Information Collection

Spongy Moth Checklist/Self Inspection - Individuals

IC 212532 under ICR 202608-0579-001 · OMB 0579-0104.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PPQ Form 377 Gypsy Moth Checklist and Record of Your Self-Inspection Spongy Moth Checklist/Self Inspection - Individuals	Form and Instruction
Form PPQ Form 377 Spongy Moth Checklist and Record of Your Self-Inspection Spongy Moth Checklist/Self Inspection - Individuals	Form and Instruction
Form PPQ Form 377A Gypsy Moth Checklist and Record of Self-Inspection Spongy Moth Checklist/Self Inspection - Individuals	Form and Instruction
PPQ Form 377 Gypsy Moth Checklist and Record of Your Self-Inspection PPQ 377 APR 2023 ICR-FIL-508 (20260811).pdf www.aphis.usda.gov/sites/default/files/ppq377.pdf	Form and Instruction
PPQ Form 377 Spongy Moth Checklist and Record of Your Self-Inspection PPQ 377 GM Online Checklist Screenshots.pdf www.aphis.usda.gov/sites/default/files/fsc-moving-check-spongy-moth.pdf	Form and Instruction
PPQ Form 377A Gypsy Moth Checklist and Record of Self-Inspection PPQ 377A GM Online Checklist screenshots.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 301.45.4(a)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PPQ Form 377	https://www.aphis.usda.gov/sites/default/files/ppq377.pdf	Yes	No	Fillable Printable
Form and Instruction	PPQ Form 377	https://www.aphis.usda.gov/sites/default/files/fsc-moving-check-spongy-moth.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	PPQ Form 377A		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,500,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	5,000,000	5,000,000
Annual IC Time Burden (Hours)	2,707,500	2,707,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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