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| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. (D), (F), (H), (I), & (K) should be enered in items 17 & 18 of OMB-83-I. For cols. (E), (F), & (J), the averages of the totals shall be computed, as follows, & then entered on the OMB-83-1. (F) Total/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. |
TITLE OF INFORMATION COLLECTION DOCUMENT |
OMB NO. |
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| Reporting Requirements Under Regulations Governing the Export Health Certificate Request Forms |
0581-0283 |
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| DATE PREPARED |
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| October 15, 2015 |
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
|
ANNUAL BURDEN |
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REPORTS |
RECORDS |
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TOTAL |
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|
FORMS NO (S) |
NO. OF |
NO OF |
TOTAL ANNUAL |
HOURS |
TOTAL |
NO. OF |
ANNUAL |
RECORD- |
| SECTION OF |
DESCRIPTION |
(If "none" |
RESPONDENTS |
RESPONSES |
RESPONSES |
PER |
HOURS |
RECORD- |
HOURS PER |
KEEPING HOURS |
| REGS. |
|
|
|
|
|
so state) |
|
PER |
(Col. D x E) |
RESPONSE |
(Col. F x G) |
KEEPERS |
RECORD- |
(Col. I x J) |
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|
RESPONDENT |
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|
KEEPER |
|
| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
(K) |
| 7U.S.C. Sec1362-1627 |
Request for Applicant Number |
DA-228 |
100 |
1.0000 |
100.00 |
0.0500 |
5.00 |
0 |
0.000 |
0.00 |
|
EU Health Certificate Request (Transit, Composite, Composite Transit, and HTB) |
DA-253 |
150 |
75.0000 |
11,250.00 |
0.2000 |
2,250.00 |
0 |
0.000 |
0.00 |
|
Sanitary Certificate Request |
DA-240 |
150 |
105.0000 |
15,750.00 |
0.2000 |
3,150.00 |
0 |
0.000 |
0.00 |
|
Sanitary Certificate Request - Algeria |
DA-241 |
10 |
10.0000 |
100.00 |
0.2000 |
20.00 |
0 |
0.000 |
0.00 |
|
Sanitary Certificate Request - Argentina |
DA-242 |
2 |
20.0000 |
40.00 |
0.2000 |
8.00 |
0 |
0.000 |
0.00 |
|
Sanitary Certificate Request - Brazil |
DA-243 |
10 |
50.0000 |
500.00 |
0.2000 |
100.00 |
0 |
0.000 |
0.00 |
|
Sanitary Certificate Request - Chile |
DA-244 |
20 |
50.0000 |
1,000.00 |
0.2000 |
200.00 |
0 |
0.000 |
0.00 |
|
Sanitary Certificate Request - China |
DA 245 |
150 |
75.0000 |
11,250.00 |
0.2000 |
2,250.00 |
0 |
0.000 |
0.00 |
|
SUBTOTAL |
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|
|
39,990.00 |
|
7,983 |
|
|
0.00 |
|
TOTAL OF ALL PAGES |
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42,184.00 |
|
8,521.80 |
0.00 |
|
0.00 |
| TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c |
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42,184 |
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8,522 |
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| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. (D), (F), (H), (I), & (K) should be enered in items 17 & 18 of OMB-83-I. For cols. (E), (F), & (J), the averages of the totals shall be computed, as follows, & then entered on the OMB-83-1. (F) Total/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. |
TITLE OF INFORMATION COLLECTION DOCUMENT |
OMB NO. |
|
|
|
|
|
|
|
|
| Reporting Requirements Under Regulations Governing the Export Health Certificate Request Forms |
0581-0283 |
|
|
|
|
|
| DATE PREPARED |
|
|
|
| October 15, 2015 |
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
|
ANNUAL BURDEN |
|
|
|
|
|
|
|
|
REPORTS |
RECORDS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOTAL |
|
|
|
|
|
|
FORMS NO (S) |
NO. OF |
NO OF |
TOTAL ANNUAL |
HOURS |
TOTAL |
NO. OF |
ANNUAL |
RECORD- |
| SECTION OF |
DESCRIPTION |
(If "none" |
RESPONDENTS |
RESPONSES |
RESPONSES |
PER |
HOURS |
RECORD- |
HOURS PER |
KEEPING HOURS |
| REGS. |
|
|
|
|
|
so state) |
|
PER |
(Col. D x E) |
RESPONSE |
(Col. F x G) |
KEEPERS |
RECORD- |
(Col. I x J) |
|
|
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|
|
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|
RESPONDENT |
|
|
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|
KEEPER |
|
| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
(K) |
| 58.50(d)&(e) |
Sanitary Certificate Request - Cuba |
DA-246 |
2 |
2.0000 |
4.00 |
0.2000 |
0.80 |
0 |
0.000 |
0.00 |
| 58.49 |
Sanitary Certificate Request - Peru |
DA -247 |
25 |
40.0000 |
1,000.00 |
0.3000 |
300.00 |
0 |
0.000 |
0.00 |
| 54.1016 |
Sanitary Certificate Request - Tunisia |
DA-248 |
2 |
20.0000 |
40.00 |
0.2000 |
8.00 |
0 |
0.000 |
0.00 |
| 58.51 |
Sanitary Certificate Request - Uruguay |
DA-249 |
10 |
40.0000 |
400.00 |
0.2000 |
80.00 |
0 |
0.000 |
0.00 |
| 54.1019 |
Sanitary Certificate Request - Morocco |
DA-250 |
25 |
30.0000 |
750.00 |
0.2000 |
150.00 |
0 |
0.000 |
0.00 |
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|
0.00 |
|
0.00 |
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|
0.00 |
|
SUBTOTAL |
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|
|
2,194.00 |
|
538.80 |
0 |
|
0.00 |