Document
AMS-71 spreadsheet SCI Order Forms
ICR 201510-0581-005 · OMB 0581-0292 · Object 59746501.
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Document Metadata
| File Type | application/vnd.ms-excel |
|---|---|
| File Title | AMS-71 spreadsheet SCI Order Forms |
| Author | user |
| Last Modified By | Calc |
| File Modified | 2015-12-08 |
| File Created | 2026-11-03 |
| Conversion State | complete |
Extracted Text
REPRODUCE LOCALLY. Include form number and date on all reproductions. SUMMARY OF INFORMATION COLLECTION Page 1 of 3 INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. 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 Reporting Requirements Under Regulations Governing the Export 0581-0283 the OMB-83-1. Health Certificate Request Forms (F) Total/Total = (E) Average (H) Total/(F) Total = (G) Average (K) Total/(I) Total = (J) DATE PREPARED 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. October 15, 2015 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 ANNUAL HOURS PER RECORD- RESPONDENT (A) (B) (C) 7U.S.C. Request for Applicant Number Sec1362-1627 (D) (E) RECORDKEEPING HOURS (Col. I x J) KEEPER (F) (G) (H) (I) (J) (K) DA-228 100 1.0000 100.00 0.0500 5.00 0 0.000 0.00 EU Health Certificate Request (Transit, Composite, 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 Composite Transit, and HTB) SUBTOTAL 39,990.00 7,983 TOTAL OF ALL PAGES 42,184.00 8,521.80 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 USDA-AMS REPRODUCE LOCALLY. Include form number and date on all reproductions. SUMMARY OF INFORMATION COLLECTION TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c 42,184 SUMMARY OF INFORMATION COLLECTION AMS-71 (04-00) Electronic versions designed using Word Perfect; InForms; Microsoft Excel by USDA-AMS. Page 2 of 3 8,522 USDA-AMS REPRODUCE LOCALLY. Include form number and date on all reproductions. SUMMARY OF INFORMATION COLLECTION Page 3 of 3 INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. 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 Reporting Requirements Under Regulations Governing the Export 0581-0283 the OMB-83-1. Health Certificate Request Forms (F) Total/Total = (E) Average (H) Total/(F) Total = (G) Average (K) Total/(I) Total = (J) DATE PREPARED 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. October 15, 2015 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) (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 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 2,194.00 538.80 0.00 0 0.00 USDA-AMS