Attachment B - Special Milk Program Part 215 Burden Chart Final 10.26

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Overview

RecordKeeping
Reporting
60 day Summ
Burden Summary
Notes

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Sheet 1: RecordKeeping

Recordkeeping
				A	B	C = (A*B)	D	E= (C*D)	F	G =E-F
Child Nutrition Program	CFR Citation	Regulation	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	Total Difference
State Agency Level
Milk	215.7	SA maintains applications submitted by, and agreements executed with, SFAs and sponsors.		Source: NDB 54 State Agencies 54	Avg per SA of 3879 total institutions Source: NDB 71.83	3,879	0.10	387.88	3,202	-2,814
Milk	215.11(b)	SA maintains documentation of compliance reviews, site visits and Program assistance.		54	Average SFAs per SA participating in the milk program receiving an administrative review. 5.00	270	0.20	54.00	741	-687
Milk	215.11(c)(1)	SA maintains Program records as necessary to support the reimbursement payments and reports.		54	24.00	1,296	0.10	129.60	125	5
Milk				54	Average Number of Institutions per SA * 12 months =862 862.00	46,548	0.10	4654.80	5,080	-425
Milk	215.12	SA maintains all records of action taken on disallowed claims.		54	Avg of 2 per SA have corrective action 2	108	0.33	35.64	36	0
Milk	215.13(a)	A-133 Audit, Audit Plan, and Management Evaluations including records of the receipt and expenditure of funds under the Program.		54	1	54	0.26	14.04	14	0
		State Agency Level Total		54	965.83	52,155	0.10	5,276	9,198	-3,922
Institution Level
Milk	215.7	SFA maintains Program records to support claims.		Source: NDB 2931 SFAs & RCCIs 498 CCIs 450 Camps 3,879	monthly for SFAs (10 months) 10	38,790	0.20	7,758.00	0	7,758
Milk	215.14a	Compliance with procurement requirements		Source: NDB 2931 SFAs & RCCIs 2,931	1	2,931	0.20	586.20	5,569	-4,983
		Institution Level Total		3,879	10.76	41,721	0.20	8,344	5,569	2,775
Site Level
		Site Level Total		0	0	0	0	0	0	0
		Total Recordkeeping Burden		3,933	23.87	93,876	0.15	13,620	14,767	-1,147
			Child Nutrition Program	Estimated # Record-keepers	Records Per Recordkeeper	Total Annual Records	Estimated Avg. # of Hours Per Record	Estimated Total Hours	Current OMB Approved Burden Hrs	Total Difference
			Milk	3,933	23.86876	93,876	0.145	13,620	14,767	(1,147)
			0	-	-	-	-	-	-	-
			0	-	-	-	-	-	-	-
			0	-	-	-	-	-	-	-	"Please un-hide the colums 40-47 for more data"
			0	-	-	-	-	-	-	-
			Total	3,933	#REF!	#REF!	#REF!	#REF!	#REF!	#REF!

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Sheet 2: Reporting

CS: There are additional comments concerning the Excel Burden charts in the Supporting Statement, in A.12. Reporting
				A	B	C = (A*B)	D	E= (C*D)	F				G =E-F
Prgm 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 -	Due to an Adjustment	Total Difference	Justification		Data Validation - List
State Agency Level																Milk
Milk	215.5(a)	SA requests funds to pay SMP claims.		Source: SAE 54 State Agencies 54	24	1,296	0.25	324.00	428			-104	-104
Milk	215.11(c)(2)	SA submits quarterly report (FNS-777). THIS BURDEN WAS TRANSFERRED TO THE FPRS ICR.		54	0	0	0.00	0	311			-311	-311
Milk	215.16	Grant Closeout Reports		0	0	0	0.00	0	156			-156	-156
		State Agency Level Total		54	24.00	1,296	0.25	324	895	0	0	-571	CS: -571
Institution Level
Milk	§215.7	SFA must submit to SA an application and agreement to operate the SMP.		NDB: 2931 SFAs & RCCIs 498 CCIs 450 Camps 3,879	1	3,879	0.25	969.8	15			955	955
Milk	§215.13(a)-(b)	OMB A - 133 Audits, OIG audits, SA visits . Burden determined negligible during last renewal, but wasn't noted in the burden chart.		0	0	0	0.00	0	5,569			-5,569	-5,569
		Institution Level Total		3,879	1.00	3,879	0.25	970	5,584	0	0	-4,614	-4,614
Site Level
Milk
		Site Level Total		0	0	0	0	0	0	0	0	0	0
		Total Reporting Burden		3,933	1.32	5,175	0.25	1,294	6,479	0	0	-5,185	-5,185
			Prgm 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 -	Due to an Adjustment	Total Difference
			Milk	3,933	1.31579	5,175	0.25000	1,294	6,479	0	0	(5,185)	(5,185)
			0	-	-	-	-	-	-				-
			0	-	-	-	-	-	-				-
			0	-	-	-	-	-	-				-		"Please un-hide the colums 40-47 for more data"
			0	-	-	-	-	-	-				-
			Total	3,933	#REF!	#REF!	#REF!	#REF!	#REF!	0	0	-5,185	#REF!

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Sheet 3: 60 day Summ

SUMMARY OF BURDEN RECORDKEEPING & REPORTING
TOTAL NO. RESPONDENTS	3,933
AVERAGE NO. RESPONSES PER RESPONDENT	25.1845
TOTAL ANNUAL RESPONSES	99,051
AVERAGE HOURS PER RESPONSE	0.150568284038436
TOTAL BURDEN HOURS FOR PART 215 WITH REVISION	14,914
CURRENT OMB INVENTORY FOR PART 215	21,246		This is the Current OMB Approved Burden Hrs column 'J'
DIFFERENCE (NEW BURDEN REQUESTED WITH REVISION)	-6,332

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Sheet 4: Burden Summary

OMB Control #0584-0005 - Burden Summary - 7 CFR Part 215, Special Milk Program Regulations
	Estimated # Respondents	Responses Per Respondent	Total Annual Responses (Col. BxC)	Estimated Avg. # of Hours Per Response	Estimated Total Hours (Col. DxE)
Recordkeeping
State Agency Level	54	965.83	52,155	0.10	5,276
Institution Level	3,879	10.76	41,721	0.20	8,344
Site Level	-		-		-
Recordkeeping Total	3,933	23.87	93,876	0.15	13,620
Reporting
State Agency Level	54	24.00	1,296	0.25	324
Institution Level	3,879	1.00	3,879	0.25	970
Site Level	-		-		-
Reporting Total	3,933	1.32	5,175	0.25	1,294
TOTAL BURDEN FOR (Title)	3,933	25.1845	99,051	0.1506	14,914
Add total number of recordkeepers to the total annual responses.

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Sheet 5: Notes

Date	User Initials	Comments
11/1/11	SW	This is a DRAFT of the Special Milk Program Burden doc using the redesigned template
11/2/11	SW	Burden reduction for renewal. Need to eliminate burden associated with the FNS-10 and FNS-777 to not duplicate burden in those ICRs.
11/22/11	BB	Removed duplicate burden at site level; regulatory language puts burden of information collection at insitution level
1/11/12	BB	revised notice to incorporate PRAB comments; returned to PRAB 1.12.12
3/20/15	SW	Burden corrections for renewal.
10/15/15	SW	Removing FNS-66B form from this collection. Any data collected for the SMP by the ROAP will be part of the ICR #0584-0284. No change in burden chart needed since it was calculated regardless of being reported to a SA or a FNSRO.