Aphis 71

APHIS 71 w OMB Rev.xlsx

Scrapie in Sheep and Goats; Interstate Movement Restrictions and Indemnity Program

APHIS 71

OMB: 0579-0101

Document [xlsx]
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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. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)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.







SCRAPIE IN SHEEP AND GOATS; INTERSTATE MOVEMENT RESTRICTIONS AND INDEMNITY PROGRAM 0579-0101




DATE PREPARED


February 24, 2017
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)
54.3 (b) Request for Information: Record of Animals Moved or Record of Animals Acquired (Business) VS 5-18 and 5-18A, or equivelant Sutton, Diane L - APHIS: SFCP plus infected/source 456 1.00 456.00 0.25 114



State
10 2.00 20.00 0.25 5


54.3 (b) Individual Animal Information Report (Business) VS 5-20 or equivelant Sutton, Diane L - APHIS: SFCP plus inf/source 456 1.00 456.00 1.00 456



State
Sutton, Diane L - APHIS: estimated state contribution 10 2.00 20.00 1.00 20


54.3 (b) and 54.8 (f) Flock Inspection and Epidemiology Report or Scrapie Epidemiology Report (Business) VS 5-19 or VS 5-19D Sutton, Diane L - APHIS: number of new investigations in FY 2014 50 1.00 50.00 5.50 275



State
Sutton, Diane L - APHIS: number estimated mangaged by states 20 2.00 40.00 5.50 220


54.4(a) Appraisal and Idemnity Claim and Continuation Sheet (Business) VS 1-23, 1-23A Sutton, Diane L - APHIS: number of indemnity requests in FY 2014 33 1.00 33.00 1.00 33



State
1 1.00 1.00 1.00 1


54.5 Written Agreement/Certification (Business)
Sutton, Diane L - APHIS: number of indemnity requests FY 2014 33 1.00 33.00 0.25 8


54.6 Proceeds from Animals Sold for Slaughter (Business) VS 1-24 1 1.00 1.00 0.25 1



SUBTOTAL


1,110
1,133



TOTAL OF ALL PAGES


480,667
171,597 374,054 0 849,931
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c
57,000
854,721
1,021,528















































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)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.







SCRAPIE IN SHEEP AND GOATS; INTERSTATE MOVEMENT RESTRICTIONS AND INDEMNITY PROGRAM 0579-0101




DATE PREPARED


February 14, 2017
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)
54.8 Flock Plan and Recordkeeping (Business, including breed registries)
Sutton, Diane L - APHIS: 7 new in FY 2014 10 1.00 10 1.00 10 25 10.00 250

State
Sutton, Diane L - APHIS: guess on number managed by State 2 1.00 2 1.00 2 52 10.00 520
54.8 Post Exposure Management and Monitoring Plan and Recordkeeping (Business, including breed registries)
Sutton, Diane L - APHIS: 15 new in FY 2104 17 1.00 17 1.00 17 660 10.00 6,600

State
3 1.00 3 1.00 3 52 10.000 520
54.8 (e) Report Suspect/Dead Animals (Business)
Sutton, Diane L - APHIS: based on estimate of on-farm submissions not associated with clean up in FY 2014 1090 collected - 2/3 of 643 indemnified 1,048 1.00 1,048 0.17 178

0

State
66 4.00 264 0.17 45

0
54.8 (g) Scrapie PEMMP Inspection Report and Recordkeeping (Business) VS 5-19C Sutton, Diane L - APHIS: 99 PEMMP in place as of 4/2015 99 1.00 99 0.17 17 660 5.00 3300

State
Sutton, Diane L - APHIS: guess on how many managed by State 10 2.00 20 0.17 3 52 5.00 260
54.8 (h)(4) Recordkeeping for Plans (Business)





Sutton, Diane L - APHIS: number PEMMPs 4/2015 99 5.00 495
54.11 (a) (8) Cooperative State-Federal Scrapie Control Program, Scrapie Test Record and Cont. Sheet (Business) VS 5-29, VS 5-29A Sutton, Diane L - APHIS: combination of lab reports plus field submissions consider adobe form for 5-29 76 2.00 152 2.00 304 3 10.00 30

State/Tribe
Sutton, Diane L - APHIS: one lab state opperated plus guess on how many State submissions 11 4.00 44 2.00 88 1 10.00 10

SUBTOTAL


1,659
667 1,604
11,985













































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)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.







SCRAPIE IN SHEEP AND GOATS; INTERSTATE MOVEMENT RESTRICTIONS AND INDEMNITY PROGRAM 0579-0101




DATE PREPARED


February 14, 2017
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)
54.11(a)(8) Specimen Submission (Business) VS 10-4 Sutton, Diane L - APHIS: number on-farm + RSSS sites 1,200 4.46 5,346 1.00 5,346



State/Tribe
Sutton, Diane L - APHIS: number of approved labs 18 18 297.00 5,346 1.00 5,346 18 10.00 180
54.11(b) Request for Laboratory Approval (State) (NEW)
1 1.00 1 2.00 2



Request for Laboratory Approval (Business)
1 1.00 1 2.00 2


54.11(b) Agreement to Conduct the Official Histopathology Examination for the Diagnosis of Scrapie (State) VS 5-21 1 1.00 1 0.10 1

0
54.21 Application for the Scrapie Free Flock Certification Program (Business) VS 5-22 Sutton, Diane L - APHIS: new SFCP participants in FY 2014 18 1.00 18 0.16 3

0
54.21 Scrapie SFCP Flock Inspection Report (Initial Flock Inspection) - and Recordkeeping (Business) VS 5-19A Sutton, Diane L - APHIS: new SFCP participants in FY 2014 18 1.00 18 2.00 36 250 10.00 2,500

State
2 4.00 8 2.00 16 52 10.00 520
54.21 Scrapie SFCP Flock Inspection Report (Annual Inspection Report) - and Recordkeeping (Business) VS 5-19B Sutton, Diane L - APHIS: based on current number plus expected increase 4/2015 470 1.00 470 1.00 470 1,730 10.00 17,300

State
10 10.00 100 1.00 100 52 10.00 520
79.2(a) Owner Statement (Business)
45,000 4.00 180,000 0.08 14,400 45,000 3.00 135,000

SUBTOTAL


191,309
25,722 47,102
156020













































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)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.







SCRAPIE IN SHEEP AND GOATS; INTERSTATE MOVEMENT RESTRICTIONS AND INDEMNITY PROGRAM 0579-0101




DATE PREPARED


February 14, 2017
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)
79.3(a) Report for Consignments when Identification is Applied (Business)
Sutton, Diane L - APHIS: guess based on number of approved markets handling sheep and goats 104 26.00 2,704 0.30 811


79.3(a) Agreement to use blue "slaughter only tags" (Business) (NEW)
Sutton, Diane L - APHIS: assumes 20% renew plus 10 new per year 30 1.00 30 0.30 9


79.2(d) Recordkeeping, Animals Moved in Interstate Commerce (Business)





Sutton, Diane L - APHIS: used 2012 census # SG farms x 75% to account for those not engaging interstate 162,596 3.00 487,787
79.2(f) Request for Approval to Produce Official Identification Divices (Business)
1 2.00 2 4.00 8


79.2(f)(2)(ii) (A) Agreement to Send official Eartags to Specified Individuals (Business)
1 2.00 2 0.16 1


79.2(f)(2)(ii) (B) Monthly Report of Official Identification Devices Produced (Business)
Sutton, Diane L - APHIS: we have made this report voluntary only 1 still submits it 1 12.00 12 2.00 24


79.2(f)(2)(ii) (C) Data Entry of Official ID Devices Produced (Business)
Sutton, Diane L - APHIS: number of approved tag manufactures 4/2015 6 Sutton, Diane L - APHIS: number of orders 2014 divided by number of manufacturers 3382.00 20,292 0.17 3,450


79.2 (g) Request for Approval of New Device Type (Business)
1 1.00 1 4.00 4


79.4 (C) Herd Owner Notification of Designation of Flocks or Animals (State)
Sutton, Diane L - APHIS: guess based on number of inf/source and new PEMMPS FY 2014 30 2.00 60 0.75 45


79.5 Permit for Movement of Restricted Animal (Business) VS 1-27 25 1.00 25 1.00 25



State
5 1.00 5 1.00 5



SUBTOTAL


23,133
4,382 162,596
487,787













































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)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.







SCRAPIE IN SHEEP AND GOATS; INTERSTATE MOVEMENT RESTRICTIONS AND INDEMNITY PROGRAM 0579-0101




DATE PREPARED


February 14, 2017
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)
79.5 Certificate of Vet Inspection - United States Origin Health Certificate (Business) VS 17-140 or equivalent Sutton, Diane L - APHIS: guess includes acredited vets and owners 27,500 5.50 151,250 0.75 113,438


79.5 Certificate of Vet Inspection - United States Origin Health Certificate and Recordkeeping (State) (NEW) VS 17-140 or equivalent Sutton, Diane L - APHIS: states process these 50 1512.50 75,625 0.25 18,906 50 100 5,000
79.6 Consistent State Application - Application for Scrapie Classification, Classification Renewal, or Reclassification of a State (State) VS 5-24 50 1.00 50 8.00 400


79.2 Application for ID Numbers including Blue Tags (Business)
Sutton, Diane L - APHIS: number of tag orders in 2014 20,293 1.00 20,293 0.08 1,623



State/Tribe (and Recordkeeping)
4 750.00 3,000 0.20 600 52 500 26,000
79.2 (b) Application for Premises ID Numbers (Business)
Sutton, Diane L - APHIS: number of new premises in SCS 9,209 1.00 9,209 0.17 1,566



State/Tribe (and Recordkeeping) (NEW)
Sutton, Diane L - APHIS: estimated number if IDs issued by States 5 684.00 3,420 0.20 684 52 10 520
79.2 (b) Recordkeeping, Identification (Business)





Sutton, Diane L - APHIS: used 2012 census # SG farms x 75% to account for those not engaging interstate 162,596 1 162,596
79.2 Declination to Participate or Provide Information (Business) (NEW)
2 1.00 2 0.17 1


79.2 Determination of Age/Number of Animals (Business) (NEW)
50 4.00 200 2.00 400


79.2 Receipt of Disposal Expenses (Payment of Indemnity) (NEW)
2 1.00 2 0.17 1



SUBTOTAL


263,051
137,619 162,750
194,116













































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)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.







SCRAPIE IN SHEEP AND GOATS; INTERSTATE MOVEMENT RESTRICTIONS AND INDEMNITY PROGRAM 0579-0101




DATE PREPARED


February 14, 2017
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)
54.2 Cooperative Agreement or Grant Workplan (State/Tribe)
27 1.00 27 40.00 1,080


54.2 Not for Profit
3 1.00 3 Sutton, Diane L - APHIS: based on input form our non-profit cooperators 10.00 30


54.2 Cooperative Agreement or Grant Financial Plan (State/Tribe)
27 1.00 27 10.00 270


54.2 Not for Profit
3 1.00 3 10.00 30


54.2 Cooperative Agreement or Grant Quarterly Report and Recordkeeping (State/Tribe) (New)
27 4.00 108 2.00 216 1 8.00 8
54.2 Not for Profit (New)
3 4.00 12 2.00 24 2 8.00 16
54.2 MOU Forms - Family (State)
10 1.00 10 2.00 20


54.2 Designated Scrapie Epidemiologist Training (State) (New)
15 1.00 15 0.25 4


54.2 Epidemiology and ID Compliance Report (State) (New)
50 4.00 200 2.00 400







0
0







0
0



SUBTOTAL


405
2,074 3
24















INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)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.







SCRAPIE IN SHEEP AND GOATS; INTERSTATE MOVEMENT RESTRICTIONS AND INDEMNITY PROGRAM PLEASE NOTE: THIS PAGE CONTAINS STANDARD FORMS AND THE BURDEN HOURS ARE NOT ADDED INTO THIS INFORMATION COLLECTION. 0579-0101




DATE PREPARED


February 14, 2017
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)
54.2 Cooperative Agreement/Grant Forms: Application for Federal Assistance (State/Tribe) - covered under 4040-0004 SF 424 27 1.00 27 1.00 27


` Not for profit
Sutton, Diane L - APHIS: ASI, AGF, NIAA 3 1.00 3 1.00 3


54.2 Cooperative Agreement /Grant Forms - Budget Information (State/Tribe) - covered under 4040-0006 SF 424A 27 1.00 27 1.00 27



Not for profit
3 1.00 3 1.00 3


54.2 Cooperative Agreement /Grant Forms - Assurances - Non-Construction Program (State/Tribe) - covered under 4040-0007 SF 424B 27 1.00 27 0.50 14



Not for profit
3 1.00 3 0.50 2


54.2 Cooperative Agreement /Grant Forms - Disclosure of Lobbying Activities (State/Tribe) - covered under 4040-0013 SF LLL 27 1.00 27 1.00 27



Not for profit
3 1.00 3 1.00 3


54.2 Cooperative Agreement/Federal Financial Report (State/Tribe) - covered under 4040-0014 SF 425 27 4.00 108 1.00 108



Not for profit
3 4.00 12 1.00 12



SUBTOTAL























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