View Information Collection Request (ICR) Package

OMB Control No: 0579-0020	ICR Reference No: 201707-0579-003
Status: Historical Active	Previous ICR Reference No: 201307-0579-001
Agency/Subagency: USDA/APHIS	Agency Tracking No:
Title: U.S. Origin Health Certificate
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/15/2017
	Date Received in OIRA: 07/31/2017
Terms of Clearance: Before this ICR is renewed, USDA should consider converting VS Form 17-140, VS From 17-140A, and APHIS Form 7001 to common forms.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2020	36 Months From Approved	11/30/2017
Responses	35,761	0	72,755
Time Burden (Hours)	17,170	0	17,611
Cost Burden (Dollars)	0	0	0

Abstract: The purpose of this information collection is to gather information on animals exported from the U.S. thereby preventing the international dissemination of animal disease.

Authorizing Statute(s): US Code: 7 USC 8301 Name of Law: Animal Health Protection Act of 2002

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 24275	05/26/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 35507	07/31/2017
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
U.S. Origin Health Certificate	VS 17-140, VS Form 17-104A, VS Form 17-140B, APHIS Form 7001, VS 17-141, VS Form 17-145	, , , , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	35,761	72,755	-41,368	4,374
Annual Time Burden (Hours)	17,170	17,611	-2,631	2,190
Annual Cost Burden (Dollars)	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Overall, the total burden hours decreased 441 hours (-2,631 program change and +2,190 adjustment) and the total number of responses decreased 36,994 responses (-41,368 program change and +4,374 adjustment). The decrease resulted from removing Recordkeeping for Modification, which is no longer codified or practiced (-45,000 responses; -3,735 hours) (program change). The following items were previously approved under 0579-0278 (discontinued) and have been added to this information collection for approval (program change/violation): • VS Form 17-141(+100 responses; +26 hours). • APHIS Form 7001 (+750 responses; + 98 hours). • Country Specific Health Care (+1,800 responses; + 450 hours). • Travel Time (+256 responses; + 256 hours). The following items were inadvertently not included in previous information collection submissions and have been added to this information collection for approval (program change/violation): • Annual Site Inspection of Inspection Facilities (+38 responses; +76 hours). • Certification to Carry Livestock (+8 responses; + 20 hours). • Inspection of Vessel Prior to Voyage (+ 10 responses; + 10 hours). • Aircraft Cleaning and Disinfection (+670 responses; + 168 hours). The burden of the following items has increased since the last submission of this information collection to more accurately reflect current use (adjustment): • VS Form 17-140 (+ 1,368 responses; + 684 hours). • VS Forms 17-140A and 17-140B (+ 3,000 responses; +1,500 hours). • Notarized Statement (+ 6 responses; +6 hours).

Annual Cost to Federal Government: $10,137,274

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Kate Bowers 301 851-3300 kate.a.bowers@aphis.usda.gov

View ICR - OIRA Conclusion