "none" RESPONDENTS RESPONSES RESPONSES PER PER (Col. D x E) RESPONSE DESCRIPTION REGS. 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) 426b; 522a WS Resource Values Survey (Private Sector) 45 52 1.0000 52.00 0.0530 3 0.00 426; 426b Report of Injury or Death to Non-target Animals 35 (Private Sector) 1 1.0000 1.00 0.3800 1 0.00 426; 426b Migratory Bird Damage Project Report (Individual) 37 579 1.0000 579.00 0.1300 75 0.00 426; 426b Migratory Bird Damage Project Report (Private 37 Sector) 4,410 1.0000 4,410.00 0.1300 573 0.00 426; 426b Migratory Bird Damage Project Report (State, Local or Tribal Group) 37 1,034 1.0000 1,034.00 0.1300 134 0.00 426 Nuisance Wildlife Permit (Louisiana) (Individual) 66 6 1.0000 6.00 0.0610 1 0.00 426 Nuisance Wildlife Permit (Louisiana) (Private Sector) 66 46 1.0000 46.00 0.0610 3 0.00 426 Nuisance Wildlife Permit (Louisiana) (State, Local or Tribal Group) 66 10 1.0000 10.00 0.0610 1 0.00 426; 426b Wildlife Services Abatement Program Assignment of U.S. Government Property (Private Sector) 68 0 1.0000 0.00 0.0195 0 0.00 Cleared under 4040-0005 (Common Form) SF 424 4 1.0000 4.00 0.7500 3.00 0.00 SUBTOTAL 6,142 SUMMARY OF INFORMATION COLLECTION APHIS FORM 71 (AUG 2005) Electronic versions designed using InForms and Microsoft Excel by USDA-APHIS. 6,142 795 0 0 USDA-APHIS REPRODUCE LOCALLY. Include form number and date on all reproductions. Page 4 of 4 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. TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. National Management Information System pg. 4 of 4 0579-0335 (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 August 9, 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) Cooperative Agreement Forms Family ** These figures were not added to the total SF 424, 424A, 424b, SF LLL Cleared under 0348-0044 SF 424a 4 1.0000 4.00 Cleared under 0348-0040 SF 424B 4 1.0000 Cleared under 0348-0046 SF LLL 0 1.0000 SUBTOTAL 0.00 0 SUMMARY OF INFORMATION COLLECTION APHIS FORM 71 (AUG 2005) Electronic versions designed using InForms and Microsoft Excel by USDA-APHIS. (H) (I) (J) (K) 0.00 0.00 3.0000 12.00 0.00 4.00 0.2500 1.00 0.00 0.00 0.5000 0.00 0.00 0.00 0.00 USDA-APHIS