| APHIS-79:  SCRAPIE FLOCK CERTIFICATION; ANIMAL IDENTIFICATION, AND INDEMNIFICATION PROCEDURES | 
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 | D.SUTTON/D.ROE | 
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 | 28-Mar-11 | 
 | 0579-0101 | 
	
		| FORM NO. | TOTAL ANNUAL RESPONDENT | AVERAGE TIME PER RESPONDENT | TOTAL HOURS PER YEAR | GRADE & AVG RATE OF PROGRAM PERSONNEL (Avg rate=Hourly Wage) | PROGRAM COSTS | OVERHEAD COSTS (.139) | TOTAL COSTS | 
	
		
	
		
	
		
	
		
	
		| Cooperative Agreement Forms | 39 | 16 | 624 | 13 | $46.93 | $29,284.32 | $4,070.52 | $33,354.84 | 
	
		| Request for Information: Record of Animal Moves | 1,750 | 2 | 3500 | 9 | $27.21 | $95,235.00 | $13,237.67 | $108,472.67 | 
	
		| Individual Animal Report | 1,750 | 2 | 3500 | 9 | $27.21 | $95,235.00 | $13,237.67 | $108,472.67 | 
	
		| Flock Inspection and Epidemiology Report and Scrapie Epidemiology Report | 497 | 7.5 | 3727.5 | 12 | $39.46 | $147,087.15 | $20,445.11 | $167,532.26 | 
	
		| Application for Payment and Continuation Sheet | 75 | 3 | 225 | 12 | $39.46 | $8,878.50 | $1,234.11 | $10,112.61 | 
	
		| Written Agreement/Certification (signature only) | 50 | 0.1 | 5 | 6 | $20.02 | $100.10 | $13.91 | $114.01 | 
	
		| Proceeds from Animals Sold for Slaughter | 1 | 0.25 | 0.25 | 12 | $39.46 | $9.87 | $1.37 | $11.24 | 
	
		| Flock Plan (signature only)and Recordkeeping | 30 | 0.25 | 7.5 | 6 | $20.02 | $150.15 | $20.87 | $171.02 | 
	
		| Post Exposure Mgmt. & Monitoring Plan (signature only) and Recordkeeping | 42 | 0.25 | 10.5 | 6 | $20.02 | $210.21 | $29.22 | $239.43 | 
	
		| Report Suspect Animals | 385 | 0.25 | 96.25 | 6 | $20.02 | $1,926.93 | $267.84 | $2,194.77 | 
	
		| Scrapie PEMMP Inspection Report and Recordkeeping | 690 | 2 | 1380 | 12 | $39.46 | $54,454.80 | $7,569.22 | $62,024.02 | 
	
		| Scrapie Test Record | 293 | 2 | 586 | 12 | $39.46 | $23,123.56 | $3,214.17 | $26,337.73 | 
	
		| Specimen Submission | 1180 | 4 | 4720 | 9 | $27.21 | $128,431.20 | $17,851.94 | $146,283.14 | 
	
		| Request for Laboratory Approval | 1 | 4 | 4 | 13 | $46.93 | $187.72 | $26.09 | $213.81 | 
	
		| Agreement to Conduct Examination (signature only) | 1 | 0.1 | 0.1 | 6 | $20.02 | $2.00 | $0.28 | $2.28 | 
	
		| Application for SFCP Program | 75 | 1 | 75 | 12 | $39.46 | $2,959.50 | $411.37 | $3,370.87 | 
	
		| Flock Inspection and Epidemiology Report Initial Flock for Complete or Export Monitored Status in the SFCP and Recordkeeping | 79 | 3 | 237 | 12 | $39.46 | $9,352.02 | $1,299.93 | $10,651.95 | 
	
		| Flock Inspection Report Annual Inspection Report for SFCP Enrolled or Certified Flocks and Recordkeeping | 1750 | 2 | 3500 | 12 | $39.46 | $138,110.00 | $19,197.29 | $157,307.29 | 
	
		| Owner Statement (not processed by APHIS) | 
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 | 0 | 
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 | $0.00 | $0.00 | $0.00 | 
	
		| Agreement to Use Blue Tags | 50 | 0.16 | 8 | 12 | $39.46 | $315.68 | $43.88 | $359.56 | 
	
		| Report for Consignments when Identification is Applied | 2600 | 0.3 | 780 | 9 | $27.21 | $21,223.80 | $2,950.11 | $24,173.91 | 
	
		| Recordkeeping, Animals Moved in Interstate Commerce | 
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 | 0 | 
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 | $0.00 | $0.00 | $0.00 | 
	
		| Request for Approval to Produce Official ID Devices | 1 | 3 | 3 | 14 | $55.45 | $166.35 | $23.12 | $189.47 | 
	
		| Agreement to send Official Eartags to Specified Individuals | 1 | 0.25 | 0.25 | 14 | $55.45 | $13.86 | $1.93 | $15.79 | 
	
		| Monthly Report of Official Identification Devices Produced | 5 | 1 | 5 | 9 | $27.21 | $136.05 | $18.91 | $154.96 | 
	
		| Data Entry of Official Identification Devices Produced (cost captured as part of application for ID Numbers) | 5 | 0 | 0 | 
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 | $0.00 | $0.00 | $0.00 | 
	
		| Request for Approval of New Device Type | 1 | 20 | 20 | 14 | $55.45 | $1,109.00 | $154.15 | $1,263.15 | 
	
		| Herd Owner Notification | 50 | 0.75 | 37.5 | 9 | $27.21 | $1,020.38 | $141.83 | $1,162.21 | 
	
		| Permit for Movement of Restricted Animals | 30 | 1 | 30 | 12 | $39.46 | $1,183.80 | $164.55 | $1,348.35 | 
	
		| Certificate of Vet Inspection and Recordkeeping | 
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 | 0 | 
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 | $0.00 | $0.00 | $0.00 | 
	
		| Consistent State Application | 50 | 12 | 600 | 12 | $39.46 | $23,676.00 | $3,290.96 | $26,966.96 | 
	
		| Application for ID Numbers | 20709 | 0.2 | 4141.8 | 6 | $20.02 | $82,918.84 | $11,525.72 | $94,444.55 | 
	
		| Application for Premises ID | 18837 | 0.2 | 3767.4 | 6 | $20.02 | $75,423.35 | $10,483.85 | $85,907.19 | 
	
		| Recordkeeping, Identification | 
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 | 0 | 
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 | $0.00 | $0.00 | $0.00 | 
	
		| Cooperative Agreement or Grant Workplan | 39 | 4 | 156 | 14 | $55.45 | $8,650.20 | $1,202.38 | $9,852.58 | 
	
		| Cooperative Agreement or Grant Financial Plan | 39 | 1 | 39 | 14 | $55.45 | $2,162.55 | $300.59 | $2,463.14 | 
	
		| Cooperative Agreement or Grant Quarterly Report | 39 | 2 | 78 | 14 | $55.45 | $4,325.10 | $601.19 | $4,926.29 | 
	
		| MOU Form Family | 10 | 4 | 40 | 14 | $55.45 | $2,218.00 | $308.30 | $2,526.30 | 
	
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 | TOTAL | $959,280.97 | $133,340.06 | $1,092,621.03 |