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.)
HEALTH CERTIFICATE/EXPORT CERTIFICATE – ANIMAL PRODUCTS							OMB Control No. 0579-0256			15-Dec-12
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 16-4 (Signature only)	168,000	0.0160	2,688	13	$46.93	$126,147.84	$17,534.55	$143,682.39
	VS 16-4	168,000	0.5000	84,000	5	$17.96	$1,508,640.00	$209,700.96	$1,718,340.96
	VS 16-4A (Signature only)	10,500	0.0160	168	13	$46.93	$7,884.24	$1,095.91	$8,980.15
	VS 16-4A	10,500	0.5000	5,250	5	$17.96	$94,290.00	$13,106.31	$107,396.31
	Hearing Request	1	1.0000	1	14	$55.45	$55.45	$7.71	$63.16
	Notification of Tampered Certificate	1	1.0000	1	11	$32.92	$32.92	$4.58	$37.50
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
				0			$0.00	$0.00	$0.00
Totals				92,108			$1,737,050.45	$241,450.01	$1,978,500.46
APHIS FORM 79
*Includes field and headqarters personnel.

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Sheet 2: Respondents and Record Keepers