Document
APHIS 71
ICR 201808-0579-003 · OMB 0579-0065 · Object 85220101.
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| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
|---|---|
| File Title | APHIS 71 |
| Author | cquatrano |
| Last Modified By | Calc |
| File Modified | 2017-05-31 |
| File Created | 2026-09-13 |
| Conversion State | complete |
Extracted Text
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. TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. Swine Health Protection 0579-0065 (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. DATE PREPARED February 13, 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) 116.2 (B) (C) Food Waste Report (D) (E) ANNUAL HOURS PER RECORD- RECORDKEEPING HOURS (Col. I x J) KEEPER (F) (G) (H) (I) (J) VS 13-17 (K) 0 Business 50 1 50 0.08 4 0 State 50 1 50 0.08 4 0 116.10, 12 Application for Licensing of Garbage Treatment VS 13-15 Facility (Business) 106 1 106 0.16 17 0 116.1(b) Acknowledgement of Act and Regulations (Business) 106 1 106 0.25 27 0 116.13 Garbage Treatment Facility Inspection VS 13-16 0 Business 1,410 5 7,050 1.00 7,050 0 State 50 70 3,500 1.00 3,500 0 1 1 1 1.00 1 0 166.10, 11, 12 Request for Hearing (Business) 166.12 Cancellation of License by Licensee or State 0 Business 4 1 4 0.25 1 0 State 2 1 2 0.25 1 0 SUBTOTAL 10,869 10,605 0.00 0 TOTAL OF ALL PAGES 1,101,204 1,672,131 46,585.00 15518 TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c 15,000 1,147,789 1,687,650 \ 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. TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. Swine Health Protection 0579-0065 (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. DATE PREPARED February 13, 2017 ANNUAL BURDEN IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT REPORTS RECORDS TOTAL FORMS NO (S) SECTION OF DESCRIPTION (If "none" REGS. NO. OF NO OF RESPONDENTS RESPONSES so state) PER TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD- RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J) RESPONDENT (A) (B) (C) 166.13 Notification by Licensee of Sick or Dead Animals (Business) 166.15 Swine Health Protection Program Inspection Summary (State) 166.9 Recordkeeping (Business) VS 13-2 (D) (E) KEEPER (F) (G) (H) (I) (J) (K) 6 1.0 6 0.08 1 0 50 12.0 600 1.00 600 0 1,410 0.10 141 Form 0579-0137 85.5 Permit to Move Restricted Animals VS 1-27 0 Business 25 75.0 1,875 0.25 469 0 Accredited Veterinarian 5 1.0 5 0.50 3 0 State 85.6, 85.7 Owner-Shipper Statement (Business) 85.1, 85.6, 85.7, 85.8 Certificate of Veterinary Inspection 20 1.0 20 0.50 10 0 300 20.0 6,000 0.10 600 0 0 Business 4,500 30.0 135,000 0.25 33,750 0 Accredited Veterinarian 12,000 12.0 144,000 0.25 36,000 0 State 50 150.0 7,500 0.25 1,875 0 SUBTOTAL 295,006 73,308 1,410 141 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. TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. Swine Health Protection 0579-0065 (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. DATE PREPARED February 13, 2017 ANNUAL BURDEN IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT REPORTS RECORDS TOTAL FORMS NO (S) SECTION OF DESCRIPTION (If "none" REGS. NO. OF NO OF RESPONDENTS RESPONSES so state) PER TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD- RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J) RESPONDENT (A) (B) (C) 85.10, 85.11 Accredited Veterinarian Statement: Embryo and Semen Shipments (Business) 71.19 Swine Production System Health Plan (D) (E) 10 KEEPER (F) 5.0 (G) 50.0 (H) 0.25 (I) (J) (K) 13 0 0 Business 100 1.0 100.0 1.00 100 0 State 25 5.0 125.0 0.25 31 0 71.19 Swine Production System Health Plan -Recordkeeping (Business) 71.19 Interstate Movement Report and Notification (Business) 100 12.0 1200.0 0.25 300 0 71.19 Annual Report of PRV Control and Eradication VS 7-1 Activities (State) 50 1.0 50.0 2.00 100 0 71.19 Annual Report of PRV Control and Eradication Activities -- Recordkeeping (State) 52.3, 52.4 Appraisal and Indemnity Claim Form 52.2 125 50 VS 1-23 3.00 0.033 375 2 0 Business 15 1.0 15.0 0.25 4 0 State 5 2.0 10.0 0.50 5 0 Herd Management Plan 0.00 Business 15 1.0 15.0 0.25 4 0 State 5 2.0 10.0 0.50 5 0 SUBTOTAL 1575.0 561 175 377 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. TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. Swine Health Protection 0579-0065 (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. DATE PREPARED February 13, 2017 ANNUAL BURDEN IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT REPORTS RECORDS TOTAL FORMS NO (S) SECTION OF DESCRIPTION (If "none" REGS. NO. OF NO OF RESPONDENTS RESPONSES so state) PER TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD- RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J) RESPONDENT (A) 52.5 (B) (C) Proceeds from Animals/Animal VS 1-24 Products/Materials Sold for Slaughter (Business) (D) (E) KEEPER (F) (G) (H) (I) (J) (K) 5 1.0 5.0 0.25 1 0.00 2 1.0 2.0 0.50 1 0.00 2 1.0 2 0.25 1 0 NEW Appraisal Request for Affected Premises Using Contract Growers 166.13 Notification by Licensee of Changes to Name, Address, or Management (Business) 71.19 Recordkeeping for Buyers and Sellers of Swine Moved Interstate (Business) 71.19 Identification of Swine Moving Interstate VS 1-26 30,000 0.250 7500 0 Business Accredited Veterinarian State 71.19 Identification of Swine Moving Interstate -Recordkeeping (Business) 71.19 Cancellation of Withdrawal of a Swine Production System Health Plan 15,000 100 50 52.0 5.0 260.0 780000.0 500.0 13000.0 2.00 2.00 2.00 1560000 1000 26000 0 0 0 15,000 0.500 7500 0.00 Business 2 1.00 2.0 1.00 2 0.00 State 2 1.00 2.0 1.00 2 0.00 SUBTOTAL 793513.0 1587007 45000 15000 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 TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. Swine Health Protection 0579-0065 (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. DATE PREPARED February 13, 2017 ANNUAL BURDEN IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT REPORTS RECORDS TOTAL FORMS NO (S) SECTION OF DESCRIPTION (If "none" REGS. NO. OF NO OF RESPONDENTS RESPONSES so state) PER TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD- RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J) RESPONDENT (A) (B) (C) 71.19 Appeal of Cancellation of a Swine Production System Health Plan (Business) 71.21(a) Application for Permit To Move Slaughter Swine from Originating Slaughter Facilities to VS 1-38 Approved Destination Facilities 52.2 (D) (E) 1 KEEPER (F) 1.0 (G) 1.0 (H) 10.00 0.0 (I) (J) (K) 10 0 0 0.00 Business 20 2.00 40.0 2.00 80 0.00 State 5 8.00 40.0 6.00 240 0.00 Accredited Veterinarian 10 1.0 10.0 2.00 20 State 30 5.0 150.0 2.00 300 Shipment to Slaughter Seal 0.00 0 0 0 0 0.00 SUBTOTAL 241.0 650 0 0.00