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Animal Welfare (State, Local, and Tribal Governments)
Animal Welfare
OMB: 0579-0036
IC ID: 189492
OMB.report
USDA/APHIS
OMB 0579-0036
ICR 202012-0579-005
IC 189492
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0036 can be found here:
2024-05-16 - No material or nonsubstantive change to a currently approved collection
2023-02-17 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form APHIS 7005
Animal Welfare (State, Local, and Tribal Governments)
Form
APHIS 7001 U.S. Interstate and International Certificate of Health
APHIS Form 7001 NOV 2010 SECURE.pdf
Form
APHIS 7001 U.S. Interstate and International Certificate of Health
APHIS Form 7001 NOV 2010 SECURE.pdf
Form
APHIS 7002 Program of Veterinary Care
APHIS Form 7002 APR 2018 Secure.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7002 Program of Veterinary Care
APHIS Form 7002 APR 2018 Secure.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7003 Application for License Renewal and Annual Report
APHIS Form 7003 MAY 2018 Secure.pdf
Form and Instruction
APHIS 7003 Application for License Renewal and Annual Report
APHIS Form 7003 MAY 2018 Secure.pdf
Form and Instruction
APHIS 7003A Application for New License
APHIS 7003A OCT 2020 (20201207) SEC.pdf
Form and Instruction
APHIS 7003A Application for New License
APHIS 7003A OCT 2020 (20201207) SEC.pdf
Form and Instruction
APHIS 7005 Record of Acquisition of Dogs and Cats On Hand
APHIS 7005 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7005 Record of Acquisition of Dogs and Cats On Hand
APHIS 7005 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7006 Record of Disposition of Dogs and Cats
APHIS 7006 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7006 Record of Disposition of Dogs and Cats
APHIS 7006 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7006A Continuation Sheet for Record of Disposition of Dogs and
APHIS 7006A NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7006A Continuation Sheet for Record of Disposition of Dogs and
APHIS 7006A NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7008 Inspection Report
APHIS 7008 NOV 2020 SEC.pdf
Form
APHIS 7008 Inspection Report
APHIS 7008 NOV 2020 SEC.pdf
Form
APHIS 7010 Itinerary of Exhibition With Overnight Travel
APHIS 7010 AUG 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form and Instruction
APHIS 7010 Itinerary of Exhibition With Overnight Travel
APHIS 7010 AUG 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form and Instruction
APHIS 7010A Itinerary of Exhibition With Overnight Travel Continuati
APHIS 7010A AUG 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form and Instruction
APHIS 7010A Itinerary of Exhibition With Overnight Travel Continuati
APHIS 7010A AUG 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form and Instruction
APHIS 7011 Application for Registration Update
APHIS 7011 NOV 2020 (20201124) SEC.pdf
Form
APHIS 7011 Application for Registration Update
APHIS 7011 NOV 2020 (20201124) SEC.pdf
Form
APHIS 7011A Application for New Registration
APHIS 7011A NOV 2020 (20201124) SEC.pdf
Form
APHIS 7011A Application for New Registration
APHIS 7011A NOV 2020 (20201124) SEC.pdf
Form
APHIS 7013 Exercise Plan for Dogs
APHIS 7013 AUG 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form and Instruction
APHIS 7013 Exercise Plan for Dogs
APHIS 7013 AUG 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form and Instruction
APHIS 7019 Record of Animals On Hand
APHIS 7019 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7019 Record of Animals On Hand
APHIS 7019 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7020 Record of Acquisition, Disposition or Transport of Anima
APHIS 7020 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7020 Record of Acquisition, Disposition or Transport of Anima
APHIS 7020 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7020A Continuation Sheet for Record of Acquisition, Dispositio
APHIS 7020A NOV 2020 SEC.pdf
Form
APHIS 7020A Continuation Sheet for Record of Acquisition, Dispositio
APHIS 7020A NOV 2020 SEC.pdf
Form
APHIS 7023 Annual Report of Research Facility
APHIS 7023 JUL 2020 (20200727) SEC.pdf
Form
APHIS 7023 Annual Report of Research Facility
APHIS 7023 JUL 2020 (20200727) SEC.pdf
Form
APHIS 7023A Continuation Sheet for Annual Report of Research Facilit
APHIS 7023A JUL 2020 (20200727) SEC.pdf
Form
APHIS 7023A Continuation Sheet for Annual Report of Research Facilit
APHIS 7023A JUL 2020 (20200727) SEC.pdf
Form
APHIS 7023B Annual Report of Research Facility Column E Explanation
APHIS 7023B JUL 2020 (20200727) SEC.pdf
Form
APHIS 7023B Annual Report of Research Facility Column E Explanation
APHIS 7023B JUL 2020 (20200727) SEC.pdf
Form
APHIS 7023C Site Specific Annual Report of Research Facility
APHIS 7023C JUL 2020 (20200727) SEC.pdf
Form and Instruction
APHIS 7023C Site Specific Annual Report of Research Facility
APHIS 7023C JUL 2020 (20200727) SEC.pdf
Form and Instruction
APHIS 7030 Federal Debt Collection Form
APHIS 7030 AUG 2020 SEC.pdf
Form and Instruction
APHIS 7030 Federal Debt Collection Form
APHIS 7030 AUG 2020 SEC.pdf
Form and Instruction
APHIS 7031 Credit Card Payment Authorization
APHIS 7031 AUG 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7031 Credit Card Payment Authorization
APHIS 7031 AUG 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7032 Request for Voluntary License Termination or Registratio
APHIS 7032 AUG 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7032 Request for Voluntary License Termination or Registratio
APHIS 7032 AUG 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7033 Notification of Change
APHIS 7033 AUG 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7033 Notification of Change
APHIS 7033 AUG 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7040 Application and Permit to Import Live Dogs for Resale
APHIS 7040 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7040 Application and Permit to Import Live Dogs for Resale
APHIS 7040 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7040A Continuation of Application and Permit to Import Live Do
APHIS 7040A NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7040A Continuation of Application and Permit to Import Live Do
APHIS 7040A NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7040B Additional Information for Application and Permit to Imp
APHIS 7040B NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7040B Additional Information for Application and Permit to Imp
APHIS 7040B NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7041 Live Dog Import Health and Rabies Certificate
APHIS 7041 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7041 Live Dog Import Health and Rabies Certificate
APHIS 7041 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7050 Environment Enhancement Program for Nonhuman Primates
APHIS 7050 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
APHIS 7050 Environment Enhancement Program for Nonhuman Primates
APHIS 7050 NOV 2020 SEC.pdf
www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Animal Welfare (State, Local, and Tribal Governments)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
9 CFR 1 - 3
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
APHIS 7001
U.S. Interstate and International Certificate of Health Examination for Small Animals
APHIS Form 7001 NOV 2010 SECURE.pdf
Yes
Yes
Fillable Fileable
Form
APHIS 7002
Program of Veterinary Care
APHIS Form 7002 APR 2018 Secure.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
Yes
Fillable Fileable
Form and Instruction
APHIS 7003
Application for License Renewal and Annual Report
APHIS Form 7003 MAY 2018 Secure.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
APHIS 7003A
Application for New License
APHIS 7003A OCT 2020 (20201207) SEC.pdf
Yes
Yes
Fillable Fileable
Form
APHIS 7005
Record of Acquisition of Dogs and Cats On Hand
APHIS 7005 NOV 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
Yes
Fillable Fileable
Form
APHIS 7006
Record of Disposition of Dogs and Cats
APHIS 7006 NOV 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form
APHIS 7006A
Continuation Sheet for Record of Disposition of Dogs and Cats
APHIS 7006A NOV 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form
APHIS 7008
Inspection Report
APHIS 7008 NOV 2020 SEC.pdf
No
Paper Only
Form and Instruction
APHIS 7010
Itinerary of Exhibition With Overnight Travel
APHIS 7010 AUG 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form and Instruction
APHIS 7010A
Itinerary of Exhibition With Overnight Travel Continuation Sheet
APHIS 7010A AUG 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form
APHIS 7011
Application for Registration Update
APHIS 7011 NOV 2020 (20201124) SEC.pdf
Yes
Yes
Fillable Fileable
Form
APHIS 7011A
Application for New Registration
APHIS 7011A NOV 2020 (20201124) SEC.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
APHIS 7013
Exercise Plan for Dogs
APHIS 7013 AUG 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form
APHIS 7019
Record of Animals On Hand
APHIS 7019 NOV 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form
APHIS 7020
Record of Acquisition, Disposition or Transport of Animals
APHIS 7020 NOV 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form
APHIS 7020A
Continuation Sheet for Record of Acquisition, Disposition or Transport of Animals
APHIS 7020A NOV 2020 SEC.pdf
No
Paper Only
Form
APHIS 7023
Annual Report of Research Facility
APHIS 7023 JUL 2020 (20200727) SEC.pdf
Yes
Yes
Fillable Fileable
Form
APHIS 7023A
Continuation Sheet for Annual Report of Research Facility
APHIS 7023A JUL 2020 (20200727) SEC.pdf
Yes
Yes
Fillable Fileable
Form
APHIS 7023B
Annual Report of Research Facility Column E Explanation
APHIS 7023B JUL 2020 (20200727) SEC.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
APHIS 7023C
Site Specific Annual Report of Research Facility
APHIS 7023C JUL 2020 (20200727) SEC.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
APHIS 7030
Federal Debt Collection Form
APHIS 7030 AUG 2020 SEC.pdf
Yes
Yes
Fillable Fileable
Form
APHIS 7031
Credit Card Payment Authorization
APHIS 7031 AUG 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form
APHIS 7032
Request for Voluntary License Termination or Registration Cancellation
APHIS 7032 AUG 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form
APHIS 7033
Notification of Change
APHIS 7033 AUG 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form
APHIS 7040
Application and Permit to Import Live Dogs for Resale
APHIS 7040 NOV 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form
APHIS 7040A
Continuation of Application and Permit to Import Live Dogs for Resale
APHIS 7040A NOV 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form
APHIS 7040B
Additional Information for Application and Permit to Import Live Dogs for Resale
APHIS 7040B NOV 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form
APHIS 7041
Live Dog Import Health and Rabies Certificate
APHIS 7041 NOV 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
No
Fillable Printable
Form
APHIS 7050
Environment Enhancement Program for Nonhuman Primates
APHIS 7050 NOV 2020 SEC.pdf
https://www.aphis.usda.gov/aphis/resources/forms/ct_aphis_forms
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Agricultural Innovation and Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
351
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
28,321
0
0
0
0
28,321
Annual IC Time Burden (Hours)
26,278
0
0
0
0
26,278
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.