OMB control number

Spongy Moth Identification Worksheet

OMB 0579-0104 · USDA/APHIS.

OMB 0579-0104

The identification worksheet is needed to evaluate and control Gypsy Moth infestations from entering the United States.

The latest form for Spongy Moth Identification Worksheet expires 2026-09-30 and is listed under ICR 202102-0579-005.

Latest forms, documents, and information collections
Document	Type
Form PPQ-391 Insect Collection Worksheet for Genotype Analysis	Form and Instruction
Form PPQ Form 377A Gypsy Moth Checklist and Record of Self-Inspection	Form and Instruction
Form PPQ Form 377 Spongy Moth Checklist and Record of Your Self-Inspection	Form and Instruction
Form PPQ Form 377 Gypsy Moth Checklist and Record of Your Self-Inspection	Form and Instruction
0104 APHIS 79 (20260805).xlsx	Supplementary Document
0104 APHIS 71 (20260805).xlsx	Supplementary Document
0104 SS (20260805).docx	Supporting Statement A
Moving Industry Notification of Homeowners - Business	Information collection
Insect Collection Worksheet - State	Form and Instruction
Spongy Moth Checklist/Self Inspection - Individuals	Form and Instruction
Spongy Moth Checklist/Self Inspection - Individuals	Form and Instruction
Spongy Moth Checklist/Self Inspection - Individuals	Form and Instruction

Historical document collections
Reference	Filing	Received	Action
202608-0579-001	Extension without change of a currently approved collection	2026-08-26
202102-0579-005	Extension without change of a currently approved collection	2021-09-22	Approved with change
201712-0579-007	Revision of a currently approved collection	2017-12-27	Approved with change
201403-0579-002	Revision of a currently approved collection	2014-08-19	Approved without change
201010-0579-021	Extension without change of a currently approved collection	2011-07-06	Approved without change
200802-0579-004	Extension without change of a currently approved collection	2008-07-16	Approved without change
200505-0579-003	Revision of a currently approved collection	2005-05-12	Approved without change
200203-0579-005	Revision of a currently approved collection	2002-03-29	Approved without change
199809-0579-005	Revision of a currently approved collection	1998-09-21	Approved without change
199508-0579-002	Revision of a currently approved collection	1995-08-07	Approved without change
199209-0579-001	Revision of a currently approved collection	1992-09-14	Approved without change
199206-0579-001	New collection (Request for a new OMB Control Number)	1992-06-22	Approved without change

Federal Enterprise Architecture: Natural Resources - Agricultural Innovation and Services

Information collection instruments
Form	Name	Electronic access	Type
Form PPQ-391	Insect Collection Worksheet for Genotype Analysis	www.aphis.usda.gov/library/forms/pdf/PPQ_Form_391.pdf	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.