APHIS Form 79

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

0579-

Peer Reviewer's - Conflict of Interest

FORM NO.
OR OTHER
IDENTIFICATION

TOTAL
ANNUAL
RESPONSES

(A)

AVE. TIME
PER
RESPONSE

(B)

TOTAL
HOURS
PER YEAR
(B x C)

(C)

50

1

11/05/09

0304

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)

50

PREPARED BY

GS 13

45.82

$

2291.00

TOTAL
COSTS
(F + G)

(G)

(F)
$

$

1

1

. . . . OF . . . .

OVERHEAD
COSTS
(Col. F
times .139)

PROGRAM
COSTS
(D X E)

(E)

PAGE

Natalie Roberts

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.)

GS-

APHIS FORM 6004 - Peer

DATE PREPARED

(H)

REMARKS

(I)

$

0

2291.00

Reviewer's Instr. & Form

APHIS FORM 79 (SEP 96)

WORKSHEET FOR CALCULATING COSTS TO THE FEDERAL GOVERNMENT FOR INFORMATION COLLECTION

USDA - APHIS

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

DATE PREPARED

PREPARED BY

PAGE

0579-

FORM NO.
OR OTHER
IDENTIFICATION

(A)

TOTAL
ANNUAL
RESPONSES

(B)

AVE. TIME
PER
RESPONSE

(C)

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)

$

OVERHEAD
COSTS
(Col. F
times .139)

PROGRAM
COSTS
(D X E)

(E)
GS-

APHIS FORM 79 (SEP 96)

. . . . OF . . . .

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.)

(G)

(F)
$

TOTAL
COSTS
(F + G)

$

WORKSHEET FOR CALCULATING COSTS TO THE FEDERAL GOVERNMENT FOR INFORMATION COLLECTION

(H)

REMARKS

(I)

$

USDA - APHIS