Conditions for Payment of Highly Pathogenic Avian Influenza Indemnity Claims

Forms and Documents

Document Name	Status
Form VS 9-13 Business Form	New
Form VS 9-12 State Form	New
emergency letter signed.pdf Supplementary Document	2016-01-20
2016 emergency 79.xls Supplementary Document	2016-01-20
2016 emergency 71.xls Supplementary Document	2016-01-20
2016 emergency ss.docx Supporting Statement A	2016-01-20

IC Document Collections

IC ID	Document Title	Status
219634	Business Form	New
219632	State Form	New

ICR Details

OMB Control No: 0579-0440	ICR Reference No: 201601-0579-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/APHIS	Agency Tracking No:
Title: Conditions for Payment of Highly Pathogenic Avian Influenza Indemnity Claims
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 01/27/2016
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/09/2016
	Date Received in OIRA: 01/21/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2016	6 Months From Approved
Responses	69,456	0	0
Time Burden (Hours)	112,950	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The information will be collected in an effort to characterize and understand the scope of on-farm biosecurity practices. The information collected will inform planning to minimize future outbreaks of HPAI and aid in developing future control options.

Emergency Justfication: Approval to collect this information is needed immediately to protect the North American poultry population from the effects of continued spread of HPAI and to provide equitable compensation to poultry owners and growers due to the disease.

---

Authorizing Statute(s): US Code: 7 USC 8301 Name of Law: Animal Health Protection Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0579-AE14	Final or interim final rulemaking	81 FR 6745	02/09/2016

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
State	VS 9-12, VS 9-12A	Grower Contract Worksheets - Layers ,   Grower Contract Worksheets - Layers (Continuation Sheet)
Business	VS 9-13, VS 9-12, VS 9-12A, VS 1-23, VS 1-23A	Appraisal and Indemnity Request for HPAI-Affected Premises Using Contract Growers ,   Grower Contract Worksheet - Layers ,   Grower Contract Worksheet - Layers (Continuation Sheet) ,   Appraisal and Indemnity Claim ,   Continuation Sheet - Indemnity Claim

---

ICR Summary 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	69,456	0	0	69,456	0	0
Annual Time Burden (Hours)	112,950	0	0	112,950	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: This is a new information collection resulting in 112,950 burden hours.

---

Annual Cost to Federal Government: $4,406,189

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

---

Common Form ICR:  No

---

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: 01/21/2016

---