| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| Cooperative State-Federal Brucellosis Eradication Program | 0579-0047 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| 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) | ||||
| 78.1, 78.40, 78.42 | Application for Brucellosis Classifcation or Reclassification of State or Area - State, Local, and Tribal Governments | VS 4-1 | 52 | 1 | 52 | 8.00 | 416.00 | 0 | ||||||
| 78.1, 78.32 | Application for Validation of a Brucellosis-Free Area - State, Local, and Tribal Governments | VS 4-1D | 52 | 1 | 52 | 2.00 | 104.00 | 0 | ||||||
| 78.1 | Certified Herd - Cooperative Brucellosis Eradication - State, Local, and Tribal Governments | VS 4-13 | 50 | 42 | 2,100 | 0.08 | 168.00 | 0 | ||||||
| Private Sector | 2,100 | 1 | 2,100 | 0.08 | 168.00 | 0 | ||||||||
| 78.1 | Quarterly Report of Swine Brucellosis Eradication Activities - State, Local, and Tribal Governments | VS 4-59 | 52 | 4 | 208 | 2.00 | 416.00 | 0 | ||||||
| SUBTOTAL | 4,512 | 1,272.00 | 0 | 0 | ||||||||||
| TOTAL OF ALL PAGES | 956,350 | 102,121.00 | 752 | 145,200 | ||||||||||
| TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c | 957,102 | 247,321.00 | ||||||||||||
| 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. | ||||||||||||
| Cooperative State-Federal Brucellosis Eradication Program | 0579-0047 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| 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) | ||||
| 78.1 | Cooperative State-Federal Brucellosis Eradication Program, Brucellosis Test Record - State, Local, and Tribal Governments | VS 4-33 and VS 4-33A | 50 | 330 | 16,500 | 0.17 | 2,805.00 | 0 | ||||||
| Private Sector A | 5,090 | 7 | 35,630 | 0.17 | 6,057.00 | 0 | ||||||||
| Private Sector B | 16,426 | 2 | 32,852 | 0.17 | 5,585.00 | 0 | ||||||||
| 78.1 | Brucellosis Test Record Market Cattle Testing Program - State, Local, and Tribal Governments | VS 4-54 | 52 | 2,270 | 118,040 | 0.17 | 20,067.00 | 0 | ||||||
| Private Sector | 42 | 499 | 20,958 | 0.17 | 3,563.00 | 0 | ||||||||
| 78.1 | Report of Backtags Applied - Private Sector | VS 4-52 and 4-52A | 1,250 | 175 | 218,750 | 0.08 | 17,500.00 | 0 | ||||||
| SUBTOTAL | 442,730 | 55,577.00 | 0 | 0 | ||||||||||
| 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. | ||||||||||||
| Cooperative State-Federal Brucellosis Eradication Program | 0579-0047 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| 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) | ||||
| 78.1 and 78.10 | Calfhood Vaccination Record - State, Local, and Tribal Governments | VS 4-26 | 52 | 3,007 | 156,364 | 0.08 | 12,509.00 | 0 | ||||||
| Private Sector A | 5,090 | 31 | 157,790 | 0.08 | 12,623.00 | 0 | ||||||||
| Private Sector B | 82,832 | 2 | 165,664 | 0.08 | 13,253.00 | 0 | ||||||||
| 78.1 | Recordkeeping - State, Local, and Tribal Governments | 0 | 0.00 | 52 | 100.00 | 5,200 | ||||||||
| Private Sector | 0 | 0.00 | 700 | 200.00 | 140,000 | |||||||||
| 78.1 | Field Investigation of Brucellosis Market Test Reactors - State, Local, and Tribal Governments | VS 4-106 | 52 | 8 | 416 | 0.50 | 208.00 | 0 | ||||||
| SUBTOTAL | 480,234 | 38,593.00 | 752 | 145,200 | ||||||||||
| 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. | ||||||||||||
| Cooperative State-Federal Brucellosis Eradication Program | 0579-0047 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| 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) | ||||
| Private Sector | 413 | 1 | 413 | 0.50 | 207.00 | 0 | ||||||||
| 78.1 | Log for Market Cattle Test Reactors - State, Local, and Tribal Governments | VS 4-100 | 30 | 5 | 150 | 0.25 | 38.00 | 0 | ||||||
| 78.1 | Epidemiologic Investigation of Brucellosis Reactor Herd - State, Local, and Tribal Governments | VS 4-108 | 2 | 8 | 16 | 4.00 | 64.00 | 0 | ||||||
| Private Sector | 8 | 1 | 8 | 4.00 | 32.00 | 0 | ||||||||
| 78.1 | Origin of Reactors/Herd Additions - State, Local, and Tribal Governments | VS 4-108A | 2 | 8 | 16 | 4.00 | 64.00 | 0 | ||||||
| Private Sector | 8 | 1 | 8 | 4.00 | 32.00 | 0 | ||||||||
| SUBTOTAL | 611 | 437.00 | 0 | 0 | ||||||||||
| 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. | ||||||||||||
| Cooperative State-Federal Brucellosis Eradication Program | 0579-0047 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| 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) | ||||
| 78.1 | Animal Removed from Infected Herds - State, Local, and Tribal Governments | VS 4-108B | 2 | 8 | 16 | 4.00 | 64.00 | 0 | ||||||
| Private Sector | 8 | 1 | 8 | 4.00 | 32.00 | 0 | ||||||||
| 78.1 | Epidiological Report - Area Herds - State, Local, and Tribal Governments | VS 4-108C | 2 | 8 | 16 | 4.00 | 64.00 | 0 | ||||||
| Private Sector | 8 | 1 | 8 | 4.00 | 32.00 | 0 | ||||||||
| 78.1, 78.9, 78.11, 78.20, 78.25, 78.30, and 78.34 | Permit for Movement of Animals - State, Local, and Tribal Governments | VS 1-27 | 1 | 421 | 421 | 0.50 | 211.00 | 0 | ||||||
| Private Sector | 421 | 1 | 421 | 0.50 | 211.00 | 0 | ||||||||
| SUBTOTAL | 890 | 614.00 | 0 | 0 | ||||||||||
| 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. | ||||||||||||
| Cooperative State-Federal Brucellosis Eradication Program | 0579-0047 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| 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) | ||||
| 51.1, 51.10, 51.20, and 51.33 | Appraisal and Indemnity Claim for Animals Destroyed, Materials Destroyed, or Services Provided - Private Sector | VS 1-23, 1-23A, 1-24, and 1-26 or equivalents | 8 | 1 | 8 | 2.00 | 16.00 | 0 | ||||||
| 78.1, 51.1, 51.10, 51.20, and 51.33 | Justification for Brucellosis Herd Depopulation - State, Local, and Tribal Governments | VS 4-6 | 1 | 8 | 8 | 0.17 | 1.00 | 0 | ||||||
| 78.1, 51.1, 51.10, 51.20, and 51.33 | Agreement for Complete Herd Depopulation - Private Sector | VS 4-7 | 8 | 1 | 8 | 0.17 | 1.00 | 0 | ||||||
| 71, 78.1, 78.9, 78.11, 78.20, 78.25, 78.30, and 78.34 | Certificate of Veterinary Inspection (CVI) - State, Local, and Tribal Governments | Varied State Forms | 52 | 157 | 8,164 | 0.17 | 1,388.00 | 0 | ||||||
| Private Sector A | 5,090 | 2 | 10,180 | 0.17 | 1,731.00 | 0 | ||||||||
| Private Sector B | 8,157 | 1 | 8,157 | 0.17 | 1,387.00 | 0 | ||||||||
| SUBTOTAL | 26,525 | 4,524.00 | 0 | 0 | ||||||||||
| 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. | ||||||||||||
| Cooperative State-Federal Brucellosis Eradication Program | 0579-0047 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| 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) | ||||
| 78.1, 78.9, 78.11, 78.20, 78.25, 78.30, and 78.34 | Quarantine and Quarantine Relsease Forms - State, Local, and Tribal Governments | Varied State Forms | 1 | 421 | 421 | 0.17 | 72.00 | 0 | ||||||
| Private Sector | 421 | 1 | 421 | 0.17 | 72.00 | 0 | ||||||||
| 78.1 | Brucellosis Management Plan - State, Local, and Tribal Governments | None | 3 | 1 | 3 | 160.00 | 480.00 | 0 | ||||||
| 78.1 | Memorandum of Understanding (MOU) for Brucellosis Mangement Plan - State, Local, and Tribal Governments | None | 3 | 1 | 3 | 160.00 | 480.00 | 0 | ||||||
| 0 | 0.00 | 0 | ||||||||||||
| 0 | 0.00 | 0 | ||||||||||||
| SUBTOTAL | 848 | 1,104.00 | 0 | 0 | ||||||||||
| File Type | application/vnd.ms-excel |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |