Aphis 71

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 1 of 3

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Export Certification: Accreditation of Nongovernment Facilities

0579-0130
DATE PREPARED

August 21, 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

NO OF
RESPONSES
PER

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

RESPONDENT
(C)

(B)

(A)

(D)

(E)

ANNUAL
HOURS PER
RECORD-

RECORDKEEPING HOURS

(Col. I x J)

KEEPER
(F)

(G)

(H)

(I)

(J)

(K)

353.8 (b)(2)

Application for Accreditation (State)

None

3

1.00

3.0

2.00

6

353.8 (b)(2)

Application for Accreditation (business)

None

6

1.00

6.0

2.00

12

0.00

353.8
(b)(3)

Agreement for Fulfilling Accreditation
Procedures (Business) (same)

None

6

1.00

6.0

0.50

3

0.00

353.8
(b)(3)

Agreement for Fulfilling Accreditation
Procedures (State) (same)

None

3

1.00

3.0

10.00

30

0.00

353.8
(b)(3)(ii)

Documentation of Equipment (Business)
(same respondents as business application)

None

6

1.00

6.0

8.00

48

0.00

353.8
(b)(3)(ii)

Documentation of Equipment (State) same
respondents as state application)

None

3

1.00

3.0

0.17

1

0.00

SUBTOTAL
TOTAL OF ALL PAGES

9

27.0

100

0.00

0.00

54.0

209

0.00

0.00

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

APHIS FORM 71
(AUG 2005) Electronic versions designed using InForms
and Microsoft Excel by USDA-APHIS.

SUMMARY OF INFORMATION COLLECTION

USDA-APHIS

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 3

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Export Certification: Accreditation of Nongovernment Facilities

0579-0130
DATE PREPARED

August 21, 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.

HOURS

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)

(D)

(E)

KEEPER
(F)

(G)

(H)

(I)

(J)

(K)

353.8
(b)(3)(iii)

Quality Manual or Equivalent Documentation
None
(State) (same)

6

1.00

6.0

0.17

1

0.00

353.8(b)(3)
(iii)

Quality Manual or Equivalent Documentation
None
(Business) (same)

3

1.00

3.0

10.00

30

0.00

353.8
(b)(3)(iv)

Identity of Personnel and Subcontractor's
Qualifications (Business) (same)

None

6

1.00

6.0

8.00

48

0.00

353.8
(b)(3)(iv)

Identity of Personnel and Subcontractor's
Qualifications (State) (same)

None

3

1.00

3.0

8.00

24

0.00

353.8
(b)(4)(v)

Notification of changes in personnel
(Business) (same)

None

3

1.00

3.0

0.17

1

0.00

353.8
(b)(4)(vi)

Report changes in location, ownership,
physical plant equipment or other conditions
(Business) (same)

None

2

1.00

2.0

0.17

1

0.00

SUBTOTAL

APHIS FORM 71
(AUG 2005) Electronic versions designed using InForms
and Microsoft Excel by USDA-APHIS.

23.0

SUMMARY OF INFORMATION COLLECTION

105

0

0.00

USDA-APHIS

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 3 of 3

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Export Certification: Accreditation of Nongovernment Facilities

0579-0130
DATE PREPARED

August 21, 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.

HOURS

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)

(D)

(E)

KEEPER
(F)

(G)

(H)

(I)

(J)

(K)

353.8
(a)(2)(i)

Denial-Written Appeal and Request for Hearing
(Business) (same)

None

1

1.00

1.0

0.25

1

0.00

353.8
(a)(2)(ii)

Withdrawal-Appeal and Request for Hearing
(Business) (same)

None

1

1.00

1.0

0.25

1

0.00

353.8
(a)(3)

Written Request to Eliminate Accredited Status
(Business) (same)

None

1

1.00

1.0

1.00

1

0.00

353.8
(a)(4)

Documentation of Corrective Action (State) (same
None
respondents as state application)

1

1.00

1.0

0.50

1

0.00

0.00

0.00

SUBTOTAL

APHIS FORM 71
(AUG 2005) Electronic versions designed using InForms
and Microsoft Excel by USDA-APHIS.

4.0

SUMMARY OF INFORMATION COLLECTION

4

0

0.00

USDA-APHIS