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.)
							OMB Control No. 0579-0130
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)
	Denial-Appeal	1	0.25	1	13	$46.93	$47	$7	$53
	Withdrawal-Appeal	1	0.25	1	13	$46.93	$47	$7	$53
	Request to Terminate	1	0.25	1	13	$46.93	$47	$7	$53
	Corrective Action	2	0.50	1	13	$46.93	$8	$1	$9
	Accreditation Application	9	2.00	18	13	$46.93	$845	$117	$962
	Agreement	9	0.08	1	13	$46.93	$35	$5	$40
	Equipment Documentation	9	0.25	2	13	$46.93	$106	$15	$120
	Quality Manual	9	2.00	18	13	$46.93	$845	$117	$962
	Personnel Identification	9	1.00	9	13	$46.93	$422	$59	$481
	Personnel Changes	5	0.17	1	13	$46.93	$39	$5	$44
	Report of Location Change	2	0.17	1	13	$46.93	$47	$7	$53
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
Totals				54			$2,487	$346	$2,833
APHIS FORM 79
*Includes field and headqarters personnel.

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Sheet 2: Respondents and Record Keepers