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.)
Swine Health							OMB Control No. 0579-0137			6-Jun-13
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)
	Permit to Move Restricted Animals VS 1-27	1,875	0.50	938	13	$46.93	$43,997	$6,116	$50,112
	Certificate of Veterinary Inspection (CVI)	135,050	0.10	13,505	13	$46.93	$633,790	$88,097	$721,886
	Owner/Shipper Statement	6,000	0.10	600	12	$39.46	$23,676	$3,291	$26,967
	Accredited Vets Statement Concerning Embryos for	50	0.10	5	13	$46.93	$235	$33	$267
	Implantation and Semen Shipments			0			$0	$0	$0
	Swine Production Movement Health Plans	225	0.25	56	13	$46.93	$2,640	$367	$3,007
	Interstate Movement Report	1,200	0.10	120	13	$46.93	$5,632	$783	$6,414
	Quarterly Reports of Pseudorabies Control/Eradication	200	2.00	400	13	$46.93	$18,772	$2,609	$21,381
	Appraisal and Indemnity Claim Form (VS 1-23	15	0.50	8	12	$39.46	$296	$41	$337
	Herd Plan	15	0.50	8	13	$46.93	$352	$49	$401
	Report of Salvage Proceeds	5	0.50	3	12	$39.46	$99	$14	$112
				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
				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
				0			$0	$0	$0
				0			$0	$0	$0
Totals				15,641			$729,487	$101,399	$830,886
APHIS FORM 79
*Includes field and headqarters personnel.

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Sheet 2: Respondents and Record Keepers