Local Wellness Policy Burden Chart

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Overview

RecordKeeping
Public Disclosure
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
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	Total Difference
State Agency Level
						-		-		-
						-		-		-
		State Agency Level Total		-		-		-	-	0
School Food Authority/Local Education Agency Level
Local Wellness Policy	210.15(b)(9) and 210.30(f)	SFA/LEA must retain records to document compliance with the local school wellness policy requirements in 210.30(f).		19,822	1	19,822	0.25	4,956	0	4,956
										-
		School Food Authority Level Total		19,822	1	19,822	0.25	4,956	0	4,956
School Level
						-		-		-
						-		-		-
		School Level Total		-		-		-	-	-
		Total Recordkeeping Burden		19,822	1	19,822	0.25	4,956	0	4,956
			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	Total Difference
			Local Wellness Policy	19,822	1.00	19,822	0.25	4,956	0	4,956
			0	-	-	-	-	-	-	-
			0	-	-	-	-	-	-	-
			0	-	-	-	-	-	-	-
			0	-	-	-	-	-	-	-
			0	-	-	-	-	-	-	-
			Total	19,822	1.00	19,822	0.25	4,956	0	4,956

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Sheet 2: Public Disclosure

Public Disclosure
				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	Total Difference
State Agency Level
				50 states + DC + Guam + Puerto Rico + Virgin Islands + add'l SAs in AR & OK = 56		0		0		0
						0		0		0
		State Agency Level Total		0		0		0	0	0
Local Educational Agency Level
Local Wellness Policy	210.30(a)&(c)(5)	LEA must establish a local wellness policy for all schools participating in school meals. (This is a one time burden averaged over three years.)		19,822	1	19,822	Initial burden is being averaged over 3 years and will be eliminated during ICR renewal. 5.00	99,110		99,110
Local Wellness Policy	210.30(d)(2) & 220.7	LEA must inform the public annually about the content and implementation of the local school wellness policy and any updates.		19,822	1	19,822	1.00	19,822		19,822
Local Wellness Policy	210.30(d)(3), (e)(2), (e)(3)	LEA must conduct triennial assessments of schools' compliance with the local school wellness policy and inform public about progress.		#SFAs divided by 3 (every three years) 19,822 / 3 = 6607 6,607	1	6,607	5.00	33,035		33,035
		Local Educational Agency Level Total		19,822	2.333	46,251	3.29	151,967	0	151,967
School Level
		School Level Total		-		-		-	-	0
		Total Reporting Burden		19,822	2.33	46,251	3.29	151,967	0	151,967
			Program Rule	Estimated # Respondents	Responses per Respondents	Total Annual Records	Estimated Avg. # of Hours Per Response	Estimated Total Hours	Current OMB Approved Burden Hrs	Total Difference
			Local Wellness Policy	19,822	2.33	46,251	3.29	151,967	0	151,967
			0	-		-		-	-	-
			0	-		-		-	-	-
			0	-		-		-	-	-	"Please un-hide the colums 40-47 for more data"
			0	-		-		-	-	-
			0	-		-		-	-	-
			Total	19,822	2.33	46,251	3.29	151,967	0	151,967

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Sheet 3: 60 day Summ

SUMMARY OF BURDEN RECORDKEEPING & REPORTING
TOTAL NO. RESPONDENTS	19,822
AVERAGE NO. RESPONSES PER RESPONDENT	3.333
TOTAL ANNUAL RESPONSES	66,073
AVERAGE HOURS PER RESPONSE	2.37498675707172
TOTAL BURDEN HOURS FOR LOCAL SCHOOL WELLNESS POLICY FINAL RULE	156,923
CURRENT OMB INVENTORY	0		This is the Current OMB Approved Burden Hrs column 'J'
DIFFERENCE (NEW BURDEN REQUESTED WITH FINAL RULE)	156,923

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Sheet 4: Burden Summary

ICR #0584-0592, Local Wellness Policy - Summary
	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	-		-		-
School Food Authority Level	19,822	1	19,822	0.25	4,956
School Level	-		-		-
Recordkeeping Total	19,822	1	19,822	0.25	4,956
Public Disclosure
State Agency Level	-		-		-
School Food Authority Level	19,822	2.33	46,251	3.29	151,967
School Level	-		-		-
Public Disclosure Total	19,822	2.33	46,251	3.29	151,967
TOTAL BURDEN FOR LOCAL SCHOOL WELLNESS POLICY FINAL RULE	19,822	3.33	66,073	2.37	156,923

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Sheet 5: Notes

Date	User Initials	Comments
7/21/15	SW	This is the Burden doc using the redesigned template