Aphis 71

INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting TITLE OF INFORMATION COLLECTION DOCUMENT
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.
JOHNE’S DISEASE IN DOMESTIC ANIMALS
(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.

OMB NO.

0579-0338

DATE PREPARED

August 8, 2017
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

REPORTS

RECORDS
TOTAL

SECTION OF
REGS.

FORMS NO
(S)
NO. OF
NO OF
(If "none" RESPONDENTS RESPONSES
so state)
PER

DESCRIPTION

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

RESPONDENT
(A)

80.3(a)(2)
80.3(a)(2)

(C)

(B)

Permit for Movement of Restricted Animals
(Business)
Permit for Movement of Restricted Animals
(Accredited Veterinarians)

(D)

(E)

ANNUAL
RECORDHOURS PER KEEPING HOURS
RECORD(Col. I x J)
KEEPER

(F)

(G)

(H)

(I)

(J)

(K)

VS 1-27

3

1.00

3.0

0.50

2

0

VS 1-27

3

1.00

3.0

0.50

2

0

80.3(a)(2)

Owner-Shipper Statement (Business)

none

3

1.00

3.0

0.50

2

0

80.3(a)(3)

Official Eartags (Business)

none

3

1.00

3.0

0.50

2

0

80.3(b)

Request for Permission to Move (Business)

none

1

1.00

1.0

1.00

1

0

0.0

0

0

0.0

0

0

0.0

0

0

0.0

0

0

SUBTOTAL

13.0

9.0

0.00

0

TOTAL OF ALL PAGES

13

9

0.00

0

13

9

TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b;
COLUMNS "H" AND "K" = OMB 831, 13c

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