Export Health Certificate Request Forms

ICR 201503-0581-001

OMB: 0581-0283

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2015-04-02
Supplementary Document
2012-12-13
Supporting Statement A
2012-12-05
Supplementary Document
2012-10-11
IC Document Collections
IC ID
Document
Title
Status
204483 Modified
ICR Details
0581-0283 201503-0581-001
Historical Active 201210-0581-002
USDA/AMS
Export Health Certificate Request Forms
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/06/2015
Retrieve Notice of Action (NOA) 04/03/2015
  Inventory as of this Action Requested Previously Approved
01/31/2016 01/31/2016 01/31/2016
20,423 0 20,423
4,129 0 4,129
0 0 0

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.

US Code: 7 USC 1621-1627 Name of Law: Agricultural Marketing Act of 1946
  
None

Not associated with rulemaking

  77 FR 43 03/05/2012
77 FR 74164 12/13/2012
Yes

  Total Approved 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 20,423 20,423 0 0 0 0
Annual Time Burden (Hours) 4,129 4,129 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a new collection.

$6,800
No
No
No
No
No
Uncollected
Ken Vorgert 630 437-5037 Kenneth.Vorgert@ams.usda.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/03/2015


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