APHIS Form 71

REPRODUCE LOCALLY. Include form number and date on all reproductions.

Page 1 of 3

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.

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Standards for Permanent, Privately Owned Horse Quarantine Facilities

0579-0313
DATE PREPARED

November 29, 2018
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

REPORTS

SECTION OF
REGS.

FORMS NO (S)
(If "none"
so state)

DESCRIPTION

NO. OF
RESPONDENTS

NO OF
RESPONSES
PER

RECORDS

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

RESPONDENT
(A)

(C)

(B)

(D)

(E)

ANNUAL
HOURS PER
RECORD-

TOTAL
RECORDKEEPING HOURS

(Col. I x J)

KEEPER
(F)

(G)

(H)

(I)

(J)

(K)

93.308(b)(iii)e

ENVIRONMENTAL CERTIFICATION (Local
Government)

2

1.00

2.0

1.00

2

0

93.308(b)(iii)e

ENVIRONMENTAL CERTIFICATION (Business)

2

1.00

2.0

1.00

2

0

93.308c(1)(i)

APPLICATION FOR FACILITY APPROVAL
(Business)

2

1.00

2.0

1.00

2

0

93.308c(1)(i)(A) SERVICE AGREEMENTS (Business)

2

1.00

2.0

0.50

1

0

93.308c(1)(iv)(A LETTER CHALLENGING WITHDRAWAL FOR
FACILITY APPROVAL (Business)
)

1

1.00

1.0

0.50

1

0

1

1.00

1.0

0.50

1

0

93.308c(1)(iv)(B)

LETTER NOTIFYING APHIS OF FACILITY
CLOSURE (Business)
SUBTOTAL

10.0

9

0.00

0

TOTAL OF ALL PAGES

121

18

2.00

2

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

123

20

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

6

SUMMARY OF INFORMATION COLLECTION

USDA-APHIS

REPRODUCE LOCALLY. Include form number and date on all reproductions.

Page 2 of 3

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.

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Standards for Permanent, Privately Owned Horse Quarantine Facilities

0579-0313
DATE PREPARED

November 29, 2018
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
(A)

(C)

(B)

(D)

(E)

KEEPER
(F)

(G)

(H)

(I)

(J)

(K)

93.308c(2)

COMPLIANCE AGREEMENTS (Business)

2

1.00

2.00

0.50

1

0.00

93.308c(3)(iv)c

SECURITY INSTRUCTIONS (Business)

1

1.00

1.00

0.08

1

0.00

93.308c(3)(iv)c

ALARM NOTIFICATION (Business)

1

1.00

1.0

0.08

1

0.00

93.308c(3)(iv)c

SECURITY BREACH (Business)

1

1.00

1.0

0.08

1

0.00

93.308c(4)(ii)(B) LIST OF PERSONNEL (Business)

1

1.00

1.0

0.05

1

0.00

93.308c(4)(ii)(C) SIGNED STATEMENTS (Business)

4

1.00

4.0

0.16

1

0.00

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

10.00

SUMMARY OF INFORMATION COLLECTION

6

0

0.00

USDA-APHIS

REPRODUCE LOCALLY. Include form number and date on all reproductions.

Page 3 of 3

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.

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Standards for Permanent, Privately Owned Horse Quarantine Facilities

0579-0313
DATE PREPARED

November 29, 2018
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
(A)

(C)

(B)

(D)

(E)

KEEPER
(F)

(G)

(H)

(I)

(J)

(K)

93.308c(4)(vi)

DAILY LOG/RECORD KEEPING (Business)

4

25.00

100.0

0.0015

1

93.308c(6)

REQUEST FOR VARIANCE (Business)

1

1.00

1.0

2.00

2

0

0.0

0

0.00

0.0

0

0.00

0.0

0

0.00

0.0

0

0.00

101.0

3

SUBTOTAL

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

SUMMARY OF INFORMATION COLLECTION

2

1.00

2

2

2.00

USDA-APHIS