| Proposed Rule: SNAP Eligibility, Certification and Employment and Training  (OMB #0584-0064)                                             | 
		
	
		| Regulatory Section | 
		Burden Activities | 
		Title | 
		Estimated Number of Respondents  | 
		Annual Reports/ Records filed | 
		Total Annual Responses | 
		 Number of Burden Hours per Response  | 
		Estimated Total Burden Hours | 
		Hourly Cost to Respondent | 
		 Cost to Respondents  | 
		Previous Sumbission: Burden Hours | 
		Difference Due to Program Changes | 
		Difference Due to Adjustments | 
		Explanation of Differences | 
	
	
		| Affected Public:  State and Local Agencies | 
		
	
		| STATE AGENCY UPDATED REPORTING BURDEN BASELINE ESTIMATES | 
		
	
		
  | 
		Application to Participate in SNAP  | 
		  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| 273.2 | 
		1. Application form (19 Minutes) | 
		Application form - All initial applications | 
		 53.00  | 
		 211,494.77  | 
		 11,209,223  | 
		 0.32  | 
		 3,556,686.46  | 
		 $10.35  | 
		 $36,811,704.84  | 
		 3,556,686.46  | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273 | 
		
  | 
		Change of program name: Program forms | 
		44 | 
		1.00 | 
		44 | 
		8.00 | 
		352.00 | 
		 $10.35  | 
		 $3,643.20  | 
		0.00 | 
		352.00 | 
		0.00 | 
		Program change per rulemaking | 
	
	
		| 273.2(b) and (c), 273.12(c) and (d), 273.14(b), and 273.21(h) | 
		
  | 
		Telephonic signature | 
		3 | 
		1.00 | 
		3 | 
		120 | 
		360 | 
		 $10.35  | 
		 $3,726.00  | 
		0.00 | 
		360.00 | 
		0.00 | 
		Program change per rulemaking | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| 273.2(e)(1) | 
		2. Interview | 
		Interview: Initial interview (Telephone) - 30 minutes | 
		 40  | 
		 211,494.77  | 
		 8,459,790.94  | 
		 0.49999054  | 
		 4,229,815.44  | 
		 $10.15  | 
		 $42,932,626.74  | 
		4,229,895.47 | 
		-80.03 | 
		0.00 | 
		
  | 
	
	
		| 273.2(e)(1) | 
		
  | 
		Interview: Initial interview (In Person) - (30 minutes) | 
		13 | 
		 211,494.77  | 
		 2,749,432.06  | 
		 0.50  | 
		 1,374,716.03  | 
		 $10.35  | 
		 $14,228,310.89  | 
		1,374,716.03 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		Initial Interview sub-total | 
		
  | 
		53 | 
		
  | 
		11,209,223.00 | 
		
  | 
		5,604,531.47 | 
		
  | 
		
  | 
		5,604,611.50 | 
		-80.03 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| 273.2(f)(1) & (2) | 
		3. Verification (21 Minutes) | 
		Verification:   | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		Income | 
		 53  | 
		 211,495  | 
		 11,209,223  | 
		 0  | 
		 561,582  | 
		 $10.35  | 
		 $5,812,374.45  | 
		561,582.07 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Identity | 
		 53  | 
		 211,495  | 
		 11,209,223  | 
		 0  | 
		 561,582  | 
		 $10.35  | 
		 $5,812,374.45  | 
		561,582.07 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Alien Eligibility | 
		 53  | 
		 211,495  | 
		 11,209,223  | 
		 0  | 
		 561,582  | 
		 $10.35  | 
		 $5,812,374.45  | 
		561,582.07 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Social Security Number | 
		 53  | 
		 211,495  | 
		 11,209,223  | 
		 0  | 
		 561,582  | 
		 $10.35  | 
		 $5,812,374.45  | 
		561,582.07 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Medical expenses (if claimed and to receive income deduction)  | 
		 53  | 
		 13,132  | 
		 696,000  | 
		 0  | 
		 34,870  | 
		 $10.35  | 
		 $360,900.48  | 
		34,869.61 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Residency | 
		 53  | 
		 211,495  | 
		 11,209,223  | 
		 0  | 
		 561,582  | 
		 $10.35  | 
		 $5,812,374.45  | 
		561,582.07 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Utility expenses (if the State agency does not utilize a standard utility allowance and the applicant wishes to claim expenses) | 
		 53  | 
		 244,509  | 
		 12,959,000  | 
		 0  | 
		 649,246  | 
		 $10.35  | 
		 $6,719,695.07  | 
		649,245.90 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Hours worked (Able-bodied Adults w/out Dependents) | 
		 53  | 
		 69,890  | 
		 3,704,192  | 
		 0  | 
		 185,580  | 
		 $10.35  | 
		 $1,920,753.33  | 
		185,580.03 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Legal obligation to pay child support and actual child support payments | 
		 53  | 
		 6,868  | 
		 364,000  | 
		 0  | 
		 18,236  | 
		 $10.35  | 
		 $188,746.74  | 
		18,236.40 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Disability | 
		 53  | 
		 68,547  | 
		 3,633,000  | 
		 0  | 
		 182,013  | 
		 $10.35  | 
		 $1,883,837.66  | 
		182,013.30 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Household composition | 
		 53  | 
		 211,495  | 
		 11,209,223  | 
		 0  | 
		 561,582  | 
		 $10.35  | 
		 $5,812,374.45  | 
		561,582.07 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Questionable Information | 
		 53  | 
		 11,035  | 
		 584,872  | 
		 0  | 
		 29,302  | 
		 $10.35  | 
		 $303,276.60  | 
		29,302.09 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.9(c)  | 
		
  | 
		Combat-related pay | 
		53 | 
		 0.00 | 
		0 | 
		 0.00 | 
		0 | 
		 $10.35  | 
		 $-    | 
		0.00 | 
		0.00 | 
		0.00 | 
		State agencies currently exclude combat-related pay per the Consolidated Appropriations Act of 2005 (P.L. 108-447). | 
	
	
		| 273.9(d)(4) and 273.10(e)(1)(i)(E) | 
		
  | 
		Elimination dependent care cap | 
		53 | 
		1.00 | 
		53 | 
		8.00 | 
		424.00 | 
		 $10.35  | 
		 $4,388.40  | 
		0.00 | 
		424.00 | 
		0.00 | 
		
  | 
	
	
		| " | 
		
  | 
		Newly certified households w/ dependent care | 
		53 | 
		 9,517.26  | 
		 504,415.04  | 
		0.08 | 
		 42,034.59  | 
		 $10.35  | 
		 $435,057.97  | 
		0.00 | 
		42,034.59 | 
		0.00 | 
		
  | 
	
	
		| " | 
		
  | 
		Existing households w/ dependent care | 
		53 | 
		 12,412.90  | 
		 657,883.89  | 
		0.03 | 
		 21,929.46  | 
		 $10.35  | 
		 $226,969.94  | 
		0.00 | 
		21,929.46 | 
		0.00 | 
		
  | 
	
	
		| 273.10(e)(2)(ii)(C) | 
		
  | 
		Minimum benefit increase | 
		53 | 
		1.00 | 
		 53.00  | 
		0.50 | 
		26.50 | 
		 $10.35  | 
		 $274.28  | 
		0.00 | 
		 26.50  | 
		0.00 | 
		
  | 
	
	
		| 273.8(b)  | 
		
  | 
		Asset indexation | 
		53 | 
		16.98 | 
		900 | 
		0.0167 | 
		15.03 | 
		 $10.35  | 
		 $155.55  | 
		0.00 | 
		15.03 | 
		0.00 | 
		
  | 
	
	
		| 273.8(e)(2)(i) | 
		
  | 
		Exclusion of retirement accts - Newly certified households | 
		0 | 
		0.00 | 
		 -    | 
		0 | 
		0.00 | 
		 $10.35  | 
		 $-    | 
		0.00 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.8(e)(2)(i) | 
		
  | 
		Exclusion of retirement accts - New and existing households | 
		0 | 
		0.00 | 
		 -    | 
		0 | 
		0.00 | 
		 $10.35  | 
		 $-    | 
		0.00 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.8(e) | 
		
  | 
		Exclusion of education accts -Newly certified households | 
		0 | 
		0.00 | 
		 -    | 
		0 | 
		0.00 | 
		 $10.35  | 
		 $-    | 
		0.00 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.8(e) | 
		
  | 
		Exclusion of education accts - New households | 
		0 | 
		0.00 | 
		0 | 
		0 | 
		0.00 | 
		 $10.35  | 
		 $-    | 
		0.00 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.5(b)(5) | 
		
  | 
		Student Work Hours | 
		 53  | 
		 2,296  | 
		 121,688  | 
		 0.05  | 
		 6,097  | 
		 $10.35  | 
		 $63,099.49  | 
		6,096.57 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 272.2(d)(1)(H) and Subpart H in part 273  | 
		
  | 
		Transitional benefits alternative | 
		0 | 
		0.00 | 
		0 | 
		0 | 
		0.00 | 
		 $10.35  | 
		 $-    | 
		0.00 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
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  | 
	
	
		
  | 
		Application for Recertification  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| 273.14b | 
		1. Application form (15 Minutes) | 
		Application form - All recertification applications | 
		53 | 
		 275,842.30  | 
		 14,619,642.00  | 
		0.25 | 
		 3,654,910.50  | 
		 $10.35  | 
		 37,828,323.68  | 
		3,654,910.50 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
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  | 
		
  | 
		
  | 
		
  | 
	
	
		| 273.14(b)(3) | 
		2. Interview  | 
		Interview: Recertification interviews (In Person) - (20 minutes) | 
		53 | 
		275842.301886792 | 
		14619642 | 
		0.334 | 
		4882960.428 | 
		10.35 | 
		 50,538,640.43  | 
		4,882,960.43 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
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  | 
		
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  | 
	
	
		| 273.2(f)(8)(i) | 
		3. Verification (21 Minutes) | 
		Verification:  | 
		  | 
		  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		Income (if source changed or amount changed by more than $50) | 
		 53  | 
		 137,921.15  | 
		 7,309,821.00  | 
		 0.10  | 
		 732,444.06  | 
		 $10.35  | 
		 7,580,796.06  | 
		 732,444.06  | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Social Security Number (if Social Security number is new) | 
		 53  | 
		 2,758.42  | 
		 146,196.42  | 
		 0.10  | 
		 14,648.88  | 
		 $10.35  | 
		 151,615.92  | 
		 14,648.88  | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Medical expenses (unreported and reoccurring expenses that have  changed by more than $25) | 
		 53  | 
		 5,516.85  | 
		 292,392.84  | 
		 0.10  | 
		 29,297.76  | 
		 $10.35  | 
		 303,231.84  | 
		 29,297.76  | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Legal obligation to pay child support (if there were changes in obligation to pay) | 
		 53  | 
		 13,792.12  | 
		 730,982.10  | 
		 0.10  | 
		 73,244.41  | 
		 $10.35  | 
		 758,079.61  | 
		 73,244.41  | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Utility expenses (if has changed by more than $25) | 
		 53  | 
		 13,792.12  | 
		 730,982.10  | 
		 0.10  | 
		 73,244.41  | 
		 $10.35  | 
		 758,079.61  | 
		 73,244.41  | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Hours worked (Able-bodied Adults w/out Dependents) | 
		 53  | 
		 137,921.15  | 
		 7,309,821.00  | 
		 0.10  | 
		 732,444.06  | 
		 $10.35  | 
		 7,580,796.06  | 
		 732,444.06  | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Other information which has changed may be verified | 
		 53  | 
		 137,921.15  | 
		 7,309,821.00  | 
		 0.10  | 
		 732,444.06  | 
		 $10.35  | 
		 7,580,796.06  | 
		 732,444.06  | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.9(c)  | 
		
  | 
		Combat-related pay | 
		0 | 
		0 | 
		0.00 | 
		0 | 
		0 | 
		 $10.35  | 
		 -    | 
		0.00 | 
		0.00 | 
		0.00 | 
		State agencies currently exclude combat-related pay per the Consolidated Appropriations Act of 2005 (P.L. 108-447). | 
	
	
		
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  | 
		
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  | 
		
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  | 
		
  | 
		
  | 
	
	
		
  | 
		Periodic Reports  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| 273.21 | 
		MA,MN | 
		Monthly Reports  | 
		2 | 
		 364,434.00  | 
		 728,868.00  | 
		0.1169 | 
		 85,204.67  | 
		 $10.35  | 
		 881,868.33  | 
		 85,204.67  | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.12(a)(4) | 
		CA | 
		Quarterly Report | 
		1 | 
		 1,733,336.00  | 
		 1,733,336.00  | 
		0.1336 | 
		 231,573.69  | 
		 $10.35  | 
		 2,396,787.69  | 
		 231,573.69  | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.12(a)(5)  | 
		51SA | 
		Simplified or Periodic Report - Proposed rule changes to 273.12(d)(6)(iii)(A) & (d)(6)(iii)(B) Expansion of simplified reporting  | 
		51 | 
		 418,481.49  | 
		 21,342,555.85  | 
		
		Lynnette Thomas:
Kept burden time the same
		0.1837 | 
		
		Lynnette Thomas:
Baseline + NPRM burden
		 3,920,627.51  | 
		 $10.35  | 
		 40,578,494.72  | 
		 3,463,030.81  | 
		457,596.70 | 
		0.00 | 
		Increased burden due to Elderly / Disabled Households added to SR from expansion of simplified reporting. | 
	
	
		| 273.12(a)(1) | 
		24 SA | 
		Change Report | 
		 24  | 
		 134,810.67  | 
		 3,235,456.08  | 
		 0  | 
		 594,353.28  | 
		 $10.35  | 
		 6,151,556.47  | 
		 594,353.28  | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
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  | 
		
  | 
		
  | 
		
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  | 
	
	
		
  | 
		Notices | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
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  | 
	
	
		| 273.10(g)(1)(i) & (ii)  | 
		All Initial and Recertification Applications | 
		Notice of Eligibility or Denial | 
		 53  | 
		 712,253.57  | 
		 37,749,439.21  | 
		 0.0334  | 
		 1,260,831.27  | 
		 $10.35  | 
		 13,049,603.64  | 
		1,260,831.27 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.12(a)(4)(iii) & 273.12(a)(5)(iii)(D) | 
		
  | 
		Notice of Missing or Incomplete Report | 
		 53  | 
		 1,149.85  | 
		 60,942.05  | 
		 0.0334  | 
		 2,035.46  | 
		 $10.35  | 
		 21,067.06  | 
		2,035.46 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.2(h)(1)(i)(D) & 273.14(b)(3)(iii) | 
		
  | 
		Notice of Missed Interviews | 
		 53  | 
		 44,514.17  | 
		 2,359,251.01  | 
		 0.0167  | 
		 39,399.49  | 
		 $10.35  | 
		 407,784.74  | 
		39,399.49 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.14(b)(1) | 
		Total Participating Households | 
		Notice of Expiration | 
		 53  | 
		 416,736.06  | 
		 22,087,011.18  | 
		 0.0334  | 
		 737,706.17  | 
		 $10.35  | 
		 7,635,258.89  | 
		737,706.17 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.13(a) | 
		
  | 
		Notice of Adverse Action  | 
		 53  | 
		 31,227.23  | 
		 1,655,043.19  | 
		 0.0334  | 
		 55,278.44  | 
		 $10.35  | 
		 572,131.88  | 
		55,278.44 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.12(a)(4)(v) & 273.13(b)  | 
		
  | 
		Adequate Notice | 
		 53  | 
		 6,899.15  | 
		 365,654.95  | 
		 0.0334  | 
		 12,212.88  | 
		 $10.35  | 
		 126,403.26  | 
		12,212.88 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.12(c)(3)(i)  | 
		
  | 
		Request for Contact | 
		 53  | 
		 31,227.23  | 
		 1,655,043.19  | 
		 0.0334  | 
		 55,278.44  | 
		 $10.35  | 
		 572,131.88  | 
		55,278.44 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.29 | 
		
  | 
		Transitional Benefits Notice | 
		 -    | 
		 -    | 
		 -    | 
		 -    | 
		 -    | 
		 $10.35  | 
		 -    | 
		0.00 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		State Agency Reporting Subtotal | 
		
  | 
		53 | 
		4,885,694.14 | 
		258,941,789.54 | 
		0.1221 | 
		31,621,335.73 | 
		
  | 
		 $326,434,861.70  | 
		31,098,677.48 | 
		522,658.25 | 
		0.00 | 
		
  | 
	
	
		| LOCAL AGENCY UPDATED RECORDKEEPING BURDEN BASELINE ESTIMATES | 
		
	
		| 272.1(f) | 
		
  | 
		Case Files | 
		2,724 | 
		 46,693.21  | 
		 127,192,304.04  | 
		 0.03  | 
		 3,815,769.12  | 
		10.15 | 
		 $38,730,056.58  | 
		3,815,769.12 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 272.4(e) | 
		
  | 
		Monitoring Duplicate Participation | 
		2,724 | 
		 17,098.41  | 
		 46,576,077.01  | 
		 0.004  | 
		 194,066.68  | 
		10.15 | 
		 $1,969,776.77  | 
		194,066.68 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		Local Agency Recordkeeping Subtotal | 
		
  | 
		2,724 | 
		63,791.62 | 
		173,768,381.05 | 
		0.02 | 
		4,009,835.80 | 
		
  | 
		 $40,699,833.35  | 
		4,009,835.80 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| State & Local Agency Reporting & Recordkeeping Subtotal | 
		
  | 
		
  | 
		2,777 | 
		155,819 | 
		432,710,171 | 
		0.08 | 
		35,631,172 | 
		
  | 
		 $367,134,695.05  | 
		35,108,513.28 | 
		522,658 | 
		0 | 
		
  | 
	
	
		| Affected Public:  Households | 
		
	
		| HOUSEHOLD UPDATED BURDEN BASELINE ESTIMATES | 
		
	
		
  | 
		Application to Participate in SNAP  | 
		
  | 
		    | 
		
  | 
		  | 
		    | 
		  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| 273.2 | 
		1. Application form (19 Minutes) | 
		Application form - All initial applications | 
		11,209,223 | 
		1 | 
		11,209,223 | 
		0 | 
		3,556,686 | 
		 $7.25  | 
		 $25,785,976.82  | 
		3,556,686.46 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.2(b) & (c), 273.12(c) and (d), 273.14(b), and 273.21(h) | 
		
  | 
		Telephonic signature | 
		0 | 
		0 | 
		0 | 
		0 | 
		0 | 
		 $7.25  | 
		 $-    | 
		0.00 | 
		0.00 | 
		0.00 | 
		no burden is estimated for households | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| 273.2(e)(1) | 
		2. Interview | 
		Interview: Initial interview  | 
		11,209,223 | 
		1 | 
		11,209,223 | 
		1 | 
		5,604,612 | 
		 $7.25  | 
		 $40,633,433.38  | 
		5,604,611.50 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		Travel Time | 
		Travel associated with in office interview - 80% of applicants will have interview waived. Burden shows travel time for remaining 20%. | 
		2,241,845 | 
		1 | 
		2,241,845 | 
		2 | 
		4,483,689 | 
		 $7.25  | 
		32,506,747 | 
		22,418,446.00 | 
		-17,934,756.80 | 
		0.00 | 
		80% of applicants will have 2 hour burden reduction.  Reduced respondents and responses by 80%. (11,209,223 * 20% = 2,241,845) | 
	
	
		| 273.2(f)(1) & (2) | 
		3. Verification (27 Minutes) | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		Income | 
		 11,209,223  | 
		 1.00  | 
		 11,209,223.00  | 
		 0.07  | 
		 748,776.10  | 
		 $7.25  | 
		 5,428,626.70  | 
		748,776.10 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Identity | 
		 11,209,223  | 
		 1.00  | 
		 11,209,223.00  | 
		 0.07  | 
		 748,776.10  | 
		 $7.25  | 
		 5,428,626.70  | 
		748,776.10 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Alien Eligibility | 
		 11,209,223  | 
		 1.00  | 
		 11,209,223.00  | 
		 0.07  | 
		 748,776.10  | 
		 $7.25  | 
		 5,428,626.70  | 
		748,776.10 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Social Security Number | 
		 11,209,223  | 
		 1.00  | 
		 11,209,223.00  | 
		 0.07  | 
		 748,776.10  | 
		 $7.25  | 
		 5,428,626.70  | 
		748,776.10 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Medical expenses (if claimed and to receive income deduction) | 
		 696,000  | 
		 1.00  | 
		 696,000.00  | 
		 0.07  | 
		 46,492.80  | 
		 $7.25  | 
		 337,072.80  | 
		46,492.80 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Residency | 
		 11,209,223  | 
		 1.00  | 
		 11,209,223.00  | 
		 0.07  | 
		 748,776.10  | 
		 $7.25  | 
		 5,428,626.70  | 
		748,776.10 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Utility expenses (if the State agency does not utilize a standard utility allowance and the applicant wishes to claim expenses) | 
		 12,959,000  | 
		 1.00  | 
		 12,959,000.00  | 
		 0.07  | 
		 865,661.20  | 
		 $7.25  | 
		 6,276,043.70  | 
		865,661.20 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Hours worked (Able-bodied Adults w/out Dependents) | 
		 3,704,192  | 
		 1.00  | 
		 3,704,192.00  | 
		 0.07  | 
		 247,440.03  | 
		 $7.25  | 
		 1,793,940.19  | 
		247,440.03 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Legal obligation to pay child support and actual child support payments | 
		 364,000  | 
		 1.00  | 
		 364,000.00  | 
		 0.07  | 
		 24,315.20  | 
		 $7.25  | 
		 176,285.20  | 
		24,315.20 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Disability | 
		 3,633,000  | 
		 1.00  | 
		 3,633,000.00  | 
		 0.07  | 
		 242,684.40  | 
		 $7.25  | 
		 1,759,461.90  | 
		242,684.40 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Household composition | 
		 11,209,223  | 
		 1.00  | 
		 11,209,223.00  | 
		 0.07  | 
		 748,776.10  | 
		 $7.25  | 
		 5,428,626.70  | 
		748,776.10 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Questionable Information | 
		 584,872  | 
		 1.00  | 
		 584,872.00  | 
		 0.07  | 
		 39,069.45  | 
		 $7.25  | 
		 283,253.51  | 
		39,069.45 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Student Work Hours  | 
		 121,688  | 
		 1.00  | 
		 121,688.00  | 
		 0.07  | 
		 8,128.76  | 
		 $7.25  | 
		 58,933.50  | 
		8,128.76 | 
		0.00 | 
		0.00 | 
		No change to burden for households | 
	
	
		| 273.9(d)(4) and 273.10(e)(1)(i)(E) | 
		
  | 
		Newly certified households w/ dependent care | 
		504,415 | 
		 1.00  | 
		 504,415.04  | 
		0.08 | 
		42118.66 | 
		 $7.25  | 
		 $305,360.25  | 
		0.00 | 
		 42,118.66  | 
		0.00 | 
		
  | 
	
	
		| " | 
		
  | 
		Existing households w/ dependent care | 
		657,884 | 
		1.00 | 
		 657,883.89  | 
		0.03 | 
		21973.32 | 
		 $7.25  | 
		 $159,306.58  | 
		0.00 | 
		 21,973.32  | 
		0.00 | 
		
  | 
	
	
		| 273.8(e)(2)(i) | 
		
  | 
		Exclusion of retirement accts - New and existing households | 
		0 | 
		0.00 | 
		0 | 
		0 | 
		0.00 | 
		 $-    | 
		 $-    | 
		0.00 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.8(e) | 
		
  | 
		Exclusion of education accounts from resources - New Households | 
		0 | 
		0.00 | 
		0 | 
		0 | 
		0.00 | 
		 $-    | 
		 $-    | 
		0.00 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		Application for Recertification of SNAP | 
		  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| 273.14 | 
		1. Application form (15 Minutes) | 
		Application form - All recertification applications | 
		 14,619,642  | 
		 1.00  | 
		 14,619,642.00  | 
		 0.25  | 
		 3,654,910.50  | 
		 7.25  | 
		 26,498,101.13  | 
		3,654,910.50 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| 273.14(b)(3) | 
		2. Interview | 
		Interview: All recertification interviews  | 
		 14,619,642  | 
		 1.00  | 
		 14,619,642.00  | 
		 0.33  | 
		 4,882,960.43  | 
		 7.25  | 
		 35,401,463.10  | 
		4,882,960.43 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		|   | 
		Travel Time | 
		Travel associated with in office interview - 80% of applicants will have interview waived. Burden shows travel time for remaining 20%. | 
		2,923,928 | 
		1.00 | 
		2,923,928.40 | 
		2 | 
		5,847,856.80 | 
		 $7.25  | 
		 $42,396,961.80  | 
		29,239,284.00 | 
		-23,391,427.20 | 
		0.00 | 
		80% of applicants will have 2 hour burden reduction.  Reduced respondents and responses by 80%. (14,619,642 * 20% = 2,923,928) | 
	
	
		| 273.2(f)(8)(i) | 
		3. Verification (27 Minutes) | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		Income (if source changed or amount changed by more than $50) | 
		 7,309,821  | 
		 1.00  | 
		 7,309,821.00  | 
		 0.10  | 
		 732,444.06  | 
		 7.25  | 
		 5,310,219.47  | 
		732,444.06 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Social Security Number (if Social Security number is new) | 
		 146,196  | 
		 1.00  | 
		 146,196.42  | 
		 0.10  | 
		 14,648.88  | 
		 7.25  | 
		 106,204.39  | 
		14,648.88 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Medical expenses (unreported and reoccurring expenses that have  changed by more than $25) | 
		 292,393  | 
		 1.00  | 
		 292,392.84  | 
		 0.10  | 
		 29,297.76  | 
		 7.25  | 
		 212,408.78  | 
		29,297.76 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Legal obligation to pay child support (if there were  changes in obligation to pay) | 
		 730,982  | 
		 1.00  | 
		 730,982.10  | 
		 0.10  | 
		 73,244.41  | 
		 7.25  | 
		 531,021.95  | 
		73,244.41 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Utility expenses (if has changed by more than $25) | 
		 730,982  | 
		 1.00  | 
		 730,982.10  | 
		 0.10  | 
		 73,244.41  | 
		 7.25  | 
		 531,021.95  | 
		73,244.41 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Hours worked (Able-bodied Adults w/out Dependents) | 
		 7,309,821  | 
		 1.00  | 
		 7,309,821.00  | 
		 0.10  | 
		 732,444.06  | 
		 7.25  | 
		 5,310,219.47  | 
		732,444.06 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		Other information which has changed may be verified | 
		 7,309,821  | 
		 1.00  | 
		 7,309,821.00  | 
		 0.10  | 
		 732,444.06  | 
		 7.25  | 
		 5,310,219.47  | 
		732,444.06 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Periodic Reports | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| 273.21 | 
		MA,MN | 
		Monthly Report | 
		 728,868  | 
		 11.00  | 
		 8,017,548.00  | 
		 0.12  | 
		 937,251.36  | 
		 7.25  | 
		 6,795,072.37  | 
		937,251.36 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.12(a)(4) | 
		CA | 
		Quarterly Report | 
		 1,733,336  | 
		 3.00  | 
		 5,200,008.00  | 
		 0.13  | 
		 694,721.07  | 
		 7.25  | 
		 5,036,727.75  | 
		694,721.07 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.12(a)(5)  | 
		51SA | 
		Simplified or Periodic Report - Proposed rule changes to 273.12(d)(6)(iii)(A) & (d)(6)(iii)(B) Expansion of simplified reporting  | 
		18,851,556 | 
		1.07 | 
		20,097,056.00 | 
		0.167 | 
		3,356,208.35 | 
		 $7.25  | 
		 $24,332,510.55  | 
		3,148,209.85 | 
		207,998.50 | 
		0.00 | 
		Increased burden due to Elderly / Disabled Households added to SR from expansion of simplified reporting. | 
	
	
		| 273.12(a)(1) | 
		24 SA | 
		Change Report | 
		 3,235,456  | 
		 1.00  | 
		 3,235,456.00  | 
		 0.17  | 
		 540,321.15  | 
		 7.25  | 
		 3,917,328.35  | 
		540,321.15 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| 273.2(h)(1)(i)(D) & 273.14(b)(3)(iii) | 
		Notices | 
		Notice of Missed Interviews | 
		 2,123,326  | 
		 1.00  | 
		 2,123,326.00  | 
		 0.02  | 
		 35,459.54  | 
		 7.25  | 
		 257,081.70  | 
		35,459.54 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.13(a) | 
		
  | 
		Notice of Adverse Action | 
		 82,753  | 
		 1.00  | 
		 82,753.00  | 
		 0.02  | 
		 1,381.98  | 
		 7.25  | 
		 10,019.32  | 
		1,381.98 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.12(a)(4)(v) & 273.13(b)  | 
		
  | 
		Adequate Notice | 
		 14,626  | 
		 1.00  | 
		 14,626.00  | 
		 0.02  | 
		 244.25  | 
		 7.25  | 
		 1,770.84  | 
		244.25 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		| 273.12(c)(3)(i)  | 
		  | 
		Request for Contact | 
		 1,324,034  | 
		 1.00  | 
		 1,324,034.00  | 
		 0.03  | 
		 44,222.74  | 
		 7.25  | 
		 320,614.83  | 
		44,222.74 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Household Subtotal - Burden Activities with Adjusted Baseline | 
		
  | 
		14,619,642.00 | 
		14.4482823440547 | 
		211,228,715.39 | 
		0.1991 | 
		42,058,833.37 | 
		
  | 
		 $304,926,541.92  | 
		83,112,926.89 | 
		-41,054,093.52 | 
		0.00 | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		TOTAL REPORTING AND RECORDKEEPING BURDEN  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		 Estimated Number of Respondents  | 
		Annual Reports/ Records filed | 
		Total Annual Responses | 
		 Number of Burden Hours per Response  | 
		Estimated Total Burden Hours | 
		
  | 
		 Total Cost to Respondents  | 
		Previous Sumbission: Burden Hours | 
		Difference Due to Program Changes | 
		Difference Due to Adjustments | 
		
  | 
	
	
		
  | 
		TOTAL REPORTING BURDEN | 
		
  | 
		14,619,695.00 | 
		32.16 | 
		470,170,504.93 | 
		0.1567 | 
		73,680,169.10 | 
		
  | 
		 $631,361,403.62  | 
		114,211,604.37 | 
		-40,531,435.27 | 
		0.00 | 
		
  | 
	
	
		
  | 
		TOTAL RECORDKEEPING BURDEN | 
		
  | 
		2,724 | 
		63,791.62 | 
		173,768,381 | 
		0.0231 | 
		4,009,836 | 
		
  | 
		 $40,699,833.35  | 
		4,009,835.80 | 
		0.00 | 
		0.00 | 
		
  | 
	
	
		
  | 
		TOTAL BURDEN REQUESTED FOR OMB NO. 0584-0064 | 
		14,622,419 | 
		44.04 | 
		643,938,886 | 
		0.1206 | 
		77,690,005 | 
		
  | 
		 $672,061,236.97  | 
		118,221,440 | 
		-40,531,435 | 
		0 | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		SUMMARY OF BURDEN (OMB #0584-0064) | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		TOTAL NO. RESPONDENTS | 
		14,622,419 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		AVERAGE NO. RESPONSES PER RESPONDENT | 
		44.04 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		TOTAL ANNUAL RESPONSES | 
		643,938,886 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		AVERAGE HOURS PER RESPONSE | 
		0.1206 | 
		
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		TOTAL ANNUAL BURDEN HOURS REQUESTED | 
		77,690,005 | 
		
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		CURRENT BURDEN INVENTORY | 
		118,221,440 | 
		
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		DIFFERENCE | 
		-40,531,435 | 
		
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		Pre-Baseline Revision      BURDEN INVENTORY | 
		24,897,947 | 
		
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		TOTAL ANNUAL BURDEN HOURS REQUESTED | 
		77,690,005 | 
		
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		DIFFERENCE | 
		52,792,058 | 
		
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