aphis 79

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

DATE PREPARED

PREPARED BY

PAGE

8/11/6

BOB BOKMA, ELIZABETH BROWN

CLASSICAL SWINE FEVER STATUS OF CHILE
0579-

FORM NO.
OR OTHER
IDENTIFICATION

(A)

CHILE CERTIFICATE

TOTAL
ANNUAL
RESPONSES

(B)

AVE. TIME
PER
RESPONSE

(C)

50

TOTAL
HOURS
PER YEAR
(B x C)

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.)
GRADE AND AVERAGE HOURLY RATE OF
PROGRAM PERSON(S) INVOLVED IN THE
INFORMATION COLLECTION (Include field AND
headquarters personnel. Use step 4 for average
hourly rate.)

(D)

1.000

0235

(E)

50

GS-

12 $

PROGRAM
COSTS
(D X E)

WORKSHEET FOR CALCULATING COSTS TO THE FEDERAL GOVERNMENT FOR INFORMATION COLLECTION

1

REMARKS

(H)

1,714.00 $

1,714.00
APHIS FORM 79 (SEP 96)

TOTAL
COSTS
(F+G)

(G)

(F)

34.28 $

OVERHEAD
COSTS
(Col. F
times .139)

1

. . . . OF . . . .

$

238.25

1,952.25
USDA - APHIS