Aphis 79

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

DATE PREPARED

PREPARED BY

PAGE

2/28/7

DR. TANIEWSKI/KEITH ZOTTI

U.S. ORIGIN HEALTH CERTIFICATE
0579-

FORM NO.
OR OTHER
IDENTIFICATION

(A)

VS 17-140 AND VS 17-140A

TOTAL
ANNUAL
RESPONSES

(B)

AVE. TIME
PER
RESPONSE

(C)

0020

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.)

TOTAL
HOURS
PER YEAR
(B x C)

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)

(E)

45,000

0.500

22,500

15

0.660

2

0.500

PROGRAM
COSTS
(D X E)

TOTAL
COSTS
(F+G)

(G)

(F)

13 $

41.85 $

9

14

49.45

445.05

1

14

49.45

49.45

GS-

OVERHEAD
COSTS
(Col. F
times .139)

941,625.00 $

1

1

. . . . OF . . . .

REMARKS

(H)
$

MARKING
APPLICATION (Environmenta
Certification)
Opportunity to Present
Views

942,119.50
APHIS FORM 79 (SEP 96)

130,954.61

WORKSHEET FOR CALCULATING COSTS TO THE FEDERAL GOVERNMENT FOR INFORMATION COLLECTION

1,073,074.11
USDA - APHIS