0579-0297 2017 APHIS Form 79

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OMB Control No.
0579-0297

National Veterinary Accreditation Program Application Form

Form Number of Other Identification

(A)

Total Annual
Responses

(B)

National Veterinary Accreditation Program
Application Form (VS 1-36A)
Request for Appeal

Avg. Time Per
Response

(C)

Total Hours
Per Year

Persons Involved in the
Information Collection*

Program Costs

Overhead
Costs

Total Costs

(B x C)

Grade (GS)

Avg. Hourly
Rate (Step 4)

(D x (E.2))

(F x 0.139)

(F + G)

(D)

(E.1)

(E.2)

(F)

(G)

(H)

1.000

23,800

GS-14

$

59.04

$ 1,405,152.00

$ 195,316.13

$ 1,600,468.13

1

1.000

1

GS-14

$

59.04

$

$

$

8.21

TOTALS

APHIS Form 79

(I)

23,800

59.04

Remarks

67.25

$ 1,600,535.37

Worksheet for Calculating Costs to the Federal Government for Information Collection

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