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SUMMARY OF INFORMATION COLLECTION
1 of 4
TITLE OF INFORMATION COLLECTION DOCUMENT
OMB NO.
Animal Welfare; Amendments to Licensing Provisions and
to Requirements for Dogs
0579-XXXX
DATE PREPARED
March 22, 2019
ANNUAL BURDEN
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
SECTION OF
REGS.
FORMS NO (S)
(If "none"
so state)
DESCRIPTION
RECORDS
TOTAL
NO. OF
RESPONDENTS
NO OF
RESPONSES
PER
TOTAL ANNUAL
RESPONSES
(Col. D x E)
HOURS
PER
RESPONSE
TOTAL
HOURS
(Col. F x G)
NO. OF
RECORDKEEPERS
RESPONDENT
2.1 and 2.2
(C)
(B)
(A)
(D)
(E)
ANNUAL
HOURS PER
RECORD-
RECORDKEEPING HOURS
(Col. I x J)
KEEPER
(F)
(G)
(H)
(I)
(J)
(K)
APHIS
Application for License and
Acknowledgement of Regulations and 7003 A (or
Standards
equivalent)
1816
1
1816
0.25
454.00
Not-For-Profit Instution
81
1
81
0.25
20.00
Farms
61
1
61
0.25
15.00
State, Local, and Tribal Governments
38
1
38
0.25
10.00
Business or Other For-Profit
SUBTOTAL
1996.00
499.00
0.00
0.00
TOTAL OF ALL PAGES
192072.00
23245.00
190076.00
6475.00
TOTAL - COLUMNS "F" AND "I" = OMB 831,
13 b; COLUMNS "H" AND "K" = OMB 831, 13c
382148.00
29720.00
APHIS FORM 71
(AUG 2005) Electronic versions designed using InForms
and Microsoft Excel by USDA-APHIS.
SUMMARY OF INFORMATION COLLECTION
USDA-APHIS
REPRODUCE LOCALLY. Include form number and date on all reproductions.
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
ll i 1/6
li t "1/6" & d i l ill di l
2 of 4
TITLE OF INFORMATION COLLECTION DOCUMENT
OMB NO.
Animal Welfare; Amendments to Licensing Provisions and
to Requirements for Dogs
0579-XXXX
DATE PREPARED
March 22, 2019
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)
3.13
(C)
(B)
Written Program of Veterinary Care
for Dogs
(D)
(E)
KEEPER
(F)
(G)
(H)
(I)
(J)
(K)
APHIS
7002 or
equivalent
2916
1
2916
1.00
2916.00
2916
0.50
1458.00
100
1
100
1.00
100.00
100
0.50
50.00
Farms
50
1
50
1.00
50.00
50
0.50
25.00
State, Local, and Tribal Governments
50
1
50
1.00
50.00
50
0.50
25.00
3116.00
3116.00
Business or Other For-Profit
Not-For-Profit Instution
SUBTOTAL
APHIS FORM 71
(AUG 2005) Electronic versions designed using InForms
and Microsoft Excel by USDA-APHIS.
3116.00
SUMMARY OF INFORMATION COLLECTION
1558.00
USDA-APHIS
REPRODUCE LOCALLY. Include form number and date on all reproductions.
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
ll i 1/6
li t "1/6" & d i l ill di l
3 of 4
TITLE OF INFORMATION COLLECTION DOCUMENT
OMB NO.
Animal Welfare; Amendments to Licensing Provisions and
to Requirements for Dogs
0579-XXXX
DATE PREPARED
March 22, 2019
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
(Col. D x E)
so state)
REGS.
HOURS
TOTAL
NO. OF
ANNUAL
RECORD-
PER
HOURS
RECORD-
HOURS PER
KEEPING HOURS
RESPONSE
(Col. F x G)
KEEPERS
RECORD-
(Col. I x J)
RESPONDENT
3.13
(C)
(B)
(A)
Veterinary Medical Records for Dogs
(preventive care)
(D)
(E)
KEEPER
(F)
(G)
(H)
(I)
(J)
(K)
None
2916
54
157464
0.07
11022.00
157464
0.02
3149.00
100
54
5400
0.07
378.00
5400
0.02
108.00
Farms
50
54
2700
0.07
189.00
2700
0.02
54.00
State, Local, and Tribal Governments
50
54
2700
0.07
189.00
2700
0.02
54.00
11778.00
168264.00
Business or Other For-Profit
Not-For-Profit Instution
SUBTOTAL
APHIS FORM 71
(AUG 2005) Electronic versions designed using InForms
and Microsoft Excel by USDA-APHIS.
168264.00
SUMMARY OF INFORMATION COLLECTION
3365.00
USDA-APHIS
REPRODUCE LOCALLY. Include form number and date on all reproductions.
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.
4 of 4
TITLE OF INFORMATION COLLECTION DOCUMENT
OMB NO.
Animal Welfare; Amendments to Licensing Provisions and
to Requirements for Dogs
0579-XXXX
March 22, 2019
ANNUAL BURDEN
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
SECTION OF
REGS.
DESCRIPTION
FORMS NO (S)
(If "none"
so state)
(A)
(B)
(C)
3.13
Veterinary Medical Records for
Dogs (ill or injured)
Business or Other For-Profit
DATE PREPARED
RECORDS
TOTAL
NO. OF
RESPONDENTS
(D)
NO OF
RESPONSES
PER
RESPONDENT
(E)
None
TOTAL ANNUAL
RESPONSES
(Col. D x E)
HOURS
PER
RESPONSE
TOTAL
HOURS
(Col. F x G)
NO. OF
RECORDKEEPERS
(F)
(G)
(H)
(I)
0
ANNUAL
HOURS PER
RECORDKEEPER
(J)
0.00
RECORDKEEPING HOURS
(Col. I x J)
(K)
0.00
2916
6
17496
0.42
7348.00
17496
0.08
1452.00
100
6
600
0.42
252.00
600
0.08
50.00
Farms
50
6
300
0.42
126.00
300
0.08
25.00
State, Local, and Tribal
Governments
50
6
300
0.42
126.00
300
0.08
25.00
7852.00
18696.00
Not-For-Profit Instution
SUBTOTAL
APHIS FORM 71
(AUG 2005) Electronic versions designed using InForms
and Microsoft Excel by USDA-APHIS.
18696.00
SUMMARY OF INFORMATION COLLECTION
1552.00
USDA-APHIS
| File Type | application/pdf |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |