Export Health Certificate Request Forms

Forms and Documents

Document Name	Status
Form DA-253 Export Certificates Form	Modified
AMS-71 11-05-21 Rev. WGF.xlsx Supplementary Document	2022-03-08
SuptStmnt 2-28-2022 .docx Supporting Statement A	2022-03-08

IC Document Collections

IC ID	Document Title	Status
204483	Export Certificates Form	Modified

ICR Details

OMB Control No: 0581-0283	ICR Reference No: 202203-0581-001
Status: Received in OIRA	Previous ICR Reference No: 201812-0581-003
Agency/Subagency: USDA/AMS	Agency Tracking No:
Title: Export Health Certificate Request Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/29/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2022
Responses	54,345	51,800
Time Burden (Hours)	10,854	10,345
Cost Burden (Dollars)	0	0

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Abstract: The forms requested will provide a format for exporters to provide information on consignments they wish to export so that the Dairy Grading Branch can issue the proper health certificate with the information required by the importing country.

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Authorizing Statute(s): US Code: 7 USC 1621-1627 Name of Law: Agricultural Marketing Act of 1946
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 71228	12/15/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 17975	03/29/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Export Certificates	DA-248, DA-253, DA-240, DA-241, DA-242, DA-244, DA-243, DA-245, DA-246, DA-247, DA-249, DA-250, DA-228	EU Health Certificate Request (Worksheet) ,   Sanitary Certificate Request ,   Sanitary Certificate Request - Algeria ,   Sanitary Certificate Request - Argentina ,   Sanitary Certificate Request - Brazil ,   Sanitary Certificate Request - Chile ,   Sanitary Certificate Request - China ,   Sanitary Certificate Request - Cuba ,   Sanitary Certificate Request - Peru ,   Sanitary Certificate Request - Tunisia ,   Sanitary Certificate Request - Uruguay ,   Sanitary Certificate Request (Morocco) ,   Request for Applicant Number

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	54,345	51,800	0	2,545	0	0
Annual Time Burden (Hours)	10,854	10,345	0	509	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Due to changes in markets since the last submission, the number of respondents has increased by 10. The number of requests for AMS certificates continues to rise resulting in an increased number of export responses of 2,545. The increased number of responses resulted in an increase of 509 burden hours

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/29/2022

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