79

---

Overview

APHIS Form 79
Respondents and Record Keepers

---

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			29-Jul-13
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	1925	0.1666	320.71	GS 14	$55.45	$17,783.09	$2,471.85	$20,254.94
	Facility Inspection Report	7700	0.1666	1282.82	GS 13	$46.93	$60,202.74	$8,368.18	$68,570.92
				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				1,604.52			$78,032.30	$10,846.49	$88,878.78
APHIS FORM 79
*Includes field and headqarters personnel.

---

Sheet 2: Respondents and Record Keepers