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pdfTITLE OF INFORMATION COLLECTION DOCUMENT
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.
Reporting, Herd Monitoring, and Management of Swine
(D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b;
cols. H & K = 13c.
Enteric Coronavirus Diseases
(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.
OMB NO.
0579-xxxx
DATE PREPARED
June 4, 2014
ANNUAL BURDEN
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
RECORDS
TOTAL
SECTION OF
REGS.
FORMS NO
NO. OF
NO OF
(S)
(If "none" RESPONDENTS RESPONSES
so state)
PER
DESCRIPTION
TOTAL ANNUAL
RESPONSES
(Col. D x E)
HOURS
PER
RESPONSE
TOTAL
HOURS
(Col. F x G)
NO. OF
RECORDKEEPERS
RESPONDENT
(A)
(B)
(C)
Development of Herd Management Plan - producers
(business)
(D)
(E)
ANNUAL
HOURS PER
RECORD-
RECORDKEEPING HOURS
(Col. I x J)
KEEPER
(F)
(G)
(H)
(I)
(J)
(K)
None
1,500
2.00
3,000.00
1.50
4,500.00
0.00
Development of Herd Management Plan - accredited
veterinarians (business)
Submission of Herd Management Plan by accredited
veterinarians (business)
Disease Reporting - producers (business)
Disease Reporting - accredited vets (business)
none
1,500
2.00
3,000.00
1.50
4,500.00
0.00
None
500
12.00
6,000.00
0.25
1,500.00
0.00
None
None
500
250
2.00
4.00
1,000.00
1,000.00
0.10
0.10
100.00
100.00
0.00
0.00
Disease Reporting - Laboratory r Reporting (State)
None
30
15000.00 450,000.00
0.10
45,000.00
Animal Movement Recordkeeping - producers (business)
Fee Basis Agreement and Statement of Work- accredited vets
(business)
Electronic funds transfer agreement - accredited vets
(business)
Statement of Work - accredited veterinarians (business)
Statement of Services Performed - accredited vets (business)
0.00
0.00
2,500
20.000 50,000.00
VS 1-9
or similar
500
1.00
500.00
0.25
125.00
0.00
None
500
1.00
500.00
0.10
50.00
0.00
None
500
1.00
500.00
0.25
125.00
0.00
VS 8-18
500
1.00
500.00
0.10
50.00
0.00
SUBTOTAL
466,000.00
56,050.00 2,500.00
50,000.00
TOTAL OF ALL PAGES
532,060
63,920 2,500.00
50,000.00
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H"
AND "K" = OMB 831, 13c
534,575
113,965
TITLE OF INFORMATION COLLECTION DOCUMENT
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.
Reporting, Herd Monitoring, and Management of Swine
(D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b;
cols. H & K = 13c.
Enteric Coronavirus Diseases
(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.
OMB NO.
DATE PREPARED
June 4, 2014
ANNUAL BURDEN
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
RECORDS
TOTAL
FORMS NO
(S)
SECTION OF
(If "none"
DESCRIPTION
NO. OF
RESPONDENTS RESPONSES
so state)
REGS.
NO OF
PER
TOTAL ANNUAL
HOURS
TOTAL
NO. OF
ANNUAL
RECORD-
RESPONSES
PER
HOURS
RECORD-
HOURS PER
KEEPING HOURS
(Col. D x E)
RESPONSE
(Col. F x G)
KEEPERS
RECORD-
(Col. I x J)
RESPONDENT
(A)
(C)
(B)
(D)
(E)
(F)
Fee basis vendor agreement - producers (business)
None
2,500
Submission of itemized invoice - producers (business)
None
2,500
Electronic funds transfer agreement - producers (business)
None
2,500
1.00
Certifying Statement for adding herds to herd management
plan - (business)
None
250
4.00
Statement of Services Performed - producers (business)
VS 8-18
Cooperative Agreement Work Plan - (States)
None
Application for Federal Assistance - (States) Approved under
SF 424
4040-0004
Request for Advance or Reimbursement - (States) Approved
SF 270
under 0348-0004
State Animal Health Control Orders or Quarantines - (States) None
SUBTOTAL
2,500
KEEPER
1.00
(G)
(H)
(I)
(J)
(K)
2,500.00
0.25
625.00
0.00
12.00 30,000.00
0.10
3,000.00
0.00
2,500.00
0.25
625.00
0.00
1,000.00
0.50
500.00
0.00
12.00 30,000.00
0.10
3,000.00
0.00
60
1.00
60.00
2.00
120.00
0.00
60
1.00
60.00
0.50
30.00
0.00
60
4.00
240.00
1.00
240.00
0.00
15
1.00
15.00
3.00
45.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
66,060.00
7,870.00
0
0.00
| File Type | application/pdf |
| Author | cquatrano |
| File Modified | 2014-06-04 |
| File Created | 2014-06-04 |