Export Health Certificate Request Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DA-228 Request for Applicant Number	Form	Modified	Available
Sanitary Certificate Request (Morocco)	Form	Modified	Repair queued
Sanitary Certificate Request - Uruguay	Form	Modified	Available
Sanitary Certificate Request - Tunisia	Form	Modified	Repair queued
Sanitary Certificate Request - Peru	Form	Modified	Available
Sanitary Certificate Request - Cuba	Form	Modified	Available
Sanitary Certificate Request - China	Form	Modified	Available
Sanitary Certificate Request - Chile	Form	Modified	Available
Sanitary Certificate Request - Brazil	Form	Modified	Available
Sanitary Certificate Request - Argentina	Form	Modified	Available
Sanitary Certificate Request - Algeria	Form	Modified	Available
Sanitary Certificate Request	Form	Modified	Available
Dairy Grading EU Export Certificate Application Request Form	Form	Modified	Repair queued
EU Health Certificate Worksheet	Form	Modified	Repair queued
Justification for Change (merge request) 9-2015.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-09-16	Available
CoW for Morocco 3-2015.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-04-02	Available
AMS-71 09-21-12.xlsx	Supplementary Document	Uploaded 2012-12-13	Available
SuptStmt 120312.docx	Supporting Statement A	Uploaded 2012-12-05	Available
AGRICULTURAL MARKETING ACT OF 1946.doc	Supplementary Document	Uploaded 2012-10-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
204483	Export Certificates	Form	Modified	Request for Applicant Number
204483	Export Certificates	Form	Modified	Sanitary Certificate Request (Morocco)
204483	Export Certificates	Form	Modified	Sanitary Certificate Request - Uruguay
204483	Export Certificates	Form	Modified	Sanitary Certificate Request - Tunisia
204483	Export Certificates	Form	Modified	Sanitary Certificate Request - Peru
204483	Export Certificates	Form	Modified	Sanitary Certificate Request - Cuba
204483	Export Certificates	Form	Modified	Sanitary Certificate Request - China
204483	Export Certificates	Form	Modified	Sanitary Certificate Request - Chile
204483	Export Certificates	Form	Modified	Sanitary Certificate Request - Brazil
204483	Export Certificates	Form	Modified	Sanitary Certificate Request - Argentina
204483	Export Certificates	Form	Modified	Sanitary Certificate Request - Algeria
204483	Export Certificates	Form	Modified	Sanitary Certificate Request
204483	Export Certificates	Form	Modified	Dairy Grading EU Export Certificate Application Request Form
204483	Export Certificates	Form	Modified	EU Health Certificate Worksheet

ICR Details

OMB Control No: 0581-0283	ICR Reference No: 201509-0581-003
Status: Historical Active	Previous ICR Reference No: 201503-0581-001
Agency/Subagency: USDA/AMS	Agency Tracking No:
Title: Export Health Certificate Request Forms
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/18/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/17/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	01/31/2016	01/31/2016
Responses	20,523	0	20,423
Time Burden (Hours)	4,134	0	4,129
Cost Burden (Dollars)	0	0	0

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Abstract: The forms requested will provide a format for exporters to provide information on consignments they wish to export so that the Dairy Grading Branch can issue the proper health certificate with the information required by the importing country.

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Authorizing Statute(s): US Code: 7 USC 1621-1627 Name of Law: Agricultural Marketing Act of 1946
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 43	03/05/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 74164	12/13/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Export Certificates	None, None, None, None, None, None, None, None, None, None, None, None, None, DA-228	EU Health Certificate Worksheet ,   Dairy Grading EU Export Certificate Application Request Form ,   Sanitary Certificate Request ,   Sanitary Certificate Request - Algeria ,   Sanitary Certificate Request - Argentina ,   Sanitary Certificate Request - Brazil ,   Sanitary Certificate Request - Chile ,   Sanitary Certificate Request - China ,   Sanitary Certificate Request - Cuba ,   Sanitary Certificate Request - Peru ,   Sanitary Certificate Request - Tunisia ,   Sanitary Certificate Request - Uruguay ,   Sanitary Certificate Request (Morocco) ,   Request for Applicant Number

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	20,523	20,423	0	0	100	0
Annual Time Burden (Hours)	4,134	4,129	0	0	5	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is an increase in burden hours as a result of a merge request of 0581-0272 into this collection to keep all related forms in one ICR and prevent duplicity in burden data.

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Annual Cost to Federal Government: $6,800

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/17/2015

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