Appendix B_OMB 0584-0064 Baseline Revision Burden Table

Appendix B_OMB 0584-0064 Burden Table 112916.xlsx

SNAP Forms: Applications, Periodic Reporting, Notices

Appendix B_OMB 0584-0064 Baseline Revision Burden Table

OMB: 0584-0064

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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















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














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














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).















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















Notices











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











TOTAL ANNUAL BURDEN HOURS REQUESTED 77,690,005











CURRENT BURDEN INVENTORY 118,221,440











DIFFERENCE -40,531,435





















































Pre-Baseline Revision BURDEN INVENTORY 24,897,947











TOTAL ANNUAL BURDEN HOURS REQUESTED 77,690,005











DIFFERENCE 52,792,058










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