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-XXXX
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)
	HPAI Questionnaire - States and Territories	68	1.00	68	GS-13	$47.87	$3,255	$452	$3,708
				0			$0	$0	$0
	HPAI Questionnaire - Industry	500	1.00	500	GS-13	$47.87	$23,935	$3,327	$27,262
				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	$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				568			$27,190	$3,779	$30,970
APHIS FORM 79
*Includes field and headqarters personnel.

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Sheet 2: Respondents and Record Keepers