| RECORDKEEPING | 
		
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		| Section of Regulation | 
		Title | 
		Form Number       (if any) | 
		Estimated Number of Respondents | 
		Reports Filed Annually | 
		Total Annual Responses                (Col. DxE) | 
		Estimated Avg. No. of Manhours Per Respones | 
		Estimated Total Manhours               (Col. FxG) | 
		Previously Approved | 
		Program Change | 
		Adjustment | 
		Total Difference | 
	
	
		| A | 
		B | 
		C | 
		D | 
		E | 
		F | 
		G | 
		H | 
		
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		| STATE AGENCY LEVEL | 
		
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		| 245.3 (a) | 
		SA announces eligibility guidelines, and maintains documentation that it has done so. | 
		
  | 
		54 | 
		1 | 
		54.000 | 
		0.25 | 
		13.500 | 
		13.500 | 
		
  | 
		
  | 
		0.000 | 
	
	
		| 245.4 (e) | 
		Puerto Rico and Virgin Islands SAs maintain on file all information related to their statistical surveys. | 
		
  | 
		2 | 
		1 | 
		2.000 | 
		1.500 | 
		3.000 | 
		3.000 | 
		
  | 
		
  | 
		0.000 | 
	
	
		| 245.9 (g) | 
		SA shall retain records related to the implementation of Provision 2 and Provision 3 for 3 years after submission of the last Claim for Reimbursement. | 
		
  | 
		54 | 
		1 | 
		54.000 | 
		12 | 
		648.000 | 
		648.000 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.11 (h) | 
		SA s maintain information on schools participating and extensions granted in Provision 2 and 3 | 
		
  | 
		54 | 
		1 | 
		54.000 | 
		3 | 
		162.000 | 
		162.000 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.11(i) | 
		SAs retain district level data | 
		
  | 
		54 | 
		1 | 
		54.000 | 
		1 | 
		54.000 | 
		54.000 | 
		
  | 
		
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		0.000 | 
	
	
		| State Agency Level Totals | 
		
  | 
		
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		54 | 
		4.0370 | 
		218.000 | 
		4.039 | 
		880.500 | 
		880.500 | 
		
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		0.000 | 
	
	
		| SCHOOL FOOD AUTHORITY/SPONSOR LEVEL | 
		
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		| 245.5 (a) (1), 245.9 (b-e) | 
		SFAs develop notice to parents containing eligibility criteria , and maintain documentation of having done so. SFAs operating under Provision 2 and 3 are exempt from this requirement. | 
		
  | 
		20,280 | 
		1 | 
		 20,280.000  | 
		0.25 | 
		 5,070.000  | 
		5,070.000 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.5 (a) (2), 245.9 (b-e),  | 
		SFAs develop and distribute a public release with information operating under Provision 2 and 3 similar to letter to parents. SFAs are exempt from this requirement. | 
		
  | 
		20,280 | 
		1 | 
		 20,280.000  | 
		0.25 | 
		 5,070.000  | 
		5,070.000 | 
		
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		0.000 | 
	
	
		| 245.6 (a), 249.9 (b-e) | 
		SFAs develop and distribute supplies of form to be used by households to apply for benefits.  SFAs operating under Provisions 2 and 3 are exempt from this requirement. | 
		
  | 
		20,280 | 
		1 | 
		 20,280.000  | 
		1 | 
		 20,280.000  | 
		20,280.000 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.6 (b) | 
		SFAs using direct certification must obtain documentation of eligibility, and maintain records for 3 years.  | 
		
  | 
		10,083 | 
		1 | 
		 10,083.000  | 
		0.08 | 
		 806.640  | 
		806.640 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.6 (b) (1) | 
		SFAs document and retain on file reasons for ineligibility determinations. | 
		
  | 
		20,780 | 
		30 | 
		 623,400.000  | 
		0.08 | 
		 49,872.000  | 
		49,872.000 | 
		
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		0.000 | 
	
	
		| 245.6a (a)(2) | 
		SFAs notify households of selection for verification and proof of eligibility. | 
		
  | 
		16,342 | 
		7 | 
		114,394.000 | 
		0.05 | 
		 5,719.700  | 
		5,719.700 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.6a (b)(1) | 
		SFAs review written evidence and recalculation income to verify eligibility. | 
		
  | 
		16,342 | 
		5 | 
		 81,710.000  | 
		0.25 | 
		 20,427.500  | 
		20,427.500 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.6a (b)(2) | 
		SFAs make collateral contacts to obtain information not obtained by written evidence. | 
		
  | 
		8,171 | 
		1 | 
		 8,171.000  | 
		0.33 | 
		 2,696.430  | 
		2,696.430 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.6a (b)(3) | 
		SFAs make any other verfication efforts using agency records. | 
		
  | 
		16,342 | 
		1 | 
		 16,342.000  | 
		0.25 | 
		 4,085.500  | 
		4,085.500 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.6a (c) | 
		SFAs maintain summary of verification efforts. | 
		
  | 
		16,342 | 
		1 | 
		 16,342.000  | 
		0.85 | 
		 13,890.700  | 
		13,890.700 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.6a (c) | 
		SFAs maintain records of verification activity for verified households. | 
		
  | 
		20,780 | 
		4 | 
		 83,120.000  | 
		0.017 | 
		 1,413.040  | 
		1,413.040 | 
		
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		0.000 | 
	
	
		| 245.6a (e) | 
		SFAs provide 10-day advance notice of termination or change in benefits because of verification. | 
		
  | 
		 1,634  | 
		1 | 
		 1,634.000  | 
		0.17 | 
		277.780 | 
		277.780 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.7 (a)(1) | 
		SFAs prepare and file written records of each hearing. | 
		
  | 
		208 | 
		1 | 
		208.000 | 
		0.50 | 
		104.000 | 
		104.000 | 
		
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		0.000 | 
	
	
		| 245.9 (g) & (h) | 
		SFAs shall retain records related to the implementation of Provisions 2 and 3 for 3 years after submission of the last Claim for Reimbursement. | 
		
  | 
		500 | 
		1 | 
		500.000 | 
		4 | 
		 2,000.000  | 
		2,000.000 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.9 (c) & (f) | 
		SFAs shall amend F/RP Policy statement to include special assistance information and certifiy schools as eligible. | 
		
  | 
		500 | 
		1 | 
		500.000 | 
		0.50 | 
		250.000 | 
		250.000 | 
		
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		0.000 | 
	
	
		| School Food Authority/Sponsor Level Totals | 
		
  | 
		
  | 
		10,780 | 
		94.36401 | 
		 1,017,244.000  | 
		0.12973 | 
		 131,963.290  | 
		 131,963.290  | 
		
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		0.000 | 
	
	
		| SCHOOL/SITE LEVEL | 
		
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		| 245.6 & 245.9 | 
		Schools distribute application forms to households.  Schools participating under Provision 2 and 3 are exempt from this requirement. | 
		
  | 
		97,000 | 
		1 | 
		 97,000.000  | 
		0.25 | 
		 24,250.000  | 
		24,250.000 | 
		
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		0.000 | 
	
	
		| 245.6 (b) & 245.9 | 
		Schools review applications, make eligibility determinations.  Schools participating under Provisions 2 and 3 are exempt from this requirement. | 
		
  | 
		97,000 | 
		41 | 
		 3,977,000.000  | 
		0.052 | 
		 206,804.000  | 
		206,804.000 | 
		
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		0.000 | 
	
	
		| 245.6 (c) | 
		Schools file applications on behalf of children they know to be eligible, but whose household submitted no application. | 
		
  | 
		1,010 | 
		1 | 
		 1,010.000  | 
		0.1 | 
		101.000 | 
		101.000 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.6 (c) | 
		Schools maintain documentation to show they notified families of children on whose behalf they filed applications. | 
		
  | 
		1,010 | 
		1 | 
		 1,010.000  | 
		0.25 | 
		252.500 | 
		252.500 | 
		
  | 
		
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		0.000 | 
	
	
		| 245.9 (a) | 
		Schools operating under Special Assistance Provision 1 may reduce the annula certification of children eligible for free meals to once every two years. | 
		
  | 
		30 | 
		1 | 
		 30.000  | 
		0.067 | 
		2.010 | 
		2.010 | 
		
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		0.000 | 
	
	
		| School/Site Level Totals | 
		
  | 
		
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		97,000 | 
		42.0211 | 
		 4,076,050.000  | 
		0.05677 | 
		 231,409.510  | 
		 231,409.510  | 
		
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		0.000 | 
	
	
		
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		| Summary of Recordkeeping Burden | 
		
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		State Agency Burden | 
		 218.000  | 
		
  | 
		880.500 | 
		880.500 | 
		
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		0.000 | 
	
	
		
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		School Food Authority/Sponsor Burden | 
		 1,017,244.000  | 
		
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		131,963.290 | 
		131,963.290 | 
		
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		0.000 | 
	
	
		
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		School/Site Burden | 
		 4,076,050.000  | 
		
  | 
		231,409.510 | 
		231,409.510 | 
		
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		0.000 | 
	
	
		
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		Recordkeeping Grand Total | 
		 5,093,512.000  | 
		
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		 364,253.300  | 
		 364,253.300  | 
		
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		0.000  |