CN Integrity_SFSP_Burden Chart

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Overview

Reporting
RecordKeeping
60 day Summ
Burden Summary
Notes

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Sheet 1: Reporting

Reporting
SFSP				A	B	C = (A*B)	D	E= (C*D)	F				G =E-F
Program Rule	CFR Citation	Title	Form Number	Estimated # Respondents	Responses per Respondents	Total Annual Records	Estimated Avg. # of Hours Per Response	Estimated Total Hours	Current OMB Approved Burden Hrs	Due to Authorizing Statute	Due to Program Change - Direct Certification Rule	Due to an Adjustment	Total Difference
State Agency Level
	225.11(d)	Notices of serious deficiency to institution and RPIs and copy to FNS		53	10	530	8	4,240	0	0	0	0	0
	225.11(h)	Submit notices of disqualification to institution and RPIs and copy to FNS		53	5	265	8	2,120	0	0	0	0	0
	225.11(h)	Provide FNS the required information of each service site/sponsor terminated for cause		53	5	265	2	530	0	0	0	0	0
		Total Reporting Burden		53	20	1,060	6.50	6,890	0	0	0	0	0
			Program Rule	Estimated # Respondents	Responses per Respondents	Total Annual Records	Estimated Avg. # of Hours Per Response	Estimated Total Hours	Current OMB Approved Burden Hrs	Due to Authorizing Statute	Due to Program Change - Direct Certification Rule	Due to an Adjustment	Total Difference
			SFSP	53	20	1,060	6.50	6,890	-	-	-	-	-
														"Please un-hide the colums 40-47 for more data"
			Total	53	#REF!	#REF!	#REF!	#REF!	#REF!	0	0	0	#REF!

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Sheet 2: RecordKeeping

Recordkeeping
SFSP				A	B	C = (A*B)	D	E= (C*D)	F				G =E-F
Program Rule	CFR Citation	Title	Form Number	Estimated # Record-keepers	Records Per Recordkeeper	Total Annual Records	Estimated Avg. # of Hours Per Record	Estimated Total Hours	Current OMB Approved Burden Hrs	Due to Authorizing Statute	Due to Program Change	Due to an Adjustment	Total Difference	Justification
State Agency Level
	225.11(i)	Maintain a State agency list that includes a synopsis of information concerning seriously deficient institutions and RPIs terminated for cause in that State		53	1	53	0.5	26.5	0	0	0	0	0
		Total Recordkeeping Burden		53	1	53	0.50	26.5	0	0	0	0	0
			Program Rule	Estimated # Record-keepers	Records Per Recordkeeper	Total Annual Records	Estimated Avg. # of Hours Per Record	Estimated Total Hours	Current OMB Approved Burden Hrs	Due to Authorizing Statute	Due to Program Change	Due to an Adjustment	Total Difference
				53	1	53	0.50	26.5	-	-	-	-	-
															"Please un-hide the colums 26-33 for more data"
			Total	53	1	53	0.50	26.5	-	-	-	-	-

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Sheet 3: 60 day Summ

SUMMARY OF BURDEN RECORDKEEPING & REPORTING
TOTAL NO. RESPONDENTS	53
AVERAGE NO. RESPONSES PER RESPONDENT	21
TOTAL ANNUAL RESPONSES	1,113
AVERAGE HOURS PER RESPONSE	6.21
TOTAL BURDEN HOURS	6,916.5
CURRENT OMB INVENTORY FOR PART			This is the Current OMB Approved Burden Hrs column 'J'
DIFFERENCE (BURDEN REVISIONS REQUESTED)

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Sheet 4: Burden Summary

ICR #0584-XXXX CN Integrity Rule - SFSP
	Estimated # Respondents	Responses Per Respondent	Total Annual Responses (Col. BxC)	Estimated Avg. # of Hours Per Response	Estimated Total Hours (Col. DxE)
Reporting
State Agency Level	53	20	1,060	6.500	6,890
Reporting Total	53	20	1,060	6.500	6,890
Recordkeeping
State Agency Level	53	1	53	0.50	26.5
Recordkeeping Total	53	1	53	0.50	26.5
TOTAL BURDEN	53	21.000	1,113	6.2143	6,916.5

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Sheet 5: Notes

Date	User Initials	Comments