WIC ICB Burden Table

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2012

ATTACHMENT A: WIC PROGRAM REPORTING AND RECORDKEEPING REQUIREMENTS (OMB #0584-0043)

Regulatory Section

Information Collected

Estimated
Number of
Respondents

Annual
Responses
per
Respondent

Total Annual
Responses

Number of
Burden
Hours per
Request

Previous
Estimated Total Sumbission:
Burden Hours Total Hours per
Person

Difference Due
Difference Due
to Program
to Adjustments
Changes

REPORTING BURDEN ESTIMATES
Affected Public: State and Local Agencies (including Indian Tribal Organizations and U.S. Territories)
90.00
1.00
90.00
134.62
12,115.80
12,116.00

Explanation of Differences

246.4

State Plan

246.5(b)

Local Agency (LA) applications

919.50

1.00

919.50

2.00

1,839.00

1,870.00

-31.00 agencies.

246.6

LA Agreements

919.50

1.00

919.50

1.50

1,379.25

1,403.00

-23.75 agencies.

246.7(f)(2)(iii)(A)

LA requests for notice extension

306.50

1.00

306.50

0.25

76.63

78.00

-1.38 agencies.

246.7(i)

Cert. data for women

1,839.00

2,280.45

4,193,744.00

0.17

712,936.48

662,710.66

1,839.00

1,715.07

3,154,020.00

0.17

536,183.40

1,357,089.26

2,588.93

4,761,034.00

0.17

809,375.78

346,089.00

246.7(i)

Change in number of local
Change in number of local
Change in number of local
Increase in number of women

50,225.82 certifications.
-205,226.47

Cert. data for children

246.7(i)
246.7(j)(9)

Certification data for infants
SA notification re funding shortfall

1,839.00
4.00

1.00

4.00

0.09

0.36

0.36

246.7(k)
246.10(b)(1)
246.10(d)(1)

Verification of Certification cards
Identification of acceptable foods

1,839.00

146.18

268,817.61

0.09

24,193.58

15,004.00

246.11(d)(2)

-0.20 Rounding

Medical documentation, 1% of infants
LA nutrition education plan

246.12(g)(4)(i)

Vendor food sales data

246.12(g)(4)(ii)(B)

Vendor shelf prices

246.12(g)(4)(ii)(B)
246.12(i)(1)

Vendor shelf prices exemption
Vendor training development

246.12(i)(1)

Vendor training

246.12(j)(4)
246.12(o)
246.12(q)
246.14(d)

Vendor compliance investigations
Complaints
Disposition of food instruments
ADP proposals

246.16(d)
246.17(c)(1)
246.19(a)(2)

Decrease in number of children
certifications (adjustment) and

-615,679.40 number of responses required per
program change.
Increase due to increase in number

463,286.78 of infants being certified.
0.00

0.00 N/A
Increase in number of total

9,189.58 certifications.

90.00

1.00

90.00

40.00

3,600.00

3,600.00

1,839.00

25.89

47,610.34

0.03

1,428.31

611.00

1,839.00

1.00

1,839.00

40.00

73,560.00

74,800.00

-1,240.00 Change in number of local agencies

90.00

29.44

2,650.00

4.00

10,600.00

22,560.00

-11,960.00 revenue from SNAP than from WIC.

75.00

1,296.56

97,242.00

2.00

194,484.00

156,666.00

1.00

1.00

1.00

16.00

16.00

240.00

90.00

1.00

90.00

8.00

720.00

720.00

90.00

540.23

48,621.00

2.00

97,242.00

94,000.00

90.00

27.01

2,431.05

2.00

4,862.10

4,700.00

90.00
90.00
15.00

111.11
1.00
1.00

10,000.00
90.00
15.00

1.00
40.00
160.00

10,000.00
3,600.00
2,400.00

10,000.00
3,600.00
2,400.00

Distribution of funds to LAs
Termination of SAs & LAs
SA corrective action plans to FNS

90.00

81.73

7,356.00

2.00

14,712.00

14,960.00

90.00
22.50

0.11
1.00

10.00
22.50

8.00
40.00

80.00
900.00

80.00
920.00

246.19(b)(5)
Targeted LA reviews
246.20(a)(2)
SA response to OIG audits
Subtotal Reporting: State and Local Agencies

90.00

2.55

229.88

2.00

459.75

468.00

4.00
1,929

1.00
6,531

4.00
12,598,157

40.00
0.20

160.00
2,516,924

160.00
2,786,845

Page 1 of 5

0.00

0.00 N/A
817.31 Increase in number of infant

certifications. (1% of infants)
Respondent group = the number of
vendors that derive more of their

0.00

0.00
0.00
0.00
0.00

0.00
-205,226

The number of respondents
decreased.
Increase in number of vendors
37,818.00 results in proportionate increase in
reporting for vendor shelf prices.
Decrease in State Agencies
-224.00 requesting exemptions
0.00 N/A
Increase in number of vendors
3,242.00 results in proportionate increase in
training.
Increase in number of vendors
results in proportionate increase in
162.10 estimated compliance
investigations.
0.00 N/A
0.00 N/A
0.00 N/A
Change in number of local
-248.00 agencies.
0.00 N/A
-20.00 Rounding
Change in number of local
-8.25 agencies.
0.00 N/A

-64,694

2012

Affected Public: Individuals and Households: Applicants for Program Benefits
246.7(i)
246.7(i)

Cert. data for women
Cert. data for children

2,096,872.00
2,102,680.00

1.50

3,154,020.00

0.05

157,701.00

0.00

246.7(i)

Certification data for infants

4,761,034.00

1.00

4,761,034.00

0.05

238,051.70

97,457.00

246.10(d)(1)

Medical documentation, 1% of infants

47,610.34

1.00

47,610.34

0.03

1,428.31

611.00

131,601.39

2.00

263,202.78

0.05

13,160.14

14,599.00

246.10(d)(1)

Medical documentation
Subtotal Reporting: Applicants

2.00

4,193,744.00

0.05

209,687.20

8,960,587
1.39
12,419,611
0.05
620,028
307,582
Affected Public: Business: Retail Vendors (WIC-Authorized Food Stores)
2,650.00

1.00

2,650.00

2.00

5,300.00

11,280.00

246.12(g)(4)(i)

Vendor food sales data for A50s

246.12(g)(4)(ii)(B)

Vendor shelf prices

40,517.50

2.00

81,035.00

2.00

162,070.00

156,667.00

246.12(h)

Vendor applications & agreements

24,310.50

1.00

24,310.50

1.00

24,310.50

23,500.00

306.00

1.00

306.00

1.00

306.00

850.00

48,621
9,011,137

2.23
2.79

108,302
25,126,069

1.77
0.13

191,987
3,328,939

192,297
3,286,724

246.12(h)(8)(i)
Vendor incentive items
Subtotal Reporting: Retail Vendors
GRAND SUBTOTAL: REPORTING

Page 2 of 5

Increase in number of women

194,914.90

14,772.30 certifications.

157,701.00 Correction to calculation method.
Increase in number of infant

140,594.70 certifications.

817.31 Increase in number of infant

certifications. (1% of infants)
Correction to calculation method.
-1,438.86 And decrease in number of children
certifications.

0

312,446
Respondent group = the number of
vendors that derive more of their

-5,980.00 revenue from SNAP than from WIC.

The number of respondents
decreased.
Increase in number of retail
5,403.00 vendors.
Increase in number of retail vendors
810.50 (% of total).
Reduction in the number of above
50 percent vendors as well as a
-544.00 reduction in the number of SAs that
allow incentive items.

0
-205,226

-311
247,442

2012

246.10(d)(1)
246.12(g)(11)

Medical documentation
Vendor infant formula suppliers

246.12(h)(1)(i)

Vendor applications & agreements

246.12(h)(8)(i)
246.12(i)(4)

Vendor incentive items
Vendor training content

246.12(j)(6)

Routine vendor monitoring

246.12(j)(6)(ii)
246.12(l)(3)
246.23(c)(1)

Vendor compliance investigations
Vendor notice of violations
Disposition of participant claims

246.25(a)

Financial ops. & food delivery sys.

246.25(a)

Nutrition ed. for women & children

246.25(a)

Nutrition education for infants

RECORDKEEPING BURDEN ESTIMATES
Affected Public: State and Local Agencies (including Indian Tribal Organizations and U.S. Territories)
10,000.00
2.00
20,000.00
0.02
320.00
320.00
90.00
1.00
90.00
50.00
4,500.00
4,500.00
24,310.50

1.00

24,310.50

1.00

24,310.50

23,500.00

306.00

1.00

306.00

1.00

306.00

850.00

90.00

1.00

90.00

2.00

180.00

180.00

90.00

27.01

2,431.05

1.00

2,431.05

2,350.00

90.00

27.01

2,431.05

2.00

4,862.10

4,700.00

90.00
90.00

25.56
1.00

2,300.00
90.00

1.00
5.00

2,300.00
450.00

2,300.00
450.00

1,929.00

12.00

23,148.00

2.00

46,296.00

47,040.00

1,839.00

9,134.43

16,798,208.00

0.02

285,569.54

201,980.00

1,839.00

10,355.70

19,044,136.00

0.02

323,750.31

34,609.00

0.00
0.00

0.00 N/A
0.00 N/A
Increase in number of retail vendors

810.50 results in proportionate increase in

0.00

0.00
0.00

applications and agreements
Reduction in the number of above
50 percent vendors as well as a
-544.00 reduction in the number of SAs that
allow incentive items.
0.00 N/A
Increase in number of retail vendors
81.05 results in proportionate increase in
vendor monitoring
Increase in number of retail vendors
162.10 results in proportionate increase in
vendor compliance investigations
0.00 N/A
0.00 N/A
Change in number of local
-744.00 agencies.

83,589.54 Correction to calculation method.

Also increased due to increase in
certifications.
Correction to calculation method.
289,141.31 Also increased due to increase in
certifications.

-7.75 Change in number of local

1,929.00

1.00

1,929.00

0.25

482.25

490.00

11,929

3,011.10

35,919,470

0.02

695,758

323,269

0

372,489

9,023,066

3,013.89

61,045,539

0.15

4,024,697

3,609,993

-205,226

619,930

SUMMARY OF REPORTING BURDEN (OMB #0584-0043)
TOTAL NO. RESPONDENTS
AVERAGE NO. RESPONSES PER RESPONDENT
TOTAL ANNUAL RESPONSES
AVERAGE HOURS PER RESPONSE
TOTAL ANNUAL BURDEN HOURS REQUESTED
CURRENT OMB INVENTORY
DIFFERENCE

9,011,137
2.79
25,126,069
0.13
3,328,939
3,286,724
42,215

9,023,066

246.25(a)

Fair hearings
SUBTOTAL: RECORDKEEPING

GRAND TOTAL: REPORTING AND RECORDKEEPING

SUMMARY OF RECORDKEEPING BURDEN (OMB #0584-0043)
TOTAL NO. RECORDKEEPERS
11,929
AVERAGE NO. RESPONSES PER RESPONDENT
3,011.10
TOTAL ANNUAL RESPONSES
35,919,470
AVERAGE HOURS PER RESPONSE
0.02
TOTAL ANNUAL BURDEN HOURS REQUESTED
695,758
CURRENT OMB INVENTORY
323,269
DIFFERENCE
372,489
ANNUAL REPORTING & RECORDKEEPING BURDEN (OMB #0584-0043)
61,045,539

GRAND TOTAL - RESPONSES

GRAND TOTAL - ANNUAL BURDEN HOURS
CURRENT OMB INVENTORY
DIFFERENCE

4,024,697
3,609,994
414,703

Page 3 of 5

agencies.

2012

*Participation numbers are
Average from FY11

Relevant Numbers

Previous #s per
2009 Burden
Narrative

Current

Difference

Vendors
A50 Vendors
Participants

48,621
578
8,960,587

47,000
1,700
7,976,404

Part-Women

2,096,872

1,949,149

147,723

Part-Children

2,102,680

3,991,439

-1,888,759

Part-Infants

4,761,034

2,035,817

2,725,217

2650

5,640

-2,990

10,000

10,000

0

SAs with A50s

17

32

-15

SAs that allow incentives

9

16

-7

1,839.00

1,870.00

-31.00

Potential A50s based on SNAP Redemptions
Clinics (estimated)

Local Agencies

Page 4 of 5

1,621
-1,122
984,183

Regulation
Section

ATTACHMENT A: WIC PROGRAM REPORTING AND RECORDKEEPING REQUIREMENTS (OMB #0584-0043)
Affected Public: State and Local Agencies (including Indian Tribal Organizations and U.S. Territories)
Number of
Number of
Estimated
Previous
Difference
Estimated
Responses
Total
Burden
Total
Submission
Due To
TITLE
Number of
per
Annual
Hours Per
Burden
Total
Program
Respondents Respondent Responses
Response
Hours
PersonHours Changes

Difference
Due To
Adjustments

REPORTING BURDEN ESTIMATES
246.4
246.5(b)
246.6
246.7(f)(2)(iii)(A)
246.7(i)
"
246.7(j)(9)
246.7(k)
246.10(b)(1)
246.10(d)(1)

State Plan
Local Agency (LA) applications
LA Agreements
LA requests for notice extension
Cert. data for women & children
Certification data for infants
SA notification re funding shortfall
Verification of Certification cards
Identification of Acceptable Foods

90
935
935
312
1,870
1,870
4
1,870
90

1
1
1
1
6,353.57
1,089
1
89
1

90
935
935
312
11,881,176
2,035,813
4
166,707
90

134.62
2.00
1.50
0.25
0.17
0.17
0.09
0.09
40.00

12,116
1,870
1,403
78
2,019,800
346,089
0.3600
15,004
3,600

10,740
1,870
1,403
78
2,019,800
346,089
0.3600
15,004
3,600

-

-

Medical documentation
246.11(d)(2)
LA nutrition education plan
246.12(g)(4)(i)
Vendor food sales data
246.12(g)(4)(ii)(B) Vendor shelf prices
246.12(g)(4)(ii)(B) Vendor shelf prices exemption
246.12(i)(1)
Vendor training development
"
Vendor training
246.12(j)(4)
Vendor compliance investigations
246.12(o)
Complaints
246.12(q)
Disposition of food instruments
246.14(d)(1)
ADP proposals
246.16(d)
Distribution of funds to LAs
246.17(c)(1)
Termination of SAs & LAs
246.19(a)
SA corrective action plans to FNS
246.19(b)(5)
Targeted LA reviews
246.20(a)(2)
SA response to OIG audits
Subtotal - REPORTING

1,870
1,870
90
75
15
90
90
90
90
90
15
90
90
23
90
4
1,960

11
1
62.66
1,044.44
1
1
522.22
26.11
111.11
1
1
83.11
0.1111
1
2.5973
1
9,408

20,358
1,870
5,640
78,333
15
90
47,000
2,350
10,000
90
15
7,480
10
23
234
4
14,259,573

0.03
40.00
4.00
2.00
16.00
8.00
2.00
2.00
1.00
40.00
160.00
2.00
8.00
40.00
2.00
40.00
545.92

611
74,800
22,560
156,666
240
720
94,000
4,700
10,000
3,600
2,400
14,960
80
920
468
160
2,786,847

611
74,800
11,280
94,000
720
94,000
4,700
10,000
3,600
2,400
14,960
80
920
468
160
2,711,283

-

-

320
4,500
23,500
850
180
2,350
4,700
2,300
450
47,040
201,980
34,609
490
323,268
3,110,115

4,500
23,500
850
180
2,350
4,700
2,300
450
47,040
201,980
34,609
490
322,949
3,034,232

320

-

320
320

-

194,915
97,457
611
14,599
307,582

194,915
97,457
611

-

-

292,983

14,599
14,599

-

11,280
156,667
23,500
850
192,297
3,609,994

5,640
94,000
23,500
850
123,990
3,451,206

14,919

-

RECORDKEEPING BURDEN ESTIMATES
246.10(d)(4)
Medical Documentation
246.12(g)(11)
Vendor infant formula suppliers
246.12(h)(1)(i)
Vendor applications & agreements
246.12(h)(8)
Vendor incentive items
246.12(i)(4)
Vendor training content
246.12(j)(6)
Routine vendor monitoring
246.12(j)(6)
Vendor compliance investigations
246.12(l)(3)
Vendor notice of violations
246.23(c)(1)
Disposition of participant claims
246.25(a)
Financial ops. & food delivery sys.
246.25(a)
Nutrition ed. for women & children
"
Nutrition education for infants
246.25(a)
Fair hearings
Subtotal - RECORDKEEPING
GRAND SUBTOTAL

10,000
90
90
16
90
90
90
90
90
1,960
1,870
1,870
1,960
1,960
1,960

2
1
261.11
53.1
1
522.22
522
25.55
1
12
6,353.57
1,088.67
1
8,844
18,252

20,000
90
23,500
850
90
2,350
2,350
2,300
90
23,520
11,881,176
2,035,813
1,960
13,994,088
28,253,660

0.016
50.00
1.00
1.00
2.00
1.00
2.00
1.00
5.00
2.00
0.017
0.017
0.25
65.30
611.22

Affected Public: Applicants for Program Benefits
246.7(i)

Cert. data for women & children
"
Certification data for infants
246.10©
1% of infants addl.documentation
246.10(d)
Medical documentation
Subtotal - Reporting Requirements

1,949,149
1,949,149
19,491
145,985
1,949,149

2
1
1
2.0
6

3,898,298
1,949,149
20,358
291,970
6,159,775

0.05
0.05
0.03
0.05
0.18

Affected Public: Retail Vendors (Food Stores)
246.12(g)(4)(i)
Vendor food sales data
246.12(g)(4)(ii)(B) Vendor shelf prices
246.12(h)
Vendor applications & agreements
246.12(h)(8)
Vendor incentive items
Subtotal - Reporting Requirements
GRAND TOTAL

5,640
39,167
23,500
850
39,167
1,990,276

1
2
1
1
5
18,263.06

SUMMARY OF BURDEN (OMB #0584-0043)
TOTAL NO. RESPONDENTS
AVERAGE NO. RESPONSES PER RESPONDENT
TOTAL ANNUAL RESPONSES
AVERAGE HOURS PER RESPONSE
TOTAL ANNUAL BURDEN HOURS REQUESTED
CURRENT OMB INVENTORY
DIFFERENCE

1,990,276
17.35
34,521,759
0.10
3,609,994
3,451,206
14,919

5,640
78,334
23,500
850
108,324
34,521,759

2.00
2.00
1.00
1.00
6.00
617.399