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ICR 201403-0579-003 · OMB 0579-0137 · Object 45622901.

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application/vnd.ms-excel
71
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2014-03-07
2026-11-12
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Extracted Text

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

Page 1 of 3

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.

Interstate Movement of Swine

0579-0137

(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

May 21, 2013
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)

KEEPING HOURS

(Col. I x J)

(F)

(G)

(H)

(I)

(J)

(K)

0.00

0.00

25

75.0000

1,875.00

0.2500

468.75

0.00

85.6(c)(1)(2) Certificate of Veterinary Inspection - Business

4,500

30.0000

135,000.00

0.2500

33,750.00

0.00

85.6(c)(1)(2) Certificate of Veterinary Inspection - State

10

5.0000

50.00

0.2500

12.50

0.00

85.5(a)
(2),85.6(a)
Owner/Shipper Statement - Business
(2),85.7(b)(3)
(i)

300

20.0000

6,000.00

0.1000

600.00

0.00

10

5.0000

50.00

0.2500

12.50

0.00

85.10

Permit to Move Restricted Animals - Business

Accredited Vets Statement Concerning Embryos for
Implementation and Semen Shipments - State

VS 1-27

RECORD-

KEEPER

0.00

85.5(2)(a)

ANNUAL
HOURS PER
RECORD-

SUBTOTAL

142,975.00

34,843.75

0.00

0.00

TOTAL OF ALL PAGES

144,655.00

35,693.75

50.00

2.00

144,705.00

35,695.75

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

5,120

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 3

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.

Interstate Movement of Swine

0579-0137

(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

May 21, 2013
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)

71.19(g)(i)(2)

(B)

(C)

Swine Production Movement Health Plans Business

(D)

(E)

KEEPER
(F)

(G)

(H)

(I)

(J)

(K)

100

1.0000

100.00

1.0000

100.00

0.00

71.19(g)(i)(2) Swine Production Movement Health Plans - State

25

5.0000

125.00

0.2500

31.00

0.00

71.19(g)(4),
85.11

Interstate Movement Report - Business

100

12.0000

1,200.00

0.2500

300.00

0.00

71.19(g)(8)

Quarterly Report of Pseudorabies
Control/Eradication - State

50

4.0000

200.00

2.0000

400.00

0.00

71.19(g)(6)

Recordkeeping

VS 7-1

SUBTOTAL

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

0.00

0.00

0.00

0.00

1,625.00

831.00

50

0.033

2.00

0.00
50

2.00

USDA-AMS

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

Page 3 of 3

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.

Interstate Movement of Swine

0579-0137

(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

May 21, 2013
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)

0.00

(H)

(I)

(J)

(K)

0.00

0.00

52.3c

Appraisal and Indemnity Claim Form - State

VS 1-23

5

2.0000

10.00

0.5000

5.00

0.00

52.3c

Appraisal and Indemnity Claim Form -Business

VS 1-23

15

1.0000

15.00

0.2500

4.00

0.00

52.2

Herd Management Plan - State

5

2.0000

10.00

0.5000

5.00

0.00

52.2

Herd Management Plan - Business

15

1.0000

15.00

0.2500

4.00

0.00

52.5

Report of Salvage Proceeds - Business

5

1.0000

5.00

0.2500

1.00

0.00

SUBTOTAL

55.00

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

19.00

0

0.00

USDA-AMS