AMS-71 Spreadsheet

AMS-71 Grid 12-08-15.xls

Export Health Certificate Request Forms

AMS-71 Spreadsheet

OMB: 0581-0283

Document [xlsx]
Download: xlsx | pdf















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)








RESPONDENT



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


39,990.00
7,983

0.00

TOTAL OF ALL PAGES


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


42,184
8,522















































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)








RESPONDENT



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





0.00
0.00

0.00

SUBTOTAL


2,194.00
538.80 0
0.00
File Typeapplication/vnd.ms-excel
Authoruser
Last Modified ByPish, Marylin - AMS
File Modified2015-12-08
File Created2000-01-10

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