| REPORTING | 
		
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		| Section of Regulation | 
		Title | 
		Form Number      (if Any) | 
		Estimated Number of Respondents | 
		Report Filed Annually | 
		Total Annual Responses        (Col. DxE) | 
		Estimated Avg. No. of Manhours Per Response | 
		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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		| 245.4 (d) | 
		Puerto Rico and Virgin Islands SAs develop survey design for triennial survey, and submit to FNS for approval. | 
		
  | 
		2 | 
		0.33 | 
		0.660 | 
		3 | 
		1.980 | 
		6.000 | 
		
  | 
		-4.020 | 
		-4.020 | 
	
	
		| 245.4 (c) | 
		Puerto Rico and Virgin islands conduct survey to develop factor for withdrawal of funds from Letter of Credit; submit survey results and withdrawal factors to FNS for approval. | 
		
  | 
		2 | 
		1 | 
		2.000 | 
		83 | 
		166.000 | 
		166.000 | 
		
  | 
		0.000 | 
		0.000 | 
	
	
		| 245.6(i) | 
		SAs that plan to use or disclose information in ways not permitted by statue must obtain written consent from parent or guardian prior to use or disclosure. | 
		
  | 
		56 | 
		1 | 
		56.000 | 
		0.25 | 
		14.000 | 
		27.000 | 
		
  | 
		-13.000 | 
		-13.000 | 
	
	
		| 245.6(j) | 
		SA enter into written agreement with the party requesting children's F/RP eligibility information. | 
		
  | 
		56 | 
		1 | 
		56.000 | 
		0.25 | 
		14.000 | 
		27.000 | 
		
  | 
		-13.000 | 
		-13.000 | 
	
	
		| 245.11(h)(4) | 
		SAs submit to FNS upon request, all data and documentation used in granting extensions under Provision 2 or Provision 3. | 
		
  | 
		43 | 
		1 | 
		43.000 | 
		4 | 
		172.000 | 
		216.000 | 
		
  | 
		-44.000 | 
		-44.000 | 
	
	
		| 245.11(a)(1) | 
		SAs issue prototype free and reduced price policy statement. | 
		
  | 
		56 | 
		1 | 
		56.000 | 
		0.083 | 
		4.648 | 
		13.500 | 
		
  | 
		-8.852 | 
		-8.852 | 
	
	
		| 245.11(g) | 
		SA notifies FNS that TANF is comparable to or more restrictive than AFDC. | 
		
  | 
		56 | 
		1 | 
		56.000 | 
		0.083 | 
		4.648 | 
		624.000 | 
		
  | 
		-619.352 | 
		-619.352 | 
	
	
		| STATE AGENCY LEVEL TOTALS | 
		
  | 
		
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		56 | 
		4.8154 | 
		269.660 | 
		 1.3991  | 
		 377.276  | 
		1,079.500 | 
		0 | 
		-702.224 | 
		-702.224 | 
	
	
		| SCHOOL FOOD AUTHORITY/SPONSOR LEVEL | 
		
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		| 245.6 (c)(6)(ii) | 
		SFAs using direct certification must provide households with written notice that children are eligible for free meals. | 
		
  | 
		20,858 | 
		1 | 
		 20,858.000  | 
		0.083 | 
		 1,731.214  | 
		160,521.360 | 
		
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		-158,790.146 | 
		-158,790.146 | 
	
	
		| 245.6a (c) | 
		SFAs calculate the number of households to verify. | 
		
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		20,858 | 
		1 | 
		 20,858.000  | 
		0.33 | 
		 6,883.140  | 
		5,392.860 | 
		
  | 
		1,490.280 | 
		1,490.280 | 
	
	
		| 245.6a(f)(1) | 
		SFAs notify households of selection for verification. | 
		
  | 
		20,858 | 
		12 | 
		 250,296.000  | 
		0.25 | 
		 62,574.000  | 
		16,342.000 | 
		
  | 
		46,232.000 | 
		46,232.000 | 
	
	
		| 245.6a( c ) | 
		SFAs report verification information to SA. | 
		742 | 
		20,858 | 
		1 | 
		 20,858.000  | 
		0.5 | 
		 10,429.000  | 
		32,684.000 | 
		
  | 
		-22,255.000 | 
		-22,255.000 | 
	
	
		| 245.6(j) | 
		SFA must enter into written agreement with the party requesting children's free and reduced price eligibility information. | 
		
  | 
		20,858 | 
		2 | 
		 41,716.000  | 
		0.083 | 
		 3,462.428  | 
		3,437.860 | 
		
  | 
		24.568 | 
		24.568 | 
	
	
		| 245.9 (h) | 
		SFAs of schools under Provision 2 or Provision 3 submit to FNS upon request all data and documentation used in granting extensions. | 
		
  | 
		1,092 | 
		1 | 
		1092.000 | 
		0.25 | 
		273.000 | 
		125.000 | 
		
  | 
		148.000 | 
		148.000 | 
	
	
		| 245.9 (c) | 
		SFAs of schools under Provisions 1,  2, and 3 must identify those schools in its free and reduced price policy statement and certify their eligibility for the first year of operation. | 
		
  | 
		1,092 | 
		1 | 
		1092.000 | 
		0.25 | 
		273.000 | 
		12.100 | 
		
  | 
		260.900 | 
		260.900 | 
	
	
		| 245.10 (a) | 
		SFAs submit to SA for approval free and reduced policy statement. | 
		
  | 
		20,858 | 
		1 | 
		20858.000 | 
		0.083 | 
		1731.214 | 
		0.000 | 
		
  | 
		
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		1,731.214 | 
	
	
		| School Food Authority/Sponsor Level Totals | 
		
  | 
		
  | 
		20,858 | 
		20.0000 | 
		 377,628.000  | 
		 1.829  | 
		 87,356.996  | 
		 218,515.180  | 
		0.000 | 
		-132,889.398 | 
		 (131,158.184) | 
	
	
		| SCHOOL/SITE LEVEL | 
		
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		| 245.6 (c) (7) | 
		Schools provide written notice to each family of denied benefits. | 
		
  | 
		96,461 | 
		8 | 
		 771,688.000  | 
		0.25 | 
		 192,922.000  | 
		52,520.000 | 
		
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		140402.000 | 
	
	
		| School/Site Level Totals | 
		
  | 
		
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		96,461 | 
		 8.000  | 
		 771,688.000  | 
		 0.250  | 
		 192,922.000  | 
		 52,520.000  | 
		
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		140,402.000 | 
	
	
		| HOUSEHOLD LEVEL | 
		
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		| 245.6a (b)(1) | 
		Households assemble written evidence and send to SFA. | 
		
  | 
		258,000 | 
		1 | 
		 258,000.000  | 
		0.5 | 
		 129,000.000  | 
		71,898.500 | 
		
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		57101.500 | 
	
	
		| 245.6a (b)(2) | 
		Households cooperate with collateral contacts. | 
		
  | 
		2,580 | 
		1 | 
		 2,580.000  | 
		0.167 | 
		 430.860  | 
		2,041.241 | 
		
  | 
		
  | 
		-1610.381 | 
	
	
		| 245.6 (a) | 
		Households complete application form. | 
		
  | 
		9,390,000 | 
		1 | 
		 9,390,000.000  | 
		0.07 | 
		 657,300.000  | 
		289,716.700 | 
		
  | 
		
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		367583.300 | 
	
	
		| Household Level Totals | 
		
  | 
		
  | 
		9,390,000 | 
		3.000000 | 
		 9,650,580.000  | 
		 0.081522  | 
		 786,730.860  | 
		 363,656.441  | 
		0.000 | 
		0.000 | 
		423,074.419 | 
	
	
		
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		| Summary of Reporting Burden | 
		
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		State Agency Burden | 
		269.660 | 
		
  | 
		377.276 | 
		1,079.500 | 
		0.000 | 
		-702.224 | 
		-702.224 | 
	
	
		
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		School Food Authority/Sponsor Burden | 
		377,628.000 | 
		
  | 
		87,356.996 | 
		218,515.180 | 
		0.000 | 
		-132,889.398 | 
		-131,158.184 | 
	
	
		
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		School/Site Burden | 
		771,688.000 | 
		
  | 
		192,922.000 | 
		52,520.000 | 
		0.000 | 
		0.000 | 
		140,402.000 | 
	
	
		
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		Household Burden | 
		9,650,580.000 | 
		
  | 
		786,730.860 | 
		363,656.441 | 
		0.000 | 
		0.000 | 
		423,074.419 | 
	
	
		| Reporting Total | 
		
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		  | 
		10,800,165.660 | 
		
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		1,067,387.132 | 
		635,771.121 | 
		0.000 | 
		-133,591.622 | 
		431,616.011 | 
	
	
		
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		| Summary of Reporting & Recordkeeping Burden | 
		
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		State Agency Burden | 
		312.660 | 
		
  | 
		2,054.276 | 
		
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		School Food Authority/Sponsor Burden | 
		378,720.000 | 
		
  | 
		91,724.996 | 
		
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		School/Site Burden | 
		771,688.000 | 
		
  | 
		192,922.000 | 
		
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		Household Burden | 
		9,650,580.000 | 
		
  | 
		786,730.860 | 
		
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		| Reporting & Recordkeeping Total | 
		
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		10,801,300.660 | 
		
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		1,073,432.132 | 
		
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