aphis 79

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

DATE PREPARED

PREPARED BY

PAGE

12/14/6

FREEDA ISSAC/KEITH ZOTTI

PERMANENT, PRIVATELY OWNED HORSE QUARANTINE FACILITIES
0579-

FORM NO.
OR OTHER
IDENTIFICATION

(A)

TOTAL
ANNUAL
RESPONSES

(B)

AVE. TIME
PER
RESPONSE

(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.)

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)

APPLICATION FOR APPROVAL

3

5.000

15

COMPLIANCE AGREEMENT

3

1.000

ENVIRONMENTAL CERT.

3

DAILY LOG

PROGRAM
COSTS
(D X E)

48.18 $

722.70 $

3

13

40.77

122.31

2.000

6

13

40.77

244.62

3

1.000

3

13

40.77

122.31

CHALLENGE LETTER

1

2.000

2

13

40.77

81.54

CLOSURE LETTER

1

1.000

1

13

40.77

40.77

VARIANCE REQUEST

1

2.000

2

13

40.77

81.54

PERSONNEL LIST

1

0.417

1

13

40.77

40.77

1,456.56
APHIS FORM 79 (SEP 96)

TOTAL
COSTS
(F+G)

(G)

(F)

14 $

GS-

OVERHEAD
COSTS
(Col. F
times .139)

WORKSHEET FOR CALCULATING COSTS TO THE FEDERAL GOVERNMENT FOR INFORMATION COLLECTION

1

1

. . . . OF . . . .

REMARKS

(H)
$

202.46

1,659.02
USDA - APHIS