Appendix C_Burden Table

Respondent Category	Type of respondents	Form	Number of respondents	Frequency of response	Total Annual responses	Hours per response	Annual burden (hours)	Hourly Wage Rate	Total Annualized Cost of Respondent Burden
(A) 3 Categories: - Individual / Household - State/ Local/ Tribal Government - Business (Profit, Non-Profit, or Farm)	(B) Describe the respondent.	(E) Form Number, where applicable	(F) Number of persons estimated to respond	(G) Number of times per year the respondent will respond to each instrument	(H) (= F x G) Total responses per year for each instrument	(I) Average Time (in hours) it will take each person to respond to the instrument. To convert minutes to hours, divide minutes by 60.	(J) (= H x I) Average total time (in hours) it will take all respondents to respond.	(Q) BLS Hourly Wage. Use a wage rate that best fits the respondent.	(R) = Hourly Wage Rate (Q) x Total Burden (P)
State Law Enforcement Bureau	SLEB Investigator	FNS Form 878	53	2	106	2	212	$25.35	$5,374.20
	TOTAL		53	2	106	2	212		$5,374.20