0579-0036 2018 Aphis 71

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SUMMARY OF INFORMATION COLLECTION

INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements.
TITLE OF INFORMATION COLLECTION DOCUMENT
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
Animal Welfare - 0579-0036
= 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.

OMB NO.
0579-0036
DATE PREPARED

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

ANNUAL BURDEN

SECTION OF
REGS.

DESCRIPTION

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

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

NO OF
RESPONSES
PER

REPORTS
TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

RECORDS
ANNUAL
HOURS PER
RECORD-

RESPONDENT
1.1

Definitions - Research Facility Exemption

2.1 and 2.2

Online Prelicensing Tool to Guide Requests for
Licensing/Registration Packets

None

Business or Other For-Profit
None

Not-for-profit Institution
Farms

State, Local, and Tribal Governments
Federal Debt Collection Form

APHIS 7030

Business or Other For-Profit

(J)

(K)

1
1

1

0.50

1

0.00

0.000

0

2,519

1

2,519

0.50

1,260

0

0.000

0

111

1

111

0.50

56

0

0.000

0

83

1

83

0.50

42

0

0.000

0

55

1

55

0.50

28

0

0.000

0

0.000

0

0.000

0

0.000

0

0.000

0

2,768

0

6,865
6,247

1

6,247

0.25

1,562

Not-for-profit Institution

274

1

274

0.25

69

Farms

205

1

205

0.25

51

137

1

137

0.25

34

759

1

759

0.25

190

0

0.000

0

36

1

36

0.25

9

0

0.000

0

State, Local, and Tribal Governments
2.1 and 2.2

RECORDKEEPING HOURS
(Col. I x J)

KEEPER

(E)

1

Business or Other For-Profit

2.1, 2.2, 2.5, 2.25, 2.26, 2.30

10/29/2018

Application for New License, Acknowledgement of
Regulations and Standards
Business or Other For-Profit
Not-for-profit Institution
Farms

State, Local, and Tribal Governments

APHIS 7003A

0
0
0
0

834

27

1

27

0.25

7

0

0.000

0

12

1

12

0.25

3

0

0.000

0

SUBTOTAL

10,466

3,312

0

0

TOTAL OF ALL PAGES

1,103,427

309,058

61,158

56,972

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

1,164,585

366,030

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

SUMMARY OF INFORMATION COLLECTION

USDA-APHIS

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Page 2 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

ANNUAL BURDEN
REPORTS

SECTION OF
REGS.

DESCRIPTION

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

NO. OF
RESPONDENTS

(B)

(C)

(D)

(A)
2.1 and 2.2

Application for License Renewal and Annual Report,
Acknowledgement of Regulations and Standards

APHIS 7003

Business or Other For-Profit

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

RECORDKEEPING HOURS
(Col. I x J)
(K)

5,153

1

4,689

0.25

1,172

0

0.000

0

206

1

206

0.25

52

0

0.000

0

Farms

155

1

155

0.25

39

0

0.000

0

103

1

103

0.25

26

0

0.000

0

Request for 1st Pre-Licensing Inspection; Signature
Acknowledgeing Receipt of the Inspection Report

APHIS 7008

831
756

1

756

4.00

3,024

0

0.000

0

Not-for-profit Institution

33

1

33

4.00

132

0

0.000

0

Farms

25

1

25

4.00

100

0

0.000

0

17

1

17

4.00

68

0

0.000

0

239

2

478

0.25

120

0

0.000

0

13

2

26

0.25

7

0

0.000

0

1

2

2

0.25

1

0

0.000

0

State, Local, and Tribal Governments
Request for 2nd and/or 3rd Pre-Licensing Inspection;
Signature Acknowledgeing Receipt of Inspection Report

APHIS 7008

Business or Other For-Profit
Not-for-profit Institution

State, Local, and Tribal Governments
2.5

RECORDS

TOTAL ANNUAL
RESPONSES
(Col. D x E)

4,689

Business or Other For-Profit

2.3

NO OF
RESPONSES
PER
RESPONDENT
(E)

Not-for-profit Institution

State, Local, and Tribal Governments
2.3

10/29/2018

Request for Voluntary License Termination and Written
Statement License Certificate is Lost
Business or Other For-Profit

APHIS 7032 (optional or
equivalent format)

253

210
191

1

191

0.25

48

0

0.000

0

Not-for-profit Institution

8

1

8

0.25

2

0

0.000

0

Farms

6

1

6

0.25

2

0

0.000

0

4

1

4

0.25

1

0

0.000

4,794

0

State, Local, and Tribal Governments
SUBTOTAL

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

6,699

SUMMARY OF INFORMATION COLLECTION

0
0

USDA-APHIS

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Page 3 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.

REPORTS

DESCRIPTION

(B)

(A)
Annual License Fee

2.6

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

NO. OF
RESPONDENTS

(C)

(D)

APHIS 7031 (Credit Card)

Business or Other For-Profit

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

5,153
4,689

0.25

1,172

0

0.000

0

Not-for-profit Institution

206

1

206

0.25

52

0

0.000

0

Farms

155

1

155

0.25

39

0

0.000

0

103

1

103

0.25

26

0

0.000

0

APHIS 7003

Business or Other For-Profit

223
212

1

212

0.25

53

0

0.000

0

Not-for-profit Institution

9

1

9

0.25

2

0

0.000

0

Farms

7

1

7

0.25

2

0

0.000

0

5

1

5

0.25

1

0

0.000

0

625

1

625

1.00

625

0

0.000

0

Not-for-profit Institution

28

1

28

1.00

28

0

0.000

0

Farms

21

1

21

1.00

21

0

0.000

0

14

1

14

1.00

14

0

0.000

0

State, Local, and Tribal Governments
APHIS 7033 (optional or
equivalent format)

Notification of Change
Business or Other For-Profit

State, Local, and Tribal Governments
2.10

TOTAL ANNUAL
RESPONSES
(Col. D x E)

1

Written Request for Correction of Renewal Application
including Dollar Amount of Business

2.8, 2.27, and 2.30

NO OF
RESPONSES
PER
RESPONDENT
(E)

RECORDS

4,689

State, Local, and Tribal Governments
2.6

10/29/2018

Written Request to Reinstate Suspended or Revoked
License

None

687

5

Business or Other For-Profit

3

1

3

0.50

2

0

0.000

0

Not-for-profit Institution

1

1

1

0.50

1

0

0.000

0

1

1

1

0.50

1

0

0.000

0

2,039

0

State, Local, and Tribal Governments
SUBTOTAL

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

6,079

SUMMARY OF INFORMATION COLLECTION

0

USDA-APHIS

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Page 4 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.

REPORTS

DESCRIPTION

(B)

(A)

Denial of a New License Including Response to a
Request for a Hearing

2.11

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

NO. OF
RESPONDENTS

(C)

(D)

None

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

7
4

1

4

0.50

2

0

0.000

0

2

1

2

0.50

1

0

0.000

0

1

1

1

0.50

1

0

0.000

0

None

5

Business or Other For-Profit

3

1

3

0.50

2

0

0.000

0

Not-for-profit Institution

1

1

1

0.50

1

0

0.000

0

1

1

1

0.50

1

0

0.000

0

181

1

181

0.25

45

0

0.000

0

Not-for-profit Institution

8

1

8

0.25

2

0

0.000

0

Farms

6

1

6

0.25

2

0

0.000

0

4

1

4

0.25

1

0

0.000

0

State, Local, and Tribal Governments
Application for New Registration and Acknowledgement
of Regulations and Standards

APHIS 7011A

Business or Other For-Profit

State, Local, and Tribal Governments
2.25, 2.26, and 2.30

TOTAL ANNUAL
RESPONSES
(Col. D x E)

Not-for-profit Institution

Termination of a License Renewal

2.25, 2.26, and 2.30

NO OF
RESPONSES
PER
RESPONDENT
(E)

RECORDS

Business or Other For-Profit

State, Local, and Tribal Governments
2.12

10/29/2018

Application for Registration Update

APHIS 7011

Business or Other For-Profit

199

700
637

1

637

0.25

159

0

0.000

0

Not-for-profit Institution

28

1

28

0.25

7

0

0.000

0

Farms

21

1

21

0.25

5

0

0.000

0

14

1

14

0.25

4

0

0.000

0

233

0

State, Local, and Tribal Governments
SUBTOTAL

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

911

SUMMARY OF INFORMATION COLLECTION

0

USDA-APHIS

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Page 5 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.

DESCRIPTION

(A)

(B)

2.27 and 2.30

Written Request to be Placed in Inactive Status

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

NO. OF
RESPONDENTS

(C)

(D)

APHIS Form 7033
(notification of change)
(optional or equivalent
format)

Not-for-profit Institution
2.27 and 2.30

NO OF
RESPONSES
PER
RESPONDENT
(E)

RECORDS

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

1

1

1

1

0.25

1

0

0.000

0

58

1

58

0.25

15

0

0.000

0

Not-for-profit Institution

3

1

3

0.25

1

0

0.000

0

Farms

2

1

2

0.25

1

0

0.000

0

1

1

1

0.25

1

0

0.000

0

31

122

0.160

20

Written Request for Cancellation of Registration

APHIS Form 7033
(optional or equivalent
format)

Business or Other For-Profit

State, Local, and Tribal Governments
2.31

10/29/2018

Written Notification of Failure to Adhere to Correction
Scheduled
Business or Other For-Profit

None

64

135
122

Not-for-profit Institution

5

Farms

4
3

State, Local, and Tribal Governments

1
1
1
1

SUBTOTAL

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

122
5
4
3
199

SUMMARY OF INFORMATION COLLECTION

0.25
0.25
0.25
0.25

1

5

0.160

1

1

4

0.160

1

1

3

0.160

1

53

134

23

USDA-APHIS

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Page 6 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.

REPORTS

DESCRIPTION

(B)

(A)

Records of IACUC Activities

2.31 and 2.35

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

NO. OF
RESPONDENTS

(C)

(D)

None

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

948
10

3,370

4.00

13,480

337

4.000

1,348

Not-for-profit Institution

257

10

2,570

4.00

10,280

257

4.000

1,028

350

10

3,500

4.00

14,000

350

4.000

1,400

1

337

1.00

337

337

0.500

169

APHIS 7002 (optional or
equivalent format)

948

Business or Other For-Profit

337

Not-for-profit Institution

257

1

257

1.00

257

257

0.500

129

350

1

350

1.00

350

350

0.500

175

State, Local, and Tribal Governments
Written Program of Veterinary Care for Exhibitors or
Dealers

APHIS 7002 (optional or
equivalent format)

Business or Other For-Profit

4,997
4,597

1

4,597

1.00

4,597

7,402

0.500

3,701

Not-for-profit Institution

200

1

200

1.00

200

1,559

0.500

780

Farms

150

1

150

1.00

150

209

0.500

105

100

1

100

1.00

100

877

0.500

439

2,536

3

7,608

0.50

3,804

2,536

1.000

2,536

112

3

336

0.50

168

112

1.000

112

84

3

252

0.50

126

84

1.000

84

56

3

168

0.50

84

56

1.000

56

47,933

14,723

State, Local, and Tribal Governments
2.35, 2.38, 2.75, 2.76, 2.132,
and 2.133

TOTAL ANNUAL
RESPONSES
(Col. D x E)

337

Written Program of Veterinary Care for Research
Facilities

2.40

NO OF
RESPONSES
PER
RESPONDENT
(E)

RECORDS

Business or Other For-Profit

State, Local, and Tribal Governments
2.33

10/29/2018

Records Disclosing Live Dog and Cat Acquisitions and
Dispositions

Business or Other For-Profit
Not-for-profit Institution
Farms

State, Local, and Tribal Governments

APHIS 7001 (optional or
equivalent format)

2,787

SUBTOTAL

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

23,795

SUMMARY OF INFORMATION COLLECTION

12,062

USDA-APHIS

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Page 7 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.

DESCRIPTION

(B)

(A)
2.35, 2.38, 2.75, 2.76, 2.132,
and 2.133

Records Disclosing Live Dog and Cat Acquisitions and
Dispositions

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

NO. OF
RESPONDENTS

(C)

(D)

APHIS 7005 (mandatory
or approved variance)

Business or Other For-Profit

Farms

State, Local, and Tribal Governments
Records Disclosing Live Dog and Cat Acquisitions and
Dispositions

APHIS 7006 (mandatory
or approved variance)

Business or Other For-Profit
Not-for-profit Institution
Farms

State, Local, and Tribal Governments
2.35, 2.38, 2.75, 2.76, 2.132,
and 2.133

Records Disclosing Live Dog and Cat Acquisitions and
Dispositions

APHIS 7006A (mandatory
or approved variance)

Business or Other For-Profit

Farms

State, Local, and Tribal Governments
APHIS 7023 (optional or
equivalent format)

Annual Report of Research Facility

RECORDS

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

2,787
3

7,608

3,804

2,536

1.000

2,536

112

3

336

84

3

252

0.50

168

112

1.000

112

0.50

126

84

1.000

84

56

3

168

0.50

84

56

1.000

56

2,536

3

112

0.50

7,608

0.50

3,804

2,536

1.000

2,536

3

336

0.50

168

112

1.000

112

84

3

252

0.50

126

84

1.000

84

56

3

168

0.50

84

56

1.000

56

3

7,608

0.50

3,804

2,536

1.000

2,536

112

3

336

0.50

168

112

1.000

112

84

3

252

0.50

126

84

1.000

84

56

3

168

0.50

84

56

1.000

56

2,787

2,787
2,536

Not-for-profit Institution

2.36

NO OF
RESPONSES
PER
RESPONDENT
(E)

2,536

Not-for-profit Institution

2.35, 2.38, 2.75, 2.76, 2.132,
and 2.133

0.00

948

Business or Other For-Profit

338

1

338

2.00

676

338

1.000

338

Not-for-profit Institution

259

1

259

2.00

518

259

1.000

259

351

1

351

2.00

702

351

1.000

14,442

9,312

State, Local, and Tribal Governments
SUBTOTAL

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

26,040

SUMMARY OF INFORMATION COLLECTION

351
9,312

USDA-APHIS

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Page 8 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.
(A)
2.36

REPORTS

DESCRIPTION

(B)
Continuation Sheet for Annual Report of Research
Facility

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

NO. OF
RESPONDENTS

(C)

(D)

APHIS 7023A (optional or
equivalent format)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

948
1

338

2.00

676

338

1.000

338

Not-for-profit Institution

259

1

259

2.00

518

259

1.000

259

351

1

351

2.00

702

351

1.000

351

1

338

2.00

676

338

1.000

338

Annual Report of Research Facility Column E
Explanation

APHIS 7023B (optional or
equivalent format)

948

Business or Other For-Profit

338

Not-for-profit Institution

259

1

259

2.00

518

259

1.000

259

351

1

351

2.00

702

351

1.000

351

1

338

2.00

676

338

1.000

338

Site Specific Annual Report of Research Facility

APHIS 7023C (optional or
equivalent format)

948

Business or Other For-Profit

338

Not-for-profit Institution

259

1

259

2.00

518

259

1.000

259

351

1

351

2.00

702

351

1.000

351

State, Local, and Tribal Governments
2.38 and 2.125

TOTAL ANNUAL
RESPONSES
(Col. D x E)

338

State, Local, and Tribal Governments
2.36

NO OF
RESPONSES
PER
RESPONDENT
(E)

RECORDS

Business or Other For-Profit

State, Local, and Tribal Governments
2.36

0.00

Registrant Furnish All Requested Information

None

Business or Other For-Profit

7,645
6,957

2

13,914

1.00

13,914

6,957

1.000

6,957

Not-for-profit Institution

306

2

612

1.00

612

306

1.000

306

Farms

229

2

458

1.00

458

229

1.000

229

153

2

306

1.00

306

153

1.000

20,978

10,489

State, Local, and Tribal Governments
SUBTOTAL

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

18,134

SUMMARY OF INFORMATION COLLECTION

153
10,489

USDA-APHIS

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

Page 9 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.
(A)
2.38 and 2.126

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

DESCRIPTION

(B)
Access and Inspection of Records and Property;

(C)
APHIS 7008

Business or Other For-Profit

7,645

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

13,914

1.00

13,914

0

0.000

0

Not-for-profit Institution

306

2

612

1.00

612

0

0.000

0

Farms

229

2

458

1.00

458

0

0.000

0

153

2

306

1.00

306

0

0.000

0

5

12,680

0.25

3,170

2,536

0.250

634

Official Identification of Dogs and Cats; Removed Tags
Retained for 1 Year

None

2,787
2,536

Not-for-profit Institution

112

5

560

0.25

140

112

0.250

28

84

5

420

0.25

105

84

0.250

21

56

5

280

0.25

70

56

0.250

14

3,212

1

3,212

0.50

1,606

0

0.000

0

Not-for-profit Institution

141

1

141

0.50

71

0

0.000

0

Farms

106

1

106

0.50

53

0

0.000

0

71

1

71

0.50

36

0

0.000

0

1

1

0.25

1

0

0.000

0

20,542

2,788

Farms

State, Local, and Tribal Governments
Health Certificate in Transport, Inspection by a licensed
veterinarian

APHIS 7001 (optional or
equivalent format)

Business or Other For-Profit

State, Local, and Tribal Governments
2.38 and 2.78

(D)

NO OF
RESPONSES
PER
RESPONDENT
(E)

2

Business or Other For-Profit

2.38 and 2.78

NO. OF
RESPONDENTS

RECORDS

6,957

State, Local, and Tribal Governments
2.38, 2.50, and 2.55

0.00

Exceptions to Health Certificates

None

Business or Other For-Profit

3,530

1
1

SUBTOTAL

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

32,761

SUMMARY OF INFORMATION COLLECTION

697

USDA-APHIS

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

Page 10 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.

DESCRIPTION

(A)

(B)

2.50, 2.75 and 2.80

Record Animals on Hand (Other than Dogs and Cats)
Business or Other For-Profit

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

NO. OF
RESPONDENTS

(C)

(D)

APHIS Form 7019
(optional or equivalent
format)

NO OF
RESPONSES
PER
RESPONDENT
(E)

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

3,630
3,303

1

3,303

1.00

3,303

3,303

1.000

3,303

145

1

145

1.00

145

145

1.000

145

Farms

109

1

109

1.00

109

109

1.000

109

73

1

73

1.00

73

73

1.000

73

Record of Acquisition, Disposition, or Transport of
Animals (Other Than Dogs and Cats)
Business or Other For-Profit

APHIS Form 7020
(optional or equivalent
format)

3,630
3,303

1

3,303

1.70

5,615

3,303

1.000

3,303

Not-for-profit Institution

145

1

145

1.70

247

145

1.000

145

Farms

109

1

109

1.70

186

109

1.000

109

73

1

73

1.70

124

73

1.000

73

State, Local, and Tribal Governments
2.50, 2.75 and 2.80

RECORDS

REPORTS

Not-for-profit Institution

State, Local, and Tribal Governments
2.50, 2.75 and 2.80

10/29/2018

Continuation Sheet for Record of Acquisition, Disposition, APHIS 7020A (optional or
or Transport of Animals (Other Than Dogs and Cats)
equivalent format)

3,630

Business or Other For-Profit

3,303

1

3,303

1.70

5,615

3,303

1.000

3,303

Not-for-profit Institution

145

1

145

1.70

247

145

1.000

145

Farms

109

1

109

1.70

186

109

1.000

109

73

1

73

1.70

124

73

1.000

73

15,974

10,890

State, Local, and Tribal Governments
SUBTOTAL

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

10,890

SUMMARY OF INFORMATION COLLECTION

10,890

USDA-APHIS

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

Page 11 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.
(A)
2.75

REPORTS

DESCRIPTION

(B)
Written Request for Variance Using Other Than APHIS

None

Business or Other For-Profit

(C)

(D)

30

NO OF
RESPONSES
PER
RESPONDENT
(E)

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

1

27

0.50

14

0

0.000

0

1

1

1

0.50

1

0

0.000

0

Farms

1

1

1

0.50

1

0

0.000

0

1

1

1

0.50

1

0

0.000

0

1

2

0.50

1

0

0.000

0

Request for Hearing

None

2
2

Auction Sales or Broker Records

None

Business or Other For-Profit

749
682

2

1,364

2.00

2,728

682

1.000

682

Not-for-profit Institution

30

2

60

2.00

120

30

1.000

30

Farms

22

2

44

2.00

88

22

1.000

22

15

2

30

2.00

60

15

1.000

15

684

2

1,368

1.00

1,368

684

1.000

684

Not-for-profit Institution

30

2

60

1.00

60

30

1.000

30

Farms

23

2

46

1.00

46

23

1.000

23

15

2

30

1.00

30

15

1.000

4,518

1,501

State, Local, and Tribal Governments
2.77 and 2.79

NO. OF
RESPONDENTS

27

Business or Other For-Profit
2.76

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

RECORDS

Not-for-profit Institution

State, Local, and Tribal Governments
2.75

10/29/2018

Carriers and Intermediate Handlers Records; Consignor
Written Guarantee; Attempt to Notify Consignor
Business or Other For-Profit

State, Local, and Tribal Governments

None

752

SUBTOTAL

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

3,034

SUMMARY OF INFORMATION COLLECTION

15
1,501

USDA-APHIS

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

Page 12 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.
(A)
2.125

REPORTS

DESCRIPTION

(B)
Information Concerning Dealers, Exhibitors, Operators of None

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

NO. OF
RESPONDENTS

(C)

(D)

Business or Other For-Profit

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

1

6,094

1.00

6,094

6,094

0.250

1,524

Not-for-profit Institution

268

1

268

1.00

268

268

0.250

67

Farms

201

1

201

1.00

201

201

0.250

50

134

1

134

1.00

134

134

0.250

34

Submission of Itinerary of Exhibition with Overnight
Travel
Business or Other For-Profit

APHIS Form 7010
(optional or equivalent
format)

335
956

5

4,780

0.50

2,390

0

0.000

0

Not-for-profit Institution

42

5

210

0.50

105

0

0.000

0

Farms

32

5

160

0.50

80

0

0.000

0

21

5

105

0.50

53

0

0.000

0

State, Local, and Tribal Governments
2.126

6,697

NO OF
RESPONSES
PER
RESPONDENT
(E)

RECORDS

6,094

State, Local, and Tribal Governments
2.126

10/29/2018

Submission of Itinerary of Exhibition with Overnight
Travel
Business or Other For-Profit

APHIS Form 7010A
(optional or equivalent
format)

335
956

5

4,780

0.50

2,390

0

0.000

0

Not-for-profit Institution

42

5

210

0.50

105

0

0.000

0

Farms

32

5

160

0.50

80

0

0.000

0

21

5

105

0.50

53

0

0.000

11,953

6,697

State, Local, and Tribal Governments
SUBTOTAL

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

17,207

SUMMARY OF INFORMATION COLLECTION

0
1,675

USDA-APHIS

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

Page 13 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.
(A)
2.150, 2.151 and 2.152

REPORTS

DESCRIPTION

(B)
Application and Permit to Import Live Dogs for Resale,
Import Permit and Certifications, Notification of Arrival
(New)

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

NO. OF
RESPONDENTS

(C)

(D)

APHIS Form 7040

Business or Other For-Profit

2.150, 2.151 and 2.152

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

15

28

0.25

7

0

0.000

0

Not-for-profit Institution

1

2

2

0.25

1

0

0.000

0

Farms

1

2

2

0.25

1

0

0.000

0

Continuation of Application and Permit to Import Live
Dogs for Resale (New)

APHIS Form 7040A

15
14

2

28

0.25

7

0

0.000

0

Not-for-profit Institution

1

2

2

0.25

1

0

0.000

0

Farms

1

2

2

0.25

1

0

0.000

0

Additional Information for Application and Permit to
Import Live Dogs for Resale (New)

APHIS Form 7040B

15
14

2

28

0.25

7

0

0.000

0

Not-for-profit Institution

1

2

2

0.25

1

0

0.000

0

Farms

1

2

2

0.25

1

0

0.000

0

14

2

28

0.25

7

0

0.000

0

1

2

2

0.25

1

0

0.000

0

Farms

1

2

2

0.25

1

0

0.000

0

Approval for Less Than Minimum Housing Requirements
None
for Dogs and Cats (New)

2

Business or Other For-Profit

2

1

2

0.25

1

0

0.000

0

37

0

Live Dog Import Health and Rabies Certificate (New)

APHIS Form 7041

Business or Other For-Profit
Not-for-profit Institution

3.6

TOTAL ANNUAL
RESPONSES
(Col. D x E)

2

Business or Other For-Profit

2.150, 2.151 and 2.152

NO OF
RESPONSES
PER
RESPONDENT
(E)

RECORDS

14

Business or Other For-Profit

2.150, 2.151 and 2.152

1/0/1900

15

SUBTOTAL

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

130

SUMMARY OF INFORMATION COLLECTION

0

USDA-APHIS

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

Page 14 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.

(B)
Approval to Tether Dogs (New)

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

NO. OF
RESPONDENTS

(C)

(D)

None

Business or Other For-Profit

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

1
1

0.25

1

0

0.000

0

2,240

1

2,240

0.50

1,120

2,240

0.250

560

Not-for-profit Institution

99

1

99

0.50

50

99

0.250

25

Farms

74

1

74

0.50

37

74

0.250

19

49

1

49

0.50

25

49

0.250

12

684

2

1,368

0.50

684

0

0.000

0

Not-for-profit Institution

30

2

60

0.50

23

0

0.000

0

Farms

23

2

46

0.50

17

0

0.000

0

15

2

30

0.50

11

0

0.000

0

684

2

1,368

0.25

257

684

1.000

684

Not-for-profit Institution

30

2

60

0.25

11

30

1.000

30

Farms

23

2

46

0.25

9

23

1.000

23

15

2

30

0.25

6

15

1.000

15

2,251

3,214

State, Local, and Tribal Governments
Consignments to Carriers and Intermediate Handlers;
Shipping Documents and Written Instructions for Food,
Water, Medication, and Special Care Attached to
Enclosure (New)

None

Business or Other For-Profit

State, Local, and Tribal Governments
3.13, 3.35, 3.60, 3.86, 3.112,
and 3.136

TOTAL ANNUAL
RESPONSES
(Col. D x E)

1

APHIS 7013 (optional or
equivalent format)

Business or Other For-Profit

3.13, 3.14, 3.16, 3.19, 3.35,
3.36, 3.38, 3.60, 3.61, 3.62,
3.66, 3.86, 3.87, 3.89, 3.92,
3.112, 3.113, 3.118, 3.136,
3.137, and 3.139

NO OF
RESPONSES
PER
RESPONDENT
(E)

1

Exercise Plan for Dogs, Record Keeping (New)

3.8

RECORDS

REPORTS

DESCRIPTION

(A)
3.6

10/29/2018

Attempt to Notify Consignor (New)

None

Business or Other For-Profit

State, Local, and Tribal Governments

2,461

752

752

SUBTOTAL

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

5,471

SUMMARY OF INFORMATION COLLECTION

1,368

USDA-APHIS

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

Page 15 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.
(A)
3.14, 3.19, 3.36, 3.61, 3.87,
3.92, 3.113, and 3.137

REPORTS

DESCRIPTION

(B)
Marking Requirements for Transport Enclosure (“Live
Animals”) (New)

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

NO. OF
RESPONDENTS

(C)

(D)

None

Business or Other For-Profit

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

0.08

500

Not-for-profit Institution

274

1

274

0.08

22

Farms

205

1

205

0.08

16

2

1

2

0.08

1

137

1

137

0.08

11

Innovative Primary Enclosures (New)

None

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

6,865
6,247

0
0
0
0
0

0.000

0

0.000

0

0.000

0

0.000

0

0.000

0

11

Business or Other For-Profit

8

1

8

0.50

4

0

0.000

0

Not-for-profit Institution

1

1

1

0.50

1

0

0.000

0

Farms

1

1

1

0.50

1

0

0.000

0

1

1

1

0.50

1

0

0.000

0

27

1

27

0.50

14

0

0.000

0

Not-for-profit Institution

1

1

1

0.50

1

0

0.000

0

Farms

1

1

1

0.50

1

0

0.000

0

1

1

1

0.50

1

0

0.000

0

676

1

676

2.00

1,352

676

0.500

338

Not-for-profit Institution

30

1

30

2.00

60

30

0.500

15

Farms

22

1

22

2.00

44

22

0.500

11

15

1

15

2.00

30

15

0.500

8

2,060

743

State, Local, and Tribal Governments
Perimeter Fencing Variance from Requirements (New)

None

Business or Other For-Profit

3.81

TOTAL ANNUAL
RESPONSES
(Col. D x E)

1

State, Local, and Tribal Governments

3.77, 3.78, 3.103, and 3.127

NO OF
RESPONSES
PER
RESPONDENT
(E)

RECORDS

6,247

Foreign Federal Government

3.28, 3.53, and 3.80

10/29/2018

State, Local, and Tribal Governments
Environmental Enhancement Program for Nonhuman
Primates for Research Facilities or Exhibitors/Dealers
(New)
Business or Other For-Profit

State, Local, and Tribal Governments

APHIS Form 7051
(optional or equivalent
format)

30

743

SUBTOTAL

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

7,649

SUMMARY OF INFORMATION COLLECTION

372

USDA-APHIS

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

Page 16 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.

REPORTS

DESCRIPTION

(B)

(A)
3.83

Watering Requirements (New)

None

3.101

3.101

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

NO. OF
RESPONDENTS

(C)

(D)

NO OF
RESPONSES
PER
RESPONDENT
(E)

RECORDS

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

10

Business or Other For-Profit

8

1

8

0.50

4

0

0.000

0

Not-for-profit Institution

1

1

1

0.50

1

0

0.000

0

Farms

1

1

1

0.50

1

0

0.000

0

1

1

1

0.50

1

0

0.000

0

State, Local, and Tribal Governments
3.100

10/29/2018

Variance for Marine Mammal Facilities (New)

None

5

Business or Other For-Profit

2

1

2

0.50

1

0

0.000

0

Not-for-profit Institution

3

1

3

0.50

2

0

0.000

0

Facilities, General (New)

None

2

Business or Other For-Profit

1

1

1

1.00

1

0

0.000

0

Not-for-profit Institution

1

1

1

1.00

1

0

0.000

0

Contingency Plans (New)

None

5

Business or Other For-Profit

2

1

2

0.25

1

0

0.000

0

Not-for-profit Institution

3

1

3

0.25

1

0

0.000

0

14

0

SUBTOTAL

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

23

SUMMARY OF INFORMATION COLLECTION

0

USDA-APHIS

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

Page 17 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.

REPORTS

DESCRIPTION

(B)

(A)
3.104

General Space Requirements (New)

None

Business or Other For-Profit

(C)

(D)

NO OF
RESPONSES
PER
RESPONDENT
(E)

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

115
1

105

0.25

26

0

0.000

0

5

1

5

0.25

1

0

0.000

0

Farms

4

1

4

0.25

1

0

0.000

0

2

1

2

0.25

1

0

0.000

0

105

6,570

689,850

0.15

103,478

105

36.500

3,833

Not-for-profit Institution

5

6,570

32,850

0.15

4,928

5

36.500

183

Farms

4

6,570

26,280

0.15

3,942

4

36.500

146

2

6,570

13,140

0.15

1,971

2

36.500

73

105

1,460

153,300

0.25

38,325

105

36.500

3,833

Not-for-profit Institution

5

1,460

7,300

0.25

1,825

5

36.500

183

Farms

4

1,460

5,840

0.25

1,460

4

36.500

146

2

1,460

2,920

0.25

730

2

36.500

73

1

105

0.25

26

0

0.000

0

Feeding (New)

None

State, Local, and Tribal Governments
Weekly and Daily Water Testing for Marine Mammals
(New)

None

Business or Other For-Profit

State, Local, and Tribal Governments
3.108

NO. OF
RESPONDENTS

105

Business or Other For-Profit

3.106

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

RECORDS

Not-for-profit Institution

State, Local, and Tribal Governments
3.105

10/29/2018

Employees or Attendants (New)

None

Business or Other For-Profit

115

115

115
105

Not-for-profit Institution

5

1

5

0.25

1

0

0.000

0

Farms

4

1

4

0.25

1

0

0.000

0

2

1

2

0.25

1

0

0.000

0

156,717

232

State, Local, and Tribal Governments
SUBTOTAL

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

931,712

SUMMARY OF INFORMATION COLLECTION

8,470

USDA-APHIS

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

Page 18 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.

REPORTS

DESCRIPTION

(B)

(A)
Separation (New)

3.109

None

Business or Other For-Profit

(C)

(D)

NO OF
RESPONSES
PER
RESPONDENT
(E)

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

115
1

105

0.50

53

105

0.250

26

5

1

5

0.50

3

5

0.250

1

Farms

4

1

4

0.50

2

4

0.250

1

2

1

2

0.50

1

2

0.250

1

None

Business or Other For-Profit

115

0

105

1

105

0.25

26

105

0.250

26

Not-for-profit Institution

5

1

5

0.25

1

5

0.250

1

Farms

4

1

4

0.25

1

4

0.250

1

2

1

2

0.25

1

2

0.250

1

105

12

1,260

0.50

630

105

0.250

26

Not-for-profit Institution

5

12

60

0.50

30

5

0.250

1

Farms

4

12

48

0.50

24

4

0.250

1

2

12

24

0.50

12

2

0.250

1

73

1

73

0.25

18

73

0.250

18

Not-for-profit Institution

3

1

3

0.25

1

3

0.250

1

Farms

3

1

3

0.25

1

3

0.250

1

2

1

2

0.25

1

2

0.250

1

805

429

State, Local, and Tribal Governments
Veterinary Care: Health Care Recordkeeping and
Necropsy Requirements and Recordkeeping (New)

None

Business or Other For-Profit

State, Local, and Tribal Governments
3.110

NO. OF
RESPONDENTS

105

Veterinary Care: Written Justification for Holding in
Medical Enclosures Longer than 2 Weeks (New)

3.110 and 3.111

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

RECORDS

Not-for-profit Institution

State, Local, and Tribal Governments
3.110

10/29/2018

Veterinary Care: Exemption from Annual Examinations
(New)
Business or Other For-Profit

State, Local, and Tribal Governments

None

115

80

SUBTOTAL

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

1,705

SUMMARY OF INFORMATION COLLECTION

108

USDA-APHIS

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

Page 19 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.
(A)
3.111

REPORTS

DESCRIPTION

(B)
Handling at Interactive Programs: Written Rules and
Instructions (New)

None

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

NO. OF
RESPONDENTS

(C)

(D)

NO OF
RESPONSES
PER
RESPONDENT
(E)

Business or Other For-Profit

1

Recordkeeping: Description of the Swim with the Dolphin
None
Program (New)

1

Business or Other For-Profit

1

3.111

Recordkeeping: Statistical Summaries of Swim with the
Dolphin Programs (New)

None

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

1

1

0.50

1

1

0.250

1

1

1

0.50

1

1

0.250

1

1

2

0.50

1

2

0.250

1

3

4

2
2

SUBTOTAL

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

RECORDS

1

3.111

Business or Other For-Profit

10/29/2018

4

SUMMARY OF INFORMATION COLLECTION

3

USDA-APHIS

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

Page 20 of 20

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Animal Welfare - 0579-0036

0579-0036
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF
REGS.

REPORTS

DESCRIPTION

(B)

(A)

Recordkeeping: Incident Reports (New)

3.111

None

Business or Other For-Profit
None

Business or Other For-Profit

3.112 and 3.116

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

NO. OF
RESPONDENTS

(C)

(D)

NO OF
RESPONSES
PER
RESPONDENT
(E)

RECORDS

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

(F)

(G)

(H)

(I)

TOTAL
RECORDKEEPING HOURS
(Col. I x J)

ANNUAL
HOURS PER
RECORDKEEPER
(J)

(K)

1
1

Veterinary Care: Attending Veterinarian Examine Water
Quality Reports (New)

3.111

10/29/2018

1

1

0.25

1

1.00

0.250

1

1

1

0.50

1

1.00

0.250

1

1
1

Consignment to Carriers and Intermediate Handlers;
Care in Transit Plan for Travel more than 2 Hours; Health None
Certificate (New)

45

Business or Other For-Profit

41

1

41

1.00

41

0

0.000

0

Not-for-profit Institution

2

1

2

1.00

2

0

0.000

0

Farms

2

1

2

1.00

2

0

0.000

0

1

1

1

1.00

1

0

0.000

0

275

1

275

0.50

206

0

0.000

0

195

1

195

0.50

146

0

0.000

0

400

2

State, Local, and Tribal Governments
USDA-APHIS Animal Care Online Complaint Form
(merged from 0579-0377)
Individuals or Households
Business or Other For-Profit

NA

470

SUBTOTAL

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

518

SUMMARY OF INFORMATION COLLECTION

2

USDA-APHIS