aphis 79

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Overview

APHIS Form 79
Respondents and Record Keepers

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Sheet 1: APHIS Form 79

Estimated Annual Program Costs for Collecting, Processing, Analyzing, Tabulating and/or Publishing the Information Collected (Do NOT include administrative costs such as printing and mailing of forms, etc.)
HEALTH CERTIFICATE/EXPORT CERTIFICATE – ANIMAL PRODUCTS							OMB Control No. 0579-0256			15-Dec-10
Form No. or Other Identification		Total Annual Responses	Avg. Time Per Responses	Total Hours Per Year	Persons Involved in the Information Collection*		Program Costs	Overhead Costs	Total Costs	Remarks
				(B x C)	Grade (GS)	Avg. Hourly Rate	(D x (E.2))	(F x 0.139)	(F + G)
(A)		(B)	(C)	(D)	(E.1)	(E.2)	(F)	(G)	(H)	(I)
	VS 16-4 (Signature only)	132,000	0.0160	2,112	13	$45.82	$96,771.84	$13,451.29	$110,223.13
	VS 16-4	132,000	0.5000	66,000	5	$17.54	$1,157,640.00	$160,911.96	$1,318,551.96
	VS 16-4A (Signature only)	1,650	0.0160	26	13	$45.82	$1,209.65	$168.14	$1,377.79
	VS 16-4A	1,650	0.5000	825	5	$17.54	$14,470.50	$2,011.40	$16,481.90
	Hearing Request	1	1.0000	1	14	$54.14	$54.14	$7.53	$61.67
	Notification of Tampered Certificate	1	1.0000	1	11	$32.14	$32.14	$4.47	$36.61
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
Totals				68,965			$1,270,178.27	$176,554.78	$1,446,733.05
APHIS FORM 79
*Includes field and headqarters personnel.

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Sheet 2: Respondents and Record Keepers