OMB CONTROL NO. |
0579-XXXX |
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DATE PREPARED |
10/12/2022 |
Due to section 508 accessibility, do not merge cells. If the ICR title requires more space then allowed, key in additional words of the title in row 3.
TITLE OF INFORMATION COLLECTION REQUEST (ICR) |
Case-Control Study on Highly Pathogenic Avian Influenza in Turkeys 2022 |
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Additional line for ICR Title if title is too long. |
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PART I - ICR INFORMATION, POINT OF CONTACT, FEDERAL REGISTER NOTICE INFORMATION |
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DATA SUMMARY |
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Enter one:
-Proposed rule
-Final rule
-New ICR
-Renewal
-Reinstatement
TYPE OF REQUEST |
Emergency ICR |
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This is the sum of Activities, Column , filtered to capture only first occurences as marked in Activitiy Description, Part II Column G.
TOTAL RESPONDENTS |
920 |
POINT OF CONTACT (POC) |
Nia Washington-Plaskett |
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This is the sum of all entries in Part II, Column J.
TOTAL ANNUAL RESPONSES |
920 |
POC TELEPHONE NO. |
(301) 851-3354 |
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Enter the estimated percentage of total responses that are submitted electronically.
% ELECTRONIC |
0% |
DATE PREPARED |
10/12/2022 |
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Automatically calculates; Total Respondents X Total Annual Respondents
RESPONSES PER RESPONDENT |
1 |
Docket number assigned by RAD for 60-day public comment period Federal Register notice
PUBLIC COMMENT DOCKET NO. |
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This is the sum of all entries, Section II Column L
TOTAL BURDEN HOURS |
364 |
Citation for 60-day public comment period Federal Register notice (e.g., 84FR38333)
FEDERAL REGISTER NOTICE |
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Automatically calculates; Total Burden Hours ÷ Total Annual Responses
HOURS PER RESPONSE |
0.39565 |
FEDERAL REGISTER DATE |
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Enter the percentage of total business respondents that are small entities.
% SMALL ENTITIES |
10% |
PART II - SUMMARY OF ACTIVITIES |
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The title must be consistent from the previous submission to the current one, and between the APHIS 71 and the Supporting Statement. If the title has changed, insert another column to the right and title it "PREVIOUS TITLE".
If this activity is a discretionary change, enter (NEW) if this is a new activity, respondent type, or response time estimate; or (VIOLATION) if this is previously unreported activity.
ACTIVITY DESCRIPTION |
AUTHORITY (U.S.C., CFR, or MANUAL) |
If there is a form associated with this activity, enter the form number (e.g., APHIS 123). If the activity uses a form letter or something similar, enter "letter". If the information is collected via an information system, enter the acronym for the information system (e.g., MITS).
FORM NO. |
Enter all that apply if the collection instrument is a form:
- Paper
- PDF
- Info System
FORMAT |
" " - None. Leave blank if there is no change to this activity.
E - Estimate. The change is to the number of respondents, responses, or burden hours only.
D - Discretionary. The change is a new activity, a reported violation, or a new respondent type or response time.
C - Correction. The change is to capture and report a previous error of some type.
TYPE OF CHANGE |
Select only one group per line (e.g., FG and S1 are two lines, S1 and S2 are one line):
FG - foreign government
S1 - state government
S2 - local government
S3 - tribal government
P1 - business
P2 - farm
P3 - non or not for profit
I - individual or household
TYPEOF RESPONDENT |
Respondents should not be counted more than once in the total number of respondents. Place an "X" in this space to indicate this activity reflects a unique group of respondents in this ICR.
FIRST OCCURENCE |
Select only one per line:
I - Reporting. Information is received from the public via voice, document, or information system.
R - Recordkeeping. The respondent is required to maintain records for a prescribed period of time.
TP - Third Party Disclosure. The respondent is required to post information for the benefit of a third party (e.g., labels on product packages or quarantine signs at fairs).
TYPE OF RESPONSE |
See the comment for Column G. Do not count respondents multiple times within the same activity. Each individual or household counts as one respondent, and each business or non-U.S. Federal government activity counts as one respondent.
ESTIMATED ANNUAL NUMBER OF RESPONDENTS OR RECORDKEEPERS |
Each instance of the activity counts as one response regardless of the respondent type.
Each recordkeeper counts as one response.
ESTIMATED TOTAL ANNUAL RESPONSES |
This entry should be the same as that entered in the OMB banner at the top of the form.
Times less than 1 hour should be calculated as number of minutes divided by 60 and listed to three decimal places.
For recordkeepers, enter the estimated average number of hours per year the recordkeeper will spend on this activity.
ESTIMATED HOURS PER RESPONSE OR ANNUAL HOURS PER RECORDKEEPER |
Calculation: Column J x K
Formula rounds up
ESTIMATED TOTAL ANNUAL BURDEN HOURS |
Turkey Case Control Survey - Cases - Complete |
7 U.S.C. 391; 7 U.S.C. 8308 |
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Phone |
D |
P1 |
X |
I |
113 |
113 |
1.25 |
141 |
Turkey Case Control Survey - Cases - Nonresponse |
7 U.S.C. 391; 7 U.S.C. 8308 |
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Phone |
D |
P1 |
X |
I |
38 |
38 |
0.083 |
4 |
Turkey Case Control Survey - Controls - Complete |
7 U.S.C. 391; 7 U.S.C. 8308 |
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Phone |
D |
P1 |
X |
I |
113 |
113 |
1.25 |
141 |
Turkey Case Control Survey - Controls - Nonresponse |
7 U.S.C. 391; 7 U.S.C. 8308 |
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Phone |
D |
P1 |
X |
I |
638 |
638 |
0.083 |
53 |
Turkey Case Control Survey |
7 U.S.C. 391; 7 U.S.C. 8308 |
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Paper, Phone |
D |
S1 |
X |
I |
20 |
20 |
1.250 |
25 |