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SUMMARY OF INFORMATION COLLECTION
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.
Page 1 of 2
TITLE OF INFORMATION COLLECTION DOCUMENT
OMB NO.
Importation of Horses, Ruminants, Swine, and Dogs; Inspection and
Treatment for Screwworm
0579-0165
DATE PREPARED
May 11, 2017
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
Title 9 CFR
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)
(C)
(B)
(D)
(E)
RECORDKEEPING HOURS
(Col. I x J)
KEEPER
(F)
(G)
(H)
(I)
(J)
(K)
93.301(j),
93.304
Application for Import or In-Transit Permit - Horses
(Business)
VS 17-129
41
5.00
205
0.25
51
0.00
93.404,
93.504
Application for Import or In-Transit Permit Ruminants/Swine (Business)
VS 17-129
8
2.00
16
0.25
4
0.00
93.301(J)(4),
93.404(a),
93.505(a),
93.600(a)(1)
Request for Health Certificate (Business)
None
46
37.00
1,702
0.10
170
0.00
93.301(J)(4)
Health Certificate for Horses (Foreign Gov't)
None
33
50.00
1,650
0.25
413
0.00
93.404(a),
93.505(a)
Health Certificate for Ruminants/Swine (Foreign
Gov't)
None
8
2.00
16
0.25
4
0.00
93.600(a)(1)
Health Certificate for Dogs (Foreign Gov't)
None
5
10.00
50
0.25
13
0.00
93.301,
93.405,
93.505
Declaration of Importation (Business)
VS 17-29
35
2.00
70
0.10
7
0.00
SUBTOTAL
3,709
662
0
0.00
TOTAL OF ALL PAGES
5,359
827
0
0.00
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b;
COLUMNS "H" AND "K" = OMB 831, 13c
5,359
827
AMS-71
(04-00) Electronic versions designed using Word Perfect;
InForms; Microsoft Excel by USDA-AMS.
92
SUMMARY OF INFORMATION COLLECTION
USDA-AMS
REPRODUCE LOCALLY. Include form number and date on all reproductions.
SUMMARY OF INFORMATION COLLECTION
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.
Page 2 of 2
TITLE OF INFORMATION COLLECTION DOCUMENT
OMB NO.
Importation of Horses, Ruminants, Swine,and Dogs; Inspection and
Treatment for Screwworm
0579-0165
DATE PREPARED
May 11, 2017
ANNUAL BURDEN
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
RECORDS
TOTAL
SECTION OF
DESCRIPTION
FORMS NO (S)
NO. OF
NO OF
TOTAL ANNUAL
(If "none"
RESPONDENTS
RESPONSES
RESPONSES
PER
PER
(Col. D x E)
RESPONSE
so state)
REGS.
Title 9 CFR
TOTAL
NO. OF
ANNUAL
RECORD-
HOURS
RECORD-
HOURS PER
KEEPING HOURS
(Col. F x G)
KEEPERS
RECORD-
(Col. I x J)
RESPONDENT
(C)
(B)
(A)
93.301(j);
93.405;
93.505
HOURS
Quarantine Reservations (Business)
None
(D)
(E)
33
50.0000
SUBTOTAL
AMS-71
(04-00) Electronic versions designed using Word Perfect;
InForms; Microsoft Excel by USDA-AMS.
KEEPER
(F)
1,650.00
1,650.00
SUMMARY OF INFORMATION COLLECTION
(G)
0.1000
(H)
(I)
(J)
165.00
165.00
(K)
0.00
0
0.00
USDA-AMS
| File Type | application/pdf |
| Author | user |
| File Modified | 2017-05-12 |
| File Created | 2017-05-12 |