Aphis 79

Page 1 of 5

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.)

Date
16-Aug-17

OMB Control No.
Importation of Animals and Poultry, Animal and Poultry Products, Certain Animal Embryos, Semen, and Zoological Animals
Form No.
Avg. Time
or Other
Total Annual
Per
Total Hours
Identification
Per Year
Responses Responses

0579-0040

(B x C) Grade (GS)
(B)

(A)
90-Day Written Bird Possession Statement - Canada
Agreement of Confinement in Personal Possession Declaration
and Affirmation Under Oath - VS 17-8
U.S. Permit to Transit Poultry, Hatching Eggs, or Birds - VS 17135
Application and Space Reservation Requests for Ratites and
Ratite Hatching Eggs and Site Inspection - VS 17-128
Declaration of Importation of Animals, Animal Semen,
Embryos, Birds, Poultry, and Eggs for Hatching - VS 17-129
Owner or Manager and Country of Export Quarterly Submission
of Registers
Recordkeeping - National Exporting Country Registers and
Maintenance of Current Production Records, Additions to Such
Premises, and Ceiling Limitations
Request for Hearing for Withdrawal of an Import Permit for
Ratites or Ratite Hatching Eggs
Random Inspections of Ratite Farms per Breeding Season of
Premises for Required Identification and Recording on
Quarterly Report of Registers
Cooperative Agreement and Trust Fund for Birds (includes
providing a list of current employees to port veterinarians,
signed statement from each designated employee, written
instructions to monitoring agency, telephone numbers of
cooperators, written request for accounting of funds, and written
termination)
Daily Log and Additional Requirements for the Quarantine of
Birds
Application for Import or In-Transit Permit (for Live Animals,
Animal Semen, animal embryos, Birds, Poultry, or hatching
eggs - VS 17-129
Request Space at USDA operated quarantine facilities
Export Health Certificates
Letter of Credit, Cashier's Check, Certified Check, or Money
Order
Written Notice of Cancellation from Importer
Daily Record of Horse's Activities

APHIS Form 79

(C)

Program
Costs

Overhead
Costs

Total Costs

Avg. Hourly Rate

(D x (E.2))

(F x 0.139)

(F + G)

(E.2)

(F)

(G)

(H)

Persons Involved in the
Information Collection*

(D)

(E.1)

(I)

150

0.16

24

12

42.02

$1,008

$140

$1,149

80

0.15

12

12

42.02

$504

$70

$574

432

0.20

86

12

42.02

$3,631

$505

$4,135

2

0.16

0

12

42.02

$13

$2

$15

65,984

0.06

3,959

12

42.02

$166,359

$23,124

$189,483

80

0.50

40

9

28.97

$1,159

$161

$1,320

80

0.75

60

9

28.97

$1,738

$242

$1,980

1

6.00

6

14

59.04

$354

$49

$403

1

1.50

2

12

42.02

$63

$9

$72

24

2.00

48

14

59.04

$2,834

$394

$3,228

13

2.00

26

12

42.02

$1,093

$152

$1,244

27,702

0.25

6,926

12

42.02

$291,010

$40,450

$331,460

7,436

0.03

245

12

42.02

$10,311

$1,433

$11,744

147,784

0.50

73,892

12

42.02

$3,104,942

$431,587

$3,536,529

400

0.15

60

11

35.06

$2,104

$292

$2,396

1

0.25

0

11

35.06

$9

$1

$10

500

1.00

500

14

59.04

$29,520

$4,103

$33,623

Worksheet for Calculating Costs to the Federal Government for Information Collection

Remarks

USDA GIPSA P&SP

Page 2 of 5

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.)

Date
16-Aug-17

OMB Control No.
Importation of Animals and Poultry, Animal and Poultry Products, Certain Animal Embryos, Semen, and Zoological Animals
Form No.
Avg. Time
or Other
Total Annual
Per
Total Hours
Identification
Per Year
Responses Responses

0579-0040

(B x C) Grade (GS)
(A)
Written Request to Change Horse's Itinerary or Method of
Transport
Appeal or Hearing of Import Permit Withdrawal
Written Agreement for CEM Monitoring

(B)

(C)

(D)

Program
Costs

Overhead
Costs

Total Costs

Avg. Hourly Rate

(D x (E.2))

(F x 0.139)

(F + G)

(E.2)

(F)

(G)

(H)

Persons Involved in the
Information Collection*
(E.1)

(I)

6

0.03

0

13

49.96

$9

$1

$10

1

6.00

6

13

49.96

$300

$42

$341

210

0.15

32

12

42.02

$1,324

$184

$1,508

Opportunity to Present View on Suspension

1

6.00

6

12

42.02

$252

$35

$287

Zoological Park Inspection Report
Agreement and Protocol for the Importation, Quarantine, and
Exhibition of Certain Wild Ruminants and Wild Swine
Reporting of Zoo Animals with Suspected Cases of Contagious
or Communicable Diseases

2

5.00

10

12

42.02

$420

$58

$479

1

0.50

1

12

42.02

$21

$3

$24

2

0.19

0

12

42.02

$16

$2

$18

Agreement for Transfer of Certain Wild Animals
Appplication for Approval of Quarantine or Holding Facility Business
Application for Approval of Quarantine or Holding Facility Individuals

1

0.25

0

12

42.02

$11

$1

$12

22

0.25

6

12

42.02

$231

$32

$263

1

0.25

0

12

42.02

$11

$1

$12

Opportunity for Hearing to Present Views on Facility
Suspension or Withdrawal and Written Withdrawal by Facility
Operator
Trust Fund or Compliance Agreement for Horses
Daily Log of Privately Owned Quarantine Facility for Ruminants,
Swine, and Equine
Application for Approval of Quarantine Facilities and Request
for Transfer of Operations to Another Facility for Birds - VS 1711
Written Request for Inspection, Other Services, and Dipping VS 17-32
Importer or Agent Certification of Tick Freedom (Letter)
72-hour prior arrival notice (tenrecs, hedgehogs, elephants,
hippos, rhinos, and tapirs)
Owner Affidavit for Sheep and Goats from Scrapie Regions
Request for Recognition of the Animal Heatlh Status of a
Region
Application for Recognition of the Animal Health Status of a
Region
Application for Recognition of a Region as Historically Free of
Disease
Request for Additional Information about a Region
APHIS Form 79

18

6.00

108

12

42.02

$4,538

$631

$5,169

28

1.00

28

14

59.04

$1,653

$230

$1,883

100

5.00

500

14

59.04

$29,520

$4,103

$33,623

28

0.50

14

12

42.02

$588

$82

$670

63,350

0.25

15,838

12

42.02

$665,492

$92,503

$757,995

9,275

0.19

1,762

12

42.02

$74,050

$10,293

$84,343

1,350

0.50

675

9

28.97

$19,555

$2,718

$22,273

1

0.03

0

12

42.02

$1

$0

$1

5

2.00

10

14

59.04

$590

$82

$672

5

80

400

14

59.04

$23,616

$3,283

$26,899

2

60

120

14

59.04

$7,085

$985

$8,070

13

80

1040

14

59.04

$61,402

$8,535

$69,936

Worksheet for Calculating Costs to the Federal Government for Information Collection

Remarks

USDA GIPSA P&SP

Page 3 of 5

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.)

Date
16-Aug-17

OMB Control No.
Importation of Animals and Poultry, Animal and Poultry Products, Certain Animal Embryos, Semen, and Zoological Animals
Form No.
Avg. Time
or Other
Total Annual
Per
Total Hours
Identification
Per Year
Responses Responses

0579-0040

(B x C) Grade (GS)
(A)
Appeal Classification of Animal Health Status
Written Recommendations have been Implemented by the
Region
Certification that Horses Spend Less Than 60 Days in a Region

(B)

(C)

Program
Costs

Overhead
Costs

Total Costs

Avg. Hourly Rate

(D x (E.2))

(F x 0.139)

(F + G)

(E.2)

(F)

(G)

(H)

Persons Involved in the
Information Collection*

(D)

(E.1)

(I)

1

10

10

14

59.04

$590

$82

$672

3

20

60

14

59.04

$3,542

$492

$4,035

50

0

5

12

42.02

$210

$29

$239

Permanent Electronic ID, Compatible Reader

150

0

37.5

7

23.69

$888

$123

$1,012

Photographs for Identification of Horses

150

0

37.5

13

49.96

$1,874

$260

$2,134

6

0

1.5

14

59.04

$89

$12

$101

720

0

90

12

42.02

$3,782

$526

$4,307

Written Plan for Medical Treatment
Statement/Certificate for Animals Enteriing the United States
from Countries Affected with Screwworm
Checklist for the Approval of Permanent, Privately Owned
Equine Qurantine Facilities
Speciment Submission 10-4
Notice of Arrival

3

1

3

13

49.96

$150

$21

$171

5,500

0

1815

12

42.02

$76,266

$10,601

$86,867

25,000

0

8250

12

42.02

$346,665

$48,186

$394,851

Emergency Action Notification (PPQ 523)
Application for Permit To: Import or Transport Controlled
Material or Organisms or Vectors (VS 16-3)

1

1

1

12

42.02

$42

$6

$48

9

0

1.44

13

49.96

$72

$10

$82

Refusal of Entry and Order to Dispose of Fish

1

6

6

13

49.96

$300

$42

$341

Cleaning and Disinfection Certificate

1

0

0.16

13

49.96

$8

$1

$9

Premises Information (Herd of Origin Certificate and Annex)

1

0

0.17

12

42.02

$7

$1

$8

TB History Certificate

28,080

0

4773.6

12

42.02

$200,587

$27,882

$228,468

Dip Certificate

14,040

0

1123.2

12

42.02

$47,197

$6,560

$53,757

Brand

28,080

0

2246.4

12

42.02

$94,394

$13,121

$107,514

Application for On-Hold Shipment (VS 16-79) Payment Process
Application for On-Hold Shipment (VS 16-79) Application
Process

610

0.50

305

9

28.97

$8,836

$1,228

$10,064

610

0.50

305

9

28.97

$8,836

$1,228

$10,064

Application for On-Hold Shipment (VS 16-79) Review Process
Report of Entry and Shipment of Restricted Imported Animal
Products or Byproducts (VS 16-78)

610

0.50

305

12

42.02

$12,816

$1,781

$14,598

1,250

0.25

312.5

12

42.02

$13,131

$1,825

$14,956

Certificate for Importing Sheep and Goat Semen from Canada

4

0.25

1

7

23.69

$24

$3

$27

Seals

1

1.00

1

12

42.02

$42

$6

$48

$5,327,682

$740,548

$6,068,230

Totals

126,133

Remarks

APHIS FORM 79
APHIS Form 79

Worksheet for Calculating Costs to the Federal Government for Information Collection

USDA GIPSA P&SP

Page 4 of 5

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.)

Date
16-Aug-17

OMB Control No.
Importation of Animals and Poultry, Animal and Poultry Products, Certain Animal Embryos, Semen, and Zoological Animals
Form No.
Avg. Time
or Other
Total Annual
Per
Total Hours
Identification
Per Year
Responses Responses

0579-0040

(B x C) Grade (GS)
(A)

(B)

(C)

(D)

Program
Costs

Overhead
Costs

Total Costs

Avg. Hourly Rate

(D x (E.2))

(F x 0.139)

(F + G)

(E.2)

(F)

(G)

(H)

Persons Involved in the
Information Collection*
(E.1)

Remarks

*Includes field and headqarters personnel.

APHIS Form 79

Worksheet for Calculating Costs to the Federal Government for Information Collection

USDA GIPSA P&SP

(I)