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.)
SPECIMEN SUBMISSION							OMB Control No. 0579-0090			6-Nov-15
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)
	Specimen Submission VS Form 10-4	21,171	0.16	4,332	GS 12	$40.84	$170,972	$23,765	$194,737
	Specimen Submission Supplement VS Form 10-4A	3,736	0.16	83	GS 12	$40.84	$3,283	$456	$3,739
	Parasite Submission Form VS Form 5-38	2,749	0.16	440	GS 12	$40.84	$17,963	$2,497	$20,460
				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				4,855			$192,218	$26,718	$218,936
APHIS FORM 79
*Includes field and headqarters personnel.

---

Sheet 2: Respondents and Record Keepers