AMS-71 Spreadsheet

AMS-71 10-23-18 Rev. WGF.xlsx

Export Health Certificate Request Forms

AMS-71 Spreadsheet

OMB: 0581-0283

Document [xlsx]
Download: xlsx | pdf















INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. (D), (F), (H), (I), & (K) should be enered in items 17 & 18 of OMB-83-I. For cols. (E), (F), & (J), the averages of the totals shall be computed, as follows, & then entered on the OMB-83-1. (F) Total/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.







Reporting Requirements Under Regulations Governing the Export Health Certificate Request Forms 0581-0283




DATE PREPARED


October 1, 2018
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN








REPORTS RECORDS





















TOTAL






FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS
REGS.




so state)
PER (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J)








RESPONDENT



KEEPER
(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K)
7U.S.C. Sec1362-1627 Request for Applicant Number DA-228 100 1.0000 100.00 0.0500 5.00 0 0.000 0.00

EU Health Certificate Request (Transit, Composite, Composite Transit, and HTB) DA-253 235 40.0000 9,400.00 0.2000 1,880.00 0 0.000 0.00

Sanitary Certificate Request DA-240 340 95.0000 32,300.00 0.2000 6,460.00 0 0.000 0.00

Sanitary Certificate Request - Algeria DA-241 10 4.0000 40.00 0.2000 8.00 0 0.000 0.00

Sanitary Certificate Request - Argentina DA-242 20 12.0000 240.00 0.2000 48.00 0 0.000 0.00

Sanitary Certificate Request - Brazil DA-243 40 20.0000 800.00 0.2000 160.00 0 0.000 0.00

Sanitary Certificate Request - Chile DA-244 60 25.0000 1,500.00 0.2000 300.00 0 0.000 0.00

Sanitary Certificate Request - China DA 245 135 30.0000 4,050.00 0.2000 810.00 0 0.000 0.00

SUBTOTAL
265.00
48,430.00
9,671

0.00

TOTAL OF ALL PAGES


51,800.00
10,345.00 0.00
0.00
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c


51,800
10,345















































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. (D), (F), (H), (I), & (K) should be enered in items 17 & 18 of OMB-83-I. For cols. (E), (F), & (J), the averages of the totals shall be computed, as follows, & then entered on the OMB-83-1. (F) Total/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.







Reporting Requirements Under Regulations Governing the Export Health Certificate Request Forms 0581-0283




DATE PREPARED


September 1, 2018
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN








REPORTS RECORDS





















TOTAL






FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS
REGS.




so state)
PER (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J)








RESPONDENT



KEEPER
(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K)
58.50(d)&(e) Sanitary Certificate Request - Cuba DA-246 2 20.0000 40.00 0.2000 8.00 0 0.000 0.00
58.49 Sanitary Certificate Request - Peru DA -247 55 50.0000 2,750.00 0.2000 550.00 0 0.000 0.00
54.1016 Sanitary Certificate Request - Tunisia DA-248 6 5.0000 30.00 0.2000 6.00 0 0.000 0.00
58.51 Sanitary Certificate Request - Uruguay DA-249 25 10.0000 250.00 0.2000 50.00 0 0.000 0.00
54.1019 Sanitary Certificate Request - Morocco DA-250 30 10.0000 300.00 0.2000 60.00 0 0.000 0.00





0.00
0.00

0.00

SUBTOTAL
118.00
3,370.00
674.00 0
0.00
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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