0579-0335 2019 APHIS 71 (Revised)

0579-0335 2019 APHIS 71 (Revised).pdf

National Management Information System (Wildlife Service)

0579-0335 2019 APHIS 71 (Revised)

OMB: 0579-0335

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Page 1 of 4

SUMMARY OF INFORMATION COLLECTION
TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

0579-0335

(USDA APHIS Wildlife Services)
National Management Information System

DATE PREPARED

June 5, 2019

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

REPORTS
SECTION OF CODE
OR REGULATION

(A)

RECORDS

DESCRIPTION

FORM NO.

NO. OF
RESPONDENTS

NO. OF
RESPONSES PER
RESPONDENT

TOTAL ANNUAL
RESPONSES
(Col. D X E)

HOURS PER
RESPONSE

TOTAL HOURS
(Col. F X G)

NO. OF RECORDKEEPERS

ANNUAL HOURS
PER RECORDKEEPER

TOTAL RECORDKEEPING HOURS
(COL. I X J)

(B)

(C)

(D)

(E)

(F)

(G)

(H)

(I)

(J)

(K)

7 U.S.C.
8351

Work Initiation Document for Wildlife Damage
Management (Individual)

WS 12A

5,239

1

5,239

0.083

435

0

7 U.S.C.
8351

Work Initiation Document for Wildlife Damage
Management (Private Sector)

WS 12A

7,905

1

7,905

0.083

656

0

7 U.S.C.
8351

Work Initiation Document for Wildlife Damage
Management (State, Local or Tribal Group)

WS 12A

1,690

1

1,690

0.083

140

0

7 U.S.C.
8351

Work Initiation Document for Wildlife Damage
Management (Multiple Resource Owners) (Individual)

WS 12B

1,841

1

1,841

0.083

153

0

7 U.S.C.
8351

Work Initiation Document for Wildlife Damage
WS 12B
Management (Multiple Resource Owners) (Private Sector)

2,631

1

2,631

0.083

218

0

7 U.S.C.
8351

Work Initiation Document for Wildlife Damage
Management (Multiple Resource Owners) (State, Local or
Tribal Group)

WS 12B

594

1

594

0.083

49

0

7 U.S.C.
8351

Work Initiation Document for Wildlife Damage
Management Addendum (Individual)

WS 12
Addendum

4,212

1

4,212

0.017

72

0

7 U.S.C.
8351

Work Initiation Document for Wildlife Damage
Management Addendum (Private Sector)

WS 12
Addendum

6,352

1

6,352

0.017

108

0

7 U.S.C.
8351

Work Initiation Document for Wildlife Damage
Management Addendum (State, Local or Tribal Group)

WS 12
Addendum

1,360

1

1,360

0.017

23

0

7 U.S.C.
8351

Work Initiation Document for Wildlife Damage
Management on Urban Properties (Individual)

WS 12C

81

1

81

0.083

7

0

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

APHIS FORM 71
(AUG 2005)

98,926

31,905

1,861

0

0

111,040

5,268

0

0

111,040

5,268

USDA APHIS

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

Page 2 of 4

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

(USDA APHIS Wildlife Services)
National Management Information System

0579-0335
DATE PREPARED

June 5, 2019
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

SECTION OF CODE
OR REGULATION

DESCRIPTION

FORM NO.

(A)

(B)

(C)

REPORTS

RECORDS

NO. OF
RESPONDENTS

NO. OF
RESPONSES PER
RESPONDENT

TOTAL ANNUAL
RESPONSES
(Col. D X E)

HOURS PER
RESPONSE

TOTAL HOURS
(Col. F X G)

NO. OF RECORDKEEPERS

ANNUAL HOURS
PER RECORDKEEPER

TOTAL RECORDKEEPING HOURS
(COL. I X J)

(D)

(E)

(F)

(G)

(H)

(I)

(J)

(K)

7 U.S.C.
8351

Work Initiation Document for Wildlife Damage
Management on Urban Properties (Private Sector)

WS 12C

590

1

590

0.083

49

0

7 U.S.C.
8351

Work Initiation Document for Wildlife Damage
Management on Urban Properties (State, Local or Tribal
Group)

WS 12C

137

1

137

0.083

11

0

7 U.S.C.
8351

Project Report (Individual)

WS 14

31

1

31

0.050

2

0

7 U.S.C.
8351

Project Report (Private Sector)

WS 14

227

1

227

0.050

11

0

7 U.S.C.
8351

Project Report (State, Local or Tribal Group)

WS 14

51

1

51

0.050

3

0

7 U.S.C.
8352

Pocatello Supply Depot Order Form (Individual)

WS 17

99

1

99

0.100

10

0

7 U.S.C.
8352

Pocatello Supply Depot Order Form (Private Sector)

WS 17

763

1

763

0.100

76

0

7 U.S.C.
8352

Pocatello Supply Depot Order Form (State, Local or Tribal
WS 17
Group)

178

1

178

0.100

18

0

7 U.S.C.
8352

Control Materials Sales Records (Individual)

WS 18

39

1

39

0.067

3

0

7 U.S.C.
8352

Control Materials Sales Records (Private Sector)

WS 18

294

1

294

0.067

20

0

7 U.S.C.
8352

Control Materials Sales Records (State, Local or Tribal
Group)

WS 18

62

1

62

0.067

4

0

7 U.S.C.
8351

Wildlife Services Assistance Request (Individual)

WS 30

22,023

1

22,023

0.033

727

0

7 U.S.C.
8351

Wildlife Services Assistance Request (Private Sector)

WS 30

28,246

1

28,246

0.033

932

0

SUBTOTAL

APHIS FORM 71
(AUG 2005)

52,740

1,866

0

0

USDA APHIS

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

Page 3 of 4

SUMMARY OF INFORMATION COLLECTION

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

(USDA APHIS Wildlife Services)
National Management Information System

0579-0335
DATE PREPARED

June 5, 2019
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

REPORTS
SECTION OF CODE
OR REGULATION

(A)

RECORDS

DESCRIPTION

FORM NO.

NO. OF
RESPONDENTS

NO. OF
RESPONSES PER
RESPONDENT

TOTAL ANNUAL
RESPONSES
(Col. D X E)

HOURS PER
RESPONSE

TOTAL HOURS
(Col. F X G)

NO. OF RECORDKEEPERS

ANNUAL HOURS
PER RECORDKEEPER

TOTAL RECORDKEEPING HOURS
(COL. I X J)

(B)

(C)

(D)

(E)

(F)

(G)

(H)

(I)

(J)

(K)

7 U.S.C.
8351

Wildlife Services Assistance Request (State, Local or
Tribal Group)

WS 30

8,018

1

8,018

0.033

265

0

7 U.S.C.
8352

Report of Injury or Death to Non-target Animals (Individual) WS 35

2

2

4

0.500

2

0

7 U.S.C.
8352

Report of Injury or Death to Non-target Animals (Private
Sector)

WS 35

13

2

26

0.500

13

0

7 U.S.C.
8353

Migratory Bird Damage Project Report (Individual)

WS 37

756

1

756

0.133

101

0

7 U.S.C.
8353

Migratory Bird Damage Project Report (Private Sector)

WS 37

5,758

1

5,758

0.133

766

0

7 U.S.C.
8353

Migratory Bird Damage Project Report (State, Local or
Tribal Group)

WS 37

1,350

1

1,350

0.133

180

0

7 U.S.C.
8352

WS Resource Values Survey (Private Sector)

WS 45

42

1

42

0.050

2

0

7 U.S.C.
8352

Permanent Assignment of Pyrotechnics and Repellants
(Individual) (New)

WS 49

1

1

1

0.170

1

0

7 U.S.C.
8352

Nuisance Wildlife Permit (Louisiana) (Individual)

WS 66

2

1

2

0.250

1

0

7 U.S.C.
8352

Nuisance Wildlife Permit (Louisiana) (Private Sector)

WS 66

6

1

6

0.250

2

0

7 U.S.C.
8352

Nuisance Wildlife Permit (Louisiana) (State, Local or Tribal
WS 66
Group)

2

1

2

0.250

1

0

7 U.S.C.
8352

Livestock Protection Collar (LPC) Accident Report
(Individual) (New)

WS 92

1

1

1

1.000

1

0

7 U.S.C.
8352

Protected Resource Query (Individual) (New)

none

5,384

1

5,384

0.017

92

0

SUBTOTAL

APHIS FORM 71
(AUG 2005)

21,350

1,427

0

0

USDA APHIS

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

Page 4 of 4

SUMMARY OF INFORMATION COLLECTION
TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

(USDA APHIS Wildlife Services)
National Management Information System

0579-0335
DATE PREPARED

June 5, 2019
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

REPORTS

RECORDS

SECTION OF CODE
OR REGULATION

DESCRIPTION

FORM NO.

NO. OF
RESPONDENTS

NO. OF
RESPONSES PER
RESPONDENT

TOTAL ANNUAL
RESPONSES
(Col. D X E)

HOURS PER
RESPONSE

TOTAL HOURS
(Col. F X G)

NO. OF RECORDKEEPERS

ANNUAL HOURS
PER RECORDKEEPER

TOTAL RECORDKEEPING HOURS
(COL. I X J)

(A)

(B)

(C)

(D)

(E)

(F)

(G)

(H)

(I)

(J)

(K)

7 U.S.C.
8352

Protected Resource Query (Private Sector) (New)

none

3,624

1

3,624

0.017

62

0

7 U.S.C.
8352

Protected Resource Query (State, Local or Tribal Group)
(New)

none

1,346

1

1,346

0.017

23

0

7 U.S.C.
8354

Fixed Wing Pilot Proficiency Flight Review
(Private Sector) (New)

WS 200

20

1

20

0.100

2

0

7 U.S.C.
8354

Rotary Wing Pilot Proficiency Flight Review
(Private Sector) (New)

WS 201

15

1

15

0.100

2

0

5 U.S.C.
Appendix

National WS Advisory Committee Selection
Acknowledgement (Individual) (New)

20

1

20

0.250

5

0

5 U.S.C.
Appendix

National WS Advisory Committee Travel Reimbursement
(Individual) (New)

20

1

20

1.000

20

0

40

1

40

0.300

12

0

40

1

40

3.000

120

0

IC 0505-0001
5 U.S.C.
Appendix

National WS Advisory Committee Self-Nomination
(AD Form 755) (Individual)

5 U.S.C.
Appendix

National WS Advisory Committee Self-Nomination
(Resume) (Individual) (New)

SUBTOTAL

APHIS FORM 71
(AUG 2005)

AD 755

5,045

114

0

0

USDA APHIS


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