0146 2023 Aphis 79

OMB CONTROL NO.	0579-0146				DATE PREPARED	2/28/2023
TITLE OF INFORMATION COLLECTION REQUEST (ICR)	Tuberculosis
Additional line for ICR Title if title is too long
	OPM PAY TABLE (A)	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 (B)	OVERHEAD COST FACTOR (C)			TOTAL FEDERAL GOVERNMENT COSTS
Activity descriptions and calculations are below.	2023-DEN	0.613	0.139			$1,782,335
ACTIVITY DESCRIPTION (incl form number)	TOTAL ANNUAL RESPONSES (D)	AVG TIME PER RESPONSES (E)	TOTAL HOURS PER YEAR (F)	GRADE (G)	WAGE (Step 4) (H)	TOTAL COSTS (1+B+C) x F x H
Annual Report for Retention of Status	53	5	265	13	$57.51	$26,701
Request for Zone Status	2	300	600	14	$67.96	$71,440
MOU for Zones, Initial and Yearly Testing Renegotiation	2	300	600	14	$67.96	$71,440
Epidemiological Review of Zone Testing	1	5	5	13	$57.51	$504
TB Management Plan, Findings of TB in a Species Not Covered	2	300	600	13	$57.51	$60,455
Accredited Herd Written Herd Plan	4	3.500	14	13	$57.51	$1,411
Wildlife Risk Survey	2,000	2	4,000	8	$30.19	$211,572
Report of TB Eradication (Monthly Report)	208	0.500	104	13	$57.51	$10,479
Report of Suspicious TB Lesions or Thoracic Granulomas in Regular Kill Cattle	100	0.083	9	12	$48.36	$763
Specimen Submission Form	874	0.160	140	12	$48.36	$11,862
Specimen Collection Form Supplement, Livestock/Wildlife	15	0.160	3	12	$48.36	$254
Permit for Movement of Animals	4,325	0.160	692	8	$30.19	$36,602
Permit for Movement of Animals (Continuation Sheet)	4,325	0.160	692	8	$30.19	$36,602
Caudal Fold Test Record (Cooperative State-Federal TB Eradication Program TB Test Record)	12,940	0.420	5,435	12	$48.36	$460,490
Caudal Fold Test Record Continuation Sheet	12,940	0.420	5,435	12	$48.36	$460,490
Tuberculin Test Record (Special)	800	0.420	336	12	$48.36	$28,468
Comparative Cervical Tuberculin Test Results	800	0.420	336	12	$48.36	$28,468
TB Test Record, Gamma	258	0.100	26	12	$48.36	$2,203
Affected Herd Data	6	20	120	12	$48.36	$10,167
Affected Herd Testing Results	1	4	4	12	$48.36	$339
Approved Herd Plan (Individual Herd Plan) - Test and Remove Plan	8	17.500	140	13	$57.51	$14,106
Depopulation and Repopulation Agreement	2	40	80	13	$57.51	$8,061
TB-Infected Herd Field Report	1	1.500	2	12	$48.36	$169
Report on Herd Revealing Reactors to Tuberculin Test	1	4	4	13	$57.51	$403
Investigation for Evidence of TB (Reactor)	12	1.500	18	12	$48.36	$1,525
Investigation for Evidence of TB (Exposed Animal)	49	1.500	74	12	$48.36	$6,270
Appraisal and Indemnity Claim	115	1	115	12	$48.36	$9,744
Request for 15-Day Extension	25	0.250	7	14	$67.96	$833
Proceeds from Animals Sold to Slaughter	40	0.670	27	13	$57.51	$2,720
Certificate for Movement	11,250	0.167	1,879	12	$48.36	$159,202
Commuter Herd Agreement	2	20	40	13	$57.51	$4,030
Recordkeeping for Approved Feedlots	15	40	600	9	$33.35	$35,058
Template for Owner Participation	1	1	1	13	$57.51	$101
Apply Label to Shipment	25	0.008	1	9	$33.35	$58
Recordkeeping for Cerficates of Movement	4	40	160	9	$33.35	$9,349