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pdfINSTRUCTIONS:
OMB NO.
TITLE OF INFORMATION COLLECTION DOCUMENT
0579-0146
Tuberculosis
DATE PREPARED
December 23, 2019
ANNUAL BURDEN
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
SECTION OF REGS
DESCRIPTION
FORM NO's
(if none, so
state)
NO. OF
RESPONDENTS
NO. OF
RESPONSES PER
RESPONDENT
(A)
(B)
(C)
(D)
(E)
RECORDS
TOTAL ANNUAL
RESPONSES
HOURS PER
RESPONSE
TOTAL HOURS
(Col. D x E)
(G)
VS 6-38
13
1
13
35
455
77.4
Annual Report for Retention of Status, Entire
State or Each Zone Within a State (prepared by
VS and signed by the State) (State)
VS 6-38
39
1
39
0.500
20
77.4
Request for Zone Status, Application (State)
None
1
1
1
300
300
77.4
MOU for Zones, Initial and Yearly Testing
Renegotiation (State)
None
1
1
1
300
300
77.4
Epidemiological Review of Zone Testing (State)
None
1
1
1
5
5
77.7, 9, 11, 13, 22, TB Management Plan - Findings of TB in a
Species Not Covered (Typically Wildlife) (State)
24, 26, 28
None
1
1
1
300
300
77.1
Accredited Herd Written Herd Plan (State)
None
8
1
8
2
16
77.1
Accredited Herd Written Herd Plan (Business)
None
8
1
8
5
40
77.4
Wildlife Risk Survey (State)
None
1
275
275
2
550
TOTAL
COLUMNS F + I = OMB 831, 13b
COLUMNS H + K = OMB 831, 13c
4,914
(I)
(J)
RECORDKEEPING
HOURS
(Col. I x J)
(H)
9 CFR
77.4
TOTAL OF ALL PAGES
ANNUAL HOURS
PER
RECORDKEEPER
(Col. F x G)
(F)
Annual Report for Retention of Status, Entire
State or Each Zone Within a State (prepared by
the State and signed by VS) (State)
SUBTOTAL
NO. OF
RECORDKEEPERS
(K)
347
1,986
0
0
89,306
27,070
19
760
89,325
27,830
INSTRUCTIONS:
OMB NO.
TITLE OF INFORMATION COLLECTION DOCUMENT
0579-0146
Tuberculosis
DATE PREPARED
December 23, 2019
ANNUAL BURDEN
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
SECTION OF REGS
DESCRIPTION
FORM NO's
(if none, so
state)
NO. OF
RESPONDENTS
NO. OF
RESPONSES PER
RESPONDENT
(A)
(B)
(C)
(D)
(E)
TOTAL ANNUAL
RESPONSES
RECORDS
HOURS PER
RESPONSE
TOTAL HOURS
(Col. D x E)
77.4
Wildlife Risk Survey (Business)
None
(G)
410
2
820
2
1,640
2
12
24
0.500
12
77.7, 9, 11, 13, 22, Report of Suspicious TB Lesions or Thoracic
Granulomas in Regular Kill Cattle (State)
24, 26, 28
VS 6-35
10
140
1,400
0.160
224
77.7, 9, 11, 13, 33 Specimen Submission Form (State)
VS 10-4
45
75
3,375
0.160
540
77.7, 9, 11, 13, 33 Specimen Submission Form (Business)
VS 10-4
750
22
16,500
0.160
2,640
77.7, 9, 11, 77.33
Specimen Collection Form Supplement Livestock and Wildlife (State)
VS 10-7
45
20
900
0.160
144
77.17, 40
Restricted Animals Movement Permit (State)
VS 1-27,
1-27A
50
240
12,000
0.160
1,920
77.17, 40
Restricted Animals Movement Permit (Business)
VS 1-27,
1-27A
2,894
10
28,940
0.160
4,630
77.1
Caudal Fold Test Record (State)
VS 6-22, 622B
4
485
1,940
0.500
970
77.1
Caudal Fold Test Record (Business)
VS 6-22, 622B
1,000
11
11,000
0.500
5,500
10
80
800
0.420
336
SUBTOTAL
(I)
(J)
77,699
RECORDKEEPING
HOURS
(Col. I x J)
(H)
VS 6-2
VS 6-22C
ANNUAL HOURS
PER
RECORDKEEPER
(Col. F x G)
(F)
77.7, 9, 11, 13, 22,
Report of TB Eradication (Monthly Report) (State)
24, 26, 28
77.7, 9, 11, 13, 34 TB Test Record (Special) (State)
NO. OF
RECORDKEEPERS
18,556
0
(K)
0
INSTRUCTIONS:
OMB NO.
TITLE OF INFORMATION COLLECTION DOCUMENT
0579-0146
Tuberculosis
DATE PREPARED
December 23, 2019
ANNUAL BURDEN
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
SECTION OF REGS
DESCRIPTION
FORM NO's
(if none, so
state)
NO. OF
RESPONDENTS
NO. OF
RESPONSES PER
RESPONDENT
(A)
(B)
(C)
(D)
(E)
RECORDS
TOTAL ANNUAL
RESPONSES
HOURS PER
RESPONSE
TOTAL HOURS
(Col. D x E)
(G)
80
800
0.420
336
TB Test, Gamma (State)
None
50
30
1,500
0.100
150
77.1
TB Test, Gamma (Business)
None
500
1
500
0.100
50
77.1
Affected Herd Data (State)
None
2
1
2
20
40
77.1
Affected Herd Testing Results (State)
None
2
3
6
4
24
77.1
Approved Herd Plan (Individual Herd Plan) Test and Remove Plan (State)
None
2
2
4
40
160
77.1
Approved Herd Plan (Individual Herd Plan) - Test
and Remove Plan (Business)
None
7
1
7
10
70
None
3
1
3
40
120
VS 6-22A
4
1
4
3.500
14
VS 6-4
30
1
30
4
120
VS 6-4A
50
10
500
1.500
750
77.1
77.7, 9, 11, 13, 22, Depopulation and Repopulation Agreement
(State)
24, 26, 28
77.7, 9, 11, 13, 22,
TB Infected Herd Field Report (State)
24, 26, 28
77.7, 9, 11, 13, 22, Report on Herd Revealing Reactors to TB Tests
(State)
24, 26, 28
77.7, 9, 11, 13, 22,
Investigation for Evidence of TB (Reactor) (State)
24, 26, 28
SUBTOTAL
(I)
(J)
3,356
RECORDKEEPING
HOURS
(Col. I x J)
(H)
10
Comparative Cervical TB Test Results (State)
ANNUAL HOURS
PER
RECORDKEEPER
(Col. F x G)
(F)
VS 6-22D
77.1, 34
NO. OF
RECORDKEEPERS
1,834
0
(K)
0
INSTRUCTIONS:
OMB NO.
TITLE OF INFORMATION COLLECTION DOCUMENT
0579-0146
Tuberculosis
DATE PREPARED
December 23, 2019
ANNUAL BURDEN
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
SECTION OF REGS
DESCRIPTION
FORM NO's
(if none, so
state)
NO. OF
RESPONDENTS
NO. OF
RESPONSES PER
RESPONDENT
(A)
(B)
(C)
(D)
(E)
TOTAL ANNUAL
RESPONSES
RECORDS
HOURS PER
RESPONSE
TOTAL HOURS
(Col. D x E)
77.7, 9, 11, 13, 22, Investigation for Evidence of TB (Exposed
Animal) (State)
24, 26, 28
(G)
20
800
1.500
1,200
77.7, 9, 11, 13, 22,
Appraisal and Indemnity Claim (State)
24, 26, 28
VS 1-23, 123A
40
5
200
2.250
450
77.7, 9, 11, 13, 22,
Appraisal and Indemnity Claim (Business)
24, 26, 28
VS 1-23, 123A
25
1
25
40
1,000
None
25
1
25
0.250
6
VS 1-24
25
1
25
40
1,000
77.7, 9, 11, 13, 22, Proceeds from Animals Sold to Slaughter
(Business)
24, 26, 28
77.8, 10, 12, 14,
16, 23, 25, 27, 29, Certificate for Movement (State)
31
None
4
250
1,000
0.167
167
77.8, 10, 12, 14,
16, 23, 25, 27, 29, Certificate for Movement (Business)
31
None
2,500
2
5,000
0.167
835
77.4
None
Retention of Certificates for Movement (State)
77.7, 9, 11, 13, 22,
Commuter Herd Agreement (State)
24, 26, 28
None
2
7
14
1
14
77.7, 9, 11, 13, 22,
Commuter Herd Agreement (Business)
24, 26, 28
None
20
1
20
0.500
10
77.7, 9, 11, 13, 22,
Recordkeeping for Approved Feedlots (Business)
24, 26, 28
None
SUBTOTAL
(I)
(J)
7,109
RECORDKEEPING
HOURS
(Col. I x J)
(H)
40
Request for 15-Day Extension (Business)
ANNUAL HOURS
PER
RECORDKEEPER
(Col. F x G)
(F)
VS 6-4B
50.7
NO. OF
RECORDKEEPERS
4,682
(K)
4
40.000
160
15
40.000
600
19
760
INSTRUCTIONS:
OMB NO.
TITLE OF INFORMATION COLLECTION DOCUMENT
0579-0146
Tuberculosis
DATE PREPARED
0579-0146
ANNUAL BURDEN
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
REPORTS
SECTION OF REGS
DESCRIPTION
FORM NO's
(if none, so
state)
NO. OF
RESPONDENTS
NO. OF
RESPONSES PER
RESPONDENT
(A)
(B)
(C)
(D)
(E)
TOTAL ANNUAL
RESPONSES
RECORDS
HOURS PER
RESPONSE
(Col. D x E)
TOTAL HOURS
ANNUAL HOURS
PER
RECORDKEEPER
(I)
(J)
(Col. F x G)
(F)
(G)
None
20
1
20
0.250
5
77.33
Apply Label to Shipment (State)
None
25
1
25
0.008
1
77.33
Apply Label to Shipment (Business)
None
750
1
750
0.008
6
795
RECORDKEEPING
HOURS
(Col. I x J)
(H)
77.7, 9, 11, 13, 22,
Template for Owner Participation (Business)
24, 26, 28
SUBTOTAL
NO. OF
RECORDKEEPERS
12
0
(K)
0
File Type | application/pdf |
Author | cquatrano |
File Modified | 2020-01-06 |
File Created | 2020-01-06 |