Insect Collection Worksheet - State

Gypsy Moth Identification Worksheet

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0104 can be found here:

Documents and Forms

Document Name Document Type
Form PPQ-391 Insect Collection Worksheet - State Form
PPQ-391 Insect Collection Worksheet for Genotype Analysis PPQ 391 DEC 2017.pdf www.aphis.usda.gov/library/forms/pdf/PPQ_Form_391.pdf Form

Information Collection (IC) Details

IC Title:	Insect Collection Worksheet - State	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 301.45 - 301.45-12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PPQ-391	Insect Collection Worksheet for Genotype Analysis	PPQ 391 DEC 2017.pdf	https://www.aphis.usda.gov/library/forms/pdf/PPQ_Form_391.pdf	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250	10	240
Annual IC Time Burden (Hours)	43	2	41
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.