Paperwork Reduction Act | |||||||||||
OMB Approved 0579-0494, Expires XX/XXXX | |||||||||||
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0494. The time required to complete this information collection is estimated to average 2 to 18 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden statement or any other aspect of this information collection, including suggestions for reducing this burden, to APHIS.PRA@usda.gov. | |||||||||||
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AFFECTED -Dairy HPAI Expense Tracker | |||||||
Special ID: | Premises ID Number: | ||||||
RECEIPTS, INVOICES, AND EMPLOYEE LOG SHEETS MUST BE SUBMITTED TO VALIDATE THE FOLLOWING EXPENSES. USDA DOES NOT REIMBURSE THE PURCHASE OF EQUIPMENT. USDA REIMBURSES NECESSARY EQUIPMENT RENTED FOR A TIMEFRAME COMMENSURATE WITH REIMBURSABLE TASKS. HOURLY EQUIPMENT RATES INCLUDE EQUIPMENT, OPERATOR, AND FUEL. |
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Support Option #1- Protect Against the Potential Spread Between Human and Animals | |||||||
PPE Costs | |||||||
Disposable PPE ($10.00/set) | |||||||
Uniform laundering | |||||||
Number of workers per farm | |||||||
Other costs (details required) | |||||||
Other costs (details required) | |||||||
Other costs (details required) | |||||||
Total PPE Costs (in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
Details of Costs: | |||||||
A flat rate per employee per PPE set will be offered to producers who elect this option, up to $2,000 per affected premises per month. | |||||||
Producers will need to provide proof of purchase of PPE or the cost of laundering services as well as acknowledgement from CDC of their participation in the study. | |||||||
Supplies | TOTAL | $0.00 |
AFFECTED- Dairy HPAI Expense Tracker | ||||||
Special ID: | Premises ID Number: | |||||
RECEIPTS, INVOICES, AND EMPLOYEE LOG SHEETS MUST BE SUBMITTED TO VALIDATE THE FOLLOWING EXPENSES. USDA DOES NOT REIMBURSE THE PURCHASE OF EQUIPMENT. USDA REIMBURSES NECESSARY EQUIPMENT RENTED FOR A TIMEFRAME COMMENSURATE WITH REIMBURSABLE TASKS. HOURLY EQUIPMENT RATES INCLUDE EQUIPMENT, OPERATOR, AND FUEL. |
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Support Option #2-Support for Biosecurity Planning and Implementation | ||||||
Biosecurity Plan Costs | ||||||
Private Entities (if applicable) | ||||||
Number of workers | ||||||
Hours per worker | ||||||
Wage ($/hour) | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Total Biosecurity Plan Costs (in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Labor- Biosecurity Plan | TOTAL | |||||
Biosecurity Implementation | ||||||
Biosecurity training | ||||||
(Training)Hours per worker | ||||||
(Training) Wage ($/hour) | ||||||
Biosecurity Audit | ||||||
In-Line Sampler for Milk System | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Total Biosecurity Implementation Costs (in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Labor- Biosecurity Implementation | TOTAL | |||||
Details of Costs: | ||||||
Producers can elect to hire private entities to develop site specific plans, conduct biosecurity trainings, and perform audits. | ||||||
Producers would be compensated up to $1,500 per affected premises for these services after verification and inclusion on the Dairy HPAI Expense Tracker. | ||||||
Producers could elect to work with State personnel who would develop site specific plans, conduct biosecurity trainings, and perform audits. | ||||||
States would be compensated under a cooperative agreement based on the flat rates for activities chosen by the Producer. | ||||||
USDA will provide a $100 payment to producers who purchase and install an in-line sampler for their milk system on an affected premises. | ||||||
TOTAL | $0.00 | |||||
AFFECTED -Dairy HPAI Expense Tracker | ||||||
Special ID: | Premises ID Number: | |||||
RECEIPTS, INVOICES, AND EMPLOYEE LOG SHEETS MUST BE SUBMITTED TO VALIDATE THE FOLLOWING EXPENSES. USDA DOES NOT REIMBURSE THE PURCHASE OF EQUIPMENT. USDA REIMBURSES NECESSARY EQUIPMENT RENTED FOR A TIMEFRAME COMMENSURATE WITH REIMBURSABLE TASKS. HOURLY EQUIPMENT RATES INCLUDE EQUIPMENT, OPERATOR, AND FUEL. |
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Support Option #3-Funding for Heat Treatment to Dispose of Waste Milk in a Biosecure Method | ||||||
Supplies to prepare for or conduct heat treatment for milk |
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Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Total Equipment and Supplies (in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Details of Costs: | ||||||
If a producer establishes a system to heat treat all waste milk from sick cows before disposal, USDA will pay the producer up to $2,000 per month, up to $8,000 total, per affected premises. | ||||||
Supplies | TOTAL | $0.00 |
AFFECTED- Dairy HPAI Expense Tracker | ||||||
Special ID: | Premises ID Number: | |||||
RECEIPTS, INVOICES, AND EMPLOYEE LOG SHEETS MUST BE SUBMITTED TO VALIDATE THE FOLLOWING EXPENSES. USDA DOES NOT REIMBURSE THE PURCHASE OF EQUIPMENT. USDA REIMBURSES NECESSARY EQUIPMENT RENTED FOR A TIMEFRAME COMMENSURATE WITH REIMBURSABLE TASKS. HOURLY EQUIPMENT RATES INCLUDE EQUIPMENT, OPERATOR, AND FUEL. |
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Support Option #4-Veterinary Costs Associated with Confirmed Positive H5N1 Premises | ||||||
Labor for Veterinary Care | ||||||
Number of workers | ||||||
Hours per worker | ||||||
Wage ($/hour) | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Total Labor for Veterinary Care(in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
Labor - Veterinary Care | TOTAL | $0.00 | ||||
Labor for Veterinary Care | ||||||
Number of Veterinarians | ||||||
Hours per Veterinarian | ||||||
Farm Call Flat Rate | ||||||
Wage ($/hour) | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Total Labor for Veterinarian (in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
Labor - Veterinary Care | TOTAL | $0.00 | ||||
Veterinary - Supplies | ||||||
Supplies to treat cattle (e.g. fluids, electrolytes, supplements) |
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Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Total Equipment and Supplies (in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
Supplies-Veterinary | TOTAL | $0.00 | ||||
Details of Costs: | ||||||
This can include veterinary fees and/or specific supplies needed for treatment and sample collection. | ||||||
Veterinary costs are eligible for reimbursement from 120 days from the initial date of confirmation at the NVSL, up to $10,000 per premises. | ||||||
TOTAL | $0.00 |
AFFECTED- Dairy HPAI Expense Tracker | ||||||
Special ID: | Premises ID Number: | |||||
RECEIPTS, INVOICES, AND EMPLOYEE LOG SHEETS MUST BE SUBMITTED TO VALIDATE THE FOLLOWING EXPENSES. USDA DOES NOT REIMBURSE THE PURCHASE OF EQUIPMENT. USDA REIMBURSES NECESSARY EQUIPMENT RENTED FOR A TIMEFRAME COMMENSURATE WITH REIMBURSABLE TASKS. HOURLY EQUIPMENT RATES INCLUDE EQUIPMENT, OPERATOR, AND FUEL. |
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Support Option #5- Offset Shipping Costs for Influenza A Testing at Laboratories in the NAHLN | ||||||
Shipping Costs (Does NOT include supplies) |
||||||
Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Total Shipping Costs (in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Details of Costs: | ||||||
USDA will pay actual shipping costs, not to exceed $50 per shipment for up to 2 shipments per month for each affected premises. | ||||||
Testing at NAHLN laboratories for samples associated with this event (e.g., pre-movement, testing of sick/suspect animals, samples from concerned producers) is already being conducted at no-cost to the Producer. | ||||||
This total may include shipping supplies. | ||||||
NAHLN= National Animal Health Laboratory Network | ||||||
Costs- Shipping | TOTAL | $0.00 |
Labor | |||||||||||||
Date | # Workers per day | Number of hours per worker | Total hours worked per day | Activities Performed | |||||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | ||||
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Total | 0 |
NON-AFFECTED- Dairy HPAI Expense Tracker | ||||||
Special ID: | Premises ID Number: | |||||
RECEIPTS, INVOICES, AND EMPLOYEE LOG SHEETS MUST BE SUBMITTED TO VALIDATE THE FOLLOWING EXPENSES. USDA DOES NOT REIMBURSE THE PURCHASE OF EQUIPMENT. USDA REIMBURSES NECESSARY EQUIPMENT RENTED FOR A TIMEFRAME COMMENSURATE WITH REIMBURSABLE TASKS. HOURLY EQUIPMENT RATES INCLUDE EQUIPMENT, OPERATOR, AND FUEL. |
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Support Option #2-Support for Biosecurity Planning and Implementation | ||||||
Biosecurity Plan Costs | ||||||
Private Entities (if applicable) | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Total Biosecurity Plan Costs (in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Labor- Biosecurity Plan | TOTAL | |||||
Biosecurity Implementation | ||||||
Biosecurity training | ||||||
(Training)Hours per worker | ||||||
(Training) Wage ($/hour) | ||||||
Number of workers | ||||||
Hours per worker | ||||||
Wage ($/hour) | ||||||
Biosecurity Audit | ||||||
In-Line Sampler for Milk System | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Total Biosecurity Implementation Costs (in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Labor- Biosecurity Implementation | TOTAL | |||||
Details of Costs: | ||||||
Producers can elect to hire private entities to develop site specific plans, conduct biosecurity trainings, and perform audits. | ||||||
Producers would be compensated up to $1,500 per affected premises for these services after verification and inclusion on the Dairy HPAI Expense Tracker. | ||||||
Producers could elect to work with State personnel who would develop site specific plans, conduct biosecurity trainings, and perform audits. | ||||||
States would be compensated under a cooperative agreement based on the flat rates for activities chosen by the Producer. | ||||||
USDA will provide a $100 payment to Producers who purchase and install an in-line sampler for their milk system on an affected premises. | ||||||
The Producer will need to provide receipt for proof of purchase and installation of the in-line sampler. | ||||||
TOTAL | $0.00 |
NON-AFFECTED- Dairy HPAI Expense Tracker | ||||||
Special ID: | Premises ID Number: | |||||
RECEIPTS, INVOICES, AND EMPLOYEE LOG SHEETS MUST BE SUBMITTED TO VALIDATE THE FOLLOWING EXPENSES. USDA DOES NOT REIMBURSE THE PURCHASE OF EQUIPMENT. USDA REIMBURSES NECESSARY EQUIPMENT RENTED FOR A TIMEFRAME COMMENSURATE WITH REIMBURSABLE TASKS. HOURLY EQUIPMENT RATES INCLUDE EQUIPMENT, OPERATOR, AND FUEL. |
||||||
Support Option #4-Veterinary Costs Associated with Sample Collection for H5N1 Testing | ||||||
Labor for Veterinary Care | ||||||
Number of workers | ||||||
Hours per worker | ||||||
Wage ($/hour) | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Total Labor for Veterinary Care(in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
Labor - Veterinary Care | TOTAL | $0.00 | ||||
Labor for Veterinary Care | ||||||
Number of Veterinarians | ||||||
Hours per Veterinarian | ||||||
Farm Call Flat Rate | ||||||
Wage ($/hour) | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Other Costs- Description of Item/Cost per Item: | ||||||
Total Labor for Veterinarian (in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
Labor - Veterinary Care | TOTAL | $0.00 | ||||
Veterinary - Supplies | ||||||
Supplies to treat cattle (e.g. fluids, electrolytes, supplements) |
||||||
Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Total Equipment and Supplies (in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
Supplies-Veterinary | TOTAL | $0.00 | ||||
Details of Costs: | ||||||
This can include veterinary fees and/or specific supplies needed for H5N1 sample collection. | ||||||
Veterinary sample collection costs are eligible to be covered from the April 29, 2024 (the date the Federal Order went into effect) for that premises, up to $2,000 per premises. | ||||||
The Producer will need to provide paid veterinary bills associated with sample collection. | ||||||
TOTAL | $0.00 |
NON-AFFECTED- Dairy HPAI Expense Tracker | ||||||
Special ID: | Premises ID Number: | |||||
RECEIPTS, INVOICES, AND EMPLOYEE LOG SHEETS MUST BE SUBMITTED TO VALIDATE THE FOLLOWING EXPENSES. USDA DOES NOT REIMBURSE THE PURCHASE OF EQUIPMENT. USDA REIMBURSES NECESSARY EQUIPMENT RENTED FOR A TIMEFRAME COMMENSURATE WITH REIMBURSABLE TASKS. HOURLY EQUIPMENT RATES INCLUDE EQUIPMENT, OPERATOR, AND FUEL. |
||||||
Support Option #5- Offset Shipping Costs for Influenza A Testing at Laboratories in the NAHLN | ||||||
Shipping Costs (Does NOT include supplies) |
||||||
Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Description of Item/Cost per Item: | ||||||
Total Shipping Costs (in $): | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
Costs- Shipping | TOTAL | $0.00 | ||||
Details of Costs: | ||||||
USDA will pay actual shipping costs, not to exceed $50 per shipment for up to 2 shipments per month for each affected premises. | ||||||
Testing at NAHLN laboratories for samples associated with this event (e.g., pre-movement, testing of sick/suspect animals, samples from concerned producers) is already being conducted at no-cost to the Producer. | ||||||
The Producer will need to provide receipts for sample shipping costs. | ||||||
This total may include shipping supplies. | ||||||
NAHLN= National Animal Health Laboratory Network | ||||||
Costs- Shipping | TOTAL | $0.00 |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |