| TITLE OF INFORMATION COLLECTION REQUEST |
OMB CONTROL NO. |
| Specimen Submission |
0579-0090 |
| DATE PREPARED |
|
Key in date prepared. Example: January 1, 2021
December 10, 2021 |
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OPM PAY TABLE |
09/2019
Benefits account for 38% of employee costs
and wages account for the remaining 62%.
W = .62 x TC
TC = 1.6129 x W
FB = .38 x TC
TC = 2.6316 x FB
2.6316 x FB = TC = 1.6129 x W
FB = (1.6129 / 2.6316) x W
FB = .613 x W
Fringe Benefits = Wages x .613
FRINGE BENEFITS FACTOR |
OVERHEAD COST FACTOR |
TOTAL FEDERAL GOVERNMENT COSTS |
|
(A) |
(B) |
(C) |
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2021-DCB |
0.613 |
0.139 |
$419,358 |
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| ACTIVITY DESCRIPTION (incl form number) |
TOTAL ANNUAL RESPONSES |
AVG TIME PER RESPONSES |
TOTAL HOURS PER YEAR |
SALARY |
TOTAL COSTS |
| GRADE |
WAGE (Step 4) |
|
(D) |
(E) |
(F) |
(G) |
(H) |
(1+B+C) X F X H |
| Specimen Submission VS Form 10-4 |
25,900 |
0.160 |
4,144 |
12 |
45.96 |
$333,683 |
| Specimen Submission Supplement VS Form 10-4A |
3,737 |
0.160 |
598 |
12 |
45.96 |
$48,152 |
| Parasite Submission Form VS Form 5-38 |
2,749 |
0.160 |
440 |
12 |
45.96 |
$35,430 |
| Non-Conforming Submissions (No Form Submitted) |
160 |
0.160 |
26 |
12 |
45.96 |
$2,094 |