Worksheet of Salary Costs to CSREES-USDA

United States Department of Agriculture

Cooperative State Research, Education, and Extension Service

Form CSREES-665, “Assurance of Compliance with the Department of Agriculture Regulations Assuring Civil Rights Compliance” and Form CSREES-666, “Organizational Information”

Worksheet of Salary Costs to CSREES-USDA

Estimated number of forms submitted per year - 150 of each form

Form CSREES-665 - $1,350 for 150 forms:

Cost estimated at $9 (15 minutes for a GS-12/5 - $35.32 per hour) for the review of each

Form CSREES-666 - $10,650 for 150 forms:

Cost estimated at $71 (2 hours for a GS-12/5 - $35.32 per hour) for the review of each

Costs included in the above are used for publishing the form and reviewing the form to determine compliance.

Attachment 5