APHIS Form 79

APHIS 79

Worksheet for Calculating Costs to the Federal Government for Information Collection

Page 1 of 1

0579-0313, STANDARDS FOR PERMANENT, PRIVATELY OWNED HORSE QUARANTINE FACILITIES
Total Annual
Responses

Form Number or Other Identification

(A)

Avg. Time Per
Response

(B)

(C)

Total Hours
Per Year

Federal Employee

Total Costs

Wage
(Step 4)

(D x (E.2))

(F x 0.4706)

(F x 0.139)

(F + G + H)

(D)

(E.1)

(E.2)

(F)

(G)

(H)

(I)

2.00

8.00

13

APPLICATION FOR FACILITY APPROVAL

2

5.00

10.00

14

SERVICE AGREEMENTS

2

1.00

2.00

13

LETTER CHALLENGING WITHDRAWAL FOR FACILITY
APPROVAL

1

2.00

2.00

13

LETTER NOTIFYING APHIS OF FACILITY CLOSURE

1

1.00

1.00

13

COMPLIANCE AGREEMENT

2

1.00

2.00

13

SECURITY INSTRUCTIONS

1

0.08

0.08

13

ALARM NOTIFICATION

1

0.08

0.08

13

SECURITY BREACH

1

0.08

0.08

13

LIST OF PERSONNEL

1

0.42

0.42

13

SIGNED STATEMENT

4

1.00

4.00

13

100

2.00

200.00

13

1

2.00

2.00

13

TOTAL

Overhead
Costs

Grade

4

REQUEST FOR VARIANCE

Fringe Benefits

(B x C)

ENVIRONMENTAL CERTIFICATE

DAILY LOG

Wage Costs

$ 52.27

$

418.16

$

196.79

$

58.12

$

673.07

$ 61.77

$

617.70

$

290.69

$

85.86

$

994.25

$ 52.27

$

104.54

$

49.20

$

14.53

$

168.27

$ 52.27

$

104.54

$

49.20

$

14.53

$

168.27

$ 52.27

$

52.27

$

24.60

$

7.27

$

84.13

$ 52.27

$

104.54

$

49.20

$

14.53

$

168.27

$ 52.27

$

4.34

$

2.04

$

0.60

$

6.98

$ 52.27

$

4.34

$

2.04

$

0.60

$

6.98

$ 52.27

$

4.34

$

2.04

$

0.60

$

6.98

$ 52.27

$

21.80

$

10.26

$

3.03

$

35.08

$ 52.27

$

209.08

$

98.39

$

29.06

$

336.54

$ 52.27

$

10,454.00

$

4,919.65

$

1,453.11

$

16,826.76

$ 52.27

$

104.54

$

49.20

$

14.53

$

168.27

$

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19,643.85