National Veterinary Accreditation Program Application Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VS Form 1-36A National Veterinary Accreditation Program Application Form	Form and Instruction	Modified	Available
0579-0297 2017 SS (Secure).pdf	Supporting Statement A	Uploaded 2017-06-30	Available
0579-0297 2017 APHIS 79 (Secure).pdf	Supplementary Document	Uploaded 2017-06-30	Available
0579-0297 2017 APHIS 71 (Secure).pdf	Supplementary Document	Uploaded 2017-06-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43542	National Veterinary Accreditation Program Application Form	Form and Instruction	Modified

ICR Details

OMB Control No: 0579-0297	ICR Reference No: 201706-0579-013
Status: Historical Active	Previous ICR Reference No: 201210-0579-003
Agency/Subagency: USDA/APHIS	Agency Tracking No:
Title: National Veterinary Accreditation Program Application Form
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/19/2017
	Date Received in OIRA: 07/06/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved
Responses	23,801	0	0
Time Burden (Hours)	11,901	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This voluntary program certifies private veterinary practitioners to work cooperatively with Federal veterinarians and State animal health authorities to help ensure that exported animals will not introduce diseases into another State or country.

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Authorizing Statute(s): PL: Pub.L. 107 - 171 10401-18 Name of Law: Animal Health Protection Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 7787	01/23/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 31283	07/06/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
National Veterinary Accreditation Program Application Form	VS Form 1-36A	National Veterinary Accreditation Program Application Form

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ICR Summary of Burden

table that charts list 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	23,801	0	0	23,801	0	0
Annual Time Burden (Hours)	11,901	0	0	11,901	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: With this reinstatement there is a program change resulting in 23,801 responses and 11,901 burden hours. An additional burden, Request for Appeal, was inadvertently not included in the previous submission. It adds one response and one hour to the information collection.

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Annual Cost to Federal Government: $1,600,535

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

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Common Form ICR:  No

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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: 07/06/2017

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