Aphis 79

---

Overview

APHIS Form 79
Respondents and Record Keepers

---

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.)
							OMB Control No.			Date
Nomination Request Form - Animal Disease Training							0579-0353			26-Aug-14
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)
VS 1-5	Nomination Request Form	350	0.33	116	7	$22.69	$2,621	$364	$2,985
				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
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
				0			$0	$0	$0
Totals				116			$2,621	$364	$2,985
APHIS FORM 79
*Includes field and headqarters personnel.

---

Sheet 2: Respondents and Record Keepers