Your Move Gypsy Moth Free Brochure - Individuals

Gypsy Moth Identification Worksheet

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0104 can be found here:

Documents and Forms

Document Name Document Type
Gypsy-Moth-Brochure.pdf www.hungrypests.com/YourMoveGypsyMothFree/pdf/Gypsy-Moth-Brochure.pdf. Other-Brochure/checklist

Information Collection (IC) Details

IC Title:	Your Move Gypsy Moth Free Brochure - Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 301.45-4(a)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Brochure/checklist			Gypsy-Moth-Brochure.pdf	http://www.hungrypests.com/YourMoveGypsyMothFree/pdf/Gypsy-Moth-Brochure.pdf.	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200,000	Number of Respondents for Small Entity: 200,000

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400,000	400,000
Annual IC Time Burden (Hours)	216,600	216,600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.