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.)
Highly Pathogenic Avian Influenza (HPAI) Subtype H5N1							OMB Control No. 0579-0245		11/23/2009
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 16-3	248	0.5000	124.000	GS-13	$45.82	5,681.68	789.75	6,471.43
	VS 16-6A	248	0.0330	8.184	GS-13	$45.82	374.99	52.12	427.11
	VS 17-29	22	0.5000	11.000	GS-12	$38.53	423.83	58.91	482.74
	Notarized Declaration	22	0.5000	11.000	GS-12	$38.53	423.83	58.91	482.74
	VS 17-8	22	0.5000	11.000	GS-12	$38.53	423.83	58.91	482.74
	Notification of Signs of Disease in a Recently Imported Bird	1	0.0830	0.083	GS-12	$38.53	3.20	0.44	3.64
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
				0.000			0.00	0.00	0.00
Totals				165.267			7,331.36	1,019.06	8,350.42
APHIS FORM 79
*Includes field and headqarters personnel.

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Sheet 2: Respondents and Record Keepers