OMB Control No:  0579-0036 
ICR Reference No: 
201710-0579-001 
 
Status:  Historical Active 
Previous ICR Reference No:  201503-0579-013  
 
Agency/Subagency:  USDA/APHIS 
Agency Tracking No:  
 
Title:  Animal Welfare 
 
Type of Information Collection:  No
material or nonsubstantive change to a currently approved
collection 
Common Form ICR:   No 
 
Type of Review Request:  Regular 
 
 
OIRA Conclusion Action:  Approved
with change 
Conclusion Date:  11/13/2017 
 
Retrieve
Notice of Action (NOA)  
Date Received in OIRA: 
10/06/2017 
 
Terms of Clearance:  
 
  
Inventory as of this Action 
Requested 
Previously Approved 
 
Expiration Date  
10/31/2018 
10/31/2018 
10/31/2018 
 
Responses  
216,171 
0 
216,171 
 
Time Burden (Hours)  
136,364 
0 
136,364 
 
Cost Burden (Dollars)  
0 
0 
0 
 
 
 
Abstract:  The records and reports herein provide
APHIS with the data necessary for the review and evaluation of
program compliance by regulated facilities, and provide a workable
enforcement system to carry out the requirements of the
AWA. 
 
 
 
Authorizing Statute(s):   US Code:
7 USC
2131  Name of Law: Animal Welfare Act 
   
 
Citations for New Statutory
Requirements:  None 
 
 
 
Associated Rulemaking
Information  
 
RIN:  
Stage of Rulemaking:  
Federal Register Citation:  
Date:  
 
 
Not associated with rulemaking 
 
 
 
 
 
Federal Register Notices &
Comments  
 
60-day Notice:  
Federal Register Citation:  
Citation Date:  
 
  
80 FR
485  
01/06/2015 
 
30-day Notice:  
Federal Register Citation:  
Citation Date:  
 
 
80 FR
16359  
03/27/2015 
 
Did the Agency receive public comments on
this ICR?  
Yes  
 
 
 
Number of Information Collection (IC) in this
ICR:  3  
 
IC Title 
Form No. 
Form Name 
 
Animal Welfare (Private
Sector)  
7003, 7003A, 7005, 7006, 7009, 7011, 7001, 7006A, 7002, 7020A,
7023, 7019, 7011A, 7023A, APHIS 7020, 7001A, 7020 
Record of
Disposition of Dogs and Cats  ,   Record of Acquisition and Dogs
and Cats on Hand  ,   Record of Acquisition,
Disposition or Transport of Animals  ,   United States Interstate and
International Certificate of Health Examination for Small
Animals  ,   Application for License
(Renewal)  ,   Application for License (New
License)  ,   Request for Approval of Holding
Facility  ,   Application for
Registration  ,   Annual Report of Research
Facility  ,   Record of Animals on Hand  ,
  Continuation
Sheet for Record of Disposition of Dogs and Cats  ,  
United States
Interstate and International Certificate of Health Examination for
Small Animals (Continuation Sheet)  ,   Continuation Sheet for Record
of Acquisition, Disposition or Transport of Animals (Other than
Dogs and Cats)  ,   CONTINUATION SHEET FOR ANNUAL
REPORT OF RESEARCH FACILITY  ,   APPLICATION FOR REGISTRATION,
REGISTRATION UPDATE    ,   Record of Acquisition,
Disposition, or TRansport of Animals  ,   Animal Care (Program of
Veterinary Care for Research Facilities or
Exhibitors/Dealers  
 
Animal Welfare (State,
Local, and Tribal Governments)  
APHIS 7009, APHIS 7001, APHIS 7003A, APHIS 7002, APHIS 7005,
APHIS 7006, APHIS 7006A, APHIS 7003, APHIS 7020 
Request for
Approval of Holding Facility  ,   Application for License - New
License  ,   Application for License -
Renewal  ,   Record of Acquisition of Dogs
and Cats On Hand  ,   Record of Disposition of Dogs
and Cats  ,   Continuation Sheet for Record
of Disposition of Dogs and Cats  ,   United States Interstate and
International Certificate of Health Examination for Small
Animals    ,
  Record of
Acquisition, Disposition, or Transport of Animals  ,  
Animal Care - Program
of Veterinary Care for Research Facilities or
Exhibitors/Dealers  
 
Individuals  
 
 
 
 
 
 
 
ICR Summary 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 
216,171 
216,171 
0 
0 
0 
0 
 
Annual Time Burden (Hours) 
136,364 
136,364 
0 
0 
0 
0 
 
Annual Cost Burden (Dollars) 
0 
0 
0 
0 
0 
0 
 
Burden increases because of Program Change due to Agency
Discretion:  No 
 
Burden Increase Due to:  
 
Burden decreases because of Program Change due to Agency
Discretion:  No 
 
Burden Reduction Due to:  
 
Short Statement:  
 
 
 
Annual Cost to Federal Government: 
$1,076,498 
 
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. 
    Yes 
 
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.     
Yes 
 
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 
 
Agency Contact:  Barbara Kohn 301
734-7833