According
to the Paperwork Reduction Act of 1995, an agency may not conduct
or sponsor, and a person is not required to respond to, a
collection of information unless it displays a valid OMB control
number. The valid OMB number for this collection is 0579-0323.
The time required to complete this information collection is
estimated to average .25 hours per response, including the time
for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and
reviewing the collection of information
|
OMB
Approved
0579-0323
EXP
XX/XXXX
|
Date
MM/DD/YYYY
|
Initials
|
(X)
Traps Set (If
needed)
|
Caught
or killed index (X)
|
Number
of Rats sighted monthly (X)
|
Placed
(X) new stations
|
Refreshed
bait in (X) stations
|
Brand
name of bait
|
Active
ingredient of bait
|
Lbs.
of bait used (x)
|