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.)
BLOOD AND TISSUE COLLECTION AT SLAUGHTER & RENDERING FACILITIES							OMB Control No. 0579-0212			8-Mar-10
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)
	Appeal - Denial of Listing	1	0.33	0.33	GS 13	$46.93	$15.49	$2.15	$17.64
	Appeal - Withdrawal of Listing	1	0.33	0.33	GS 13	$46.93	$15.49	$2.15	$17.64
	Withdrawal of Facility	1	0.33	0.33	GS 13	$46.93	$15.49	$2.15	$17.64
	Listing Agreement	20	0.75	15.00	GS 14	$55.45	$831.75	$115.61	$947.36
	Specimen Submission Form	10,704.00	0.33	3532.32	GS 13	$46.93	$165,771.78	$23,042.28	$188,814.05
	Facility Inspection Report	20	0.33	6.60	GS 13	$46.93	$309.74	$43.05	$352.79
				0.00			$0.00	$0.00	$0.00
				0.00			$0.00	$0.00	$0.00
				0.00			$0.00	$0.00	$0.00
				0.00			$0.00	$0.00	$0.00
				0.00			$0.00	$0.00	$0.00
				0.00			$0.00	$0.00	$0.00
				0.00			$0.00	$0.00	$0.00
				0.00			$0.00	$0.00	$0.00
				0.00			$0.00	$0.00	$0.00
				0.00			$0.00	$0.00	$0.00
				0.00			$0.00	$0.00	$0.00
				0.00			$0.00	$0.00	$0.00
Totals				3,554.91			$166,959.73	$23,207.40	$190,167.13
APHIS FORM 79
*Includes field and headqarters personnel.

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Sheet 2: Respondents and Record Keepers