Aphis 79

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Overview

APHIS Form 79
Respondents and Record Keepers

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Sheet 1: APHIS Form 79

Estimated Annual Program Costs for Collecting, Processing, Analyzing, Tabulating and/or Publishing the Information Collected (Do NOT include administrative costs such as printing and mailing of forms, etc.)
CWD Herd Certification Program							OMB Control No. 0579-XXXX
Form No. or Other Identification		Total Annual Responses	Avg. Time Per Responses	Total Hours Per Year	Persons Involved in the Information Collection*		Program Costs	Overhead Costs	Total Costs	Remarks
				(B x C)	Grade (GS)	Avg. Hourly Rate	(D x (E.2))	(F x 0.139)	(F + G)
(A)		(B)	(C)	(D)	(E.1)	(E.2)	(F)	(G)	(H)	(I)
55.23(a)(3)	MOU between States and APHIS (Signature only)	20	10.00	200	14	$55.45	$11,090	$1,542	$12,632
				0			$0	$0	$0
55.23	Letter to Request Participation - Business	100	1.00	0	14	$55.45	$0	$0	$0
55.22(b)	Letter to Request Participation - State	20	8.00	160	14	$55.45		$0	$0
							$0	$0	$0
				0			$0	$0	$0
55.25	Animal ID Documents - Business (inventory)	35	12.00	420	9	$27.21	$11,428	$1,589	$13,017
				0			$0	$0	$0
55.23(b)(3)	Report of Cervid Escapes, Disappearances, and Deaths	600	0.16	96	12	$39.46	$3,788	$527	$4,315
				0			$0	$0	$0
55.23(b)(4)	Herd Records - Business	100	10.00	1,000	12	$39.46	$39,460	$5,485	$44,945
				0			$0	$0	$0
									$0
				0			$0	$0	$0
55.24 (c)(1)	Letter to Appeal Suspension/ Status Adjustment	2	8.00	16	14	$55.45	$887	$123	$1,011
				0			$0	$0	$0
55.23	Herd Plan	2	50.00	100	14	$55.45	$5,545	$771	$6,316
				0			$0	$0	$0
81.3(b)	Interstate Health Certificate	20	1.00	20	12	$39.46	$789	$110	$899
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
Totals				2,012			$72,988	$10,145	$83,133
APHIS FORM 79
*Includes field and headqarters personnel.

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Sheet 2: Respondents and Record Keepers