| Food and Nutrition Service Data Collection Information (by Program) |
|
|
|
| Annual Burden Hours |
|
|
|
| Affected Public |
Current OMB Control Number |
Worksheet Number |
Title of Worksheet |
Estimated No. of Respondents1 |
Frequency of Response per Respondent2 |
Total Annual Response |
Estimated Hrs per Response |
Annual Burden Hrs |
Hourly Wage Rate3 |
Respondent Cost |
Notes |
| State, Local and Tribal Agencies |
|
Child Nutrition Program |
|
|
|
|
0584-0002 |
FNS-10 |
Report of School Program Operations |
56.0 |
33.8 |
1,891.0 |
2.3 |
4,255.0 |
$24.25 |
$103,183.75 |
|
|
0584-0075 |
FNS-13 |
Annual Report of State Revenue Matching |
57.0 |
1.0 |
57.0 |
8.0 |
456.0 |
$24.25 |
$11,058.00 |
|
|
0584-0280 |
FNS-418 |
Summer Food Service Program for Children |
53.0 |
3.0 |
159.0 |
2.0 |
318.0 |
$24.25 |
$7,711.50 |
|
|
0584-0055 |
FNS-44 |
Report of Child and Adult Care Food Program |
56.0 |
24.0 |
1,344.0 |
1.0 |
1,344.0 |
$24.25 |
$32,592.00 |
|
|
0584-0067 |
FNS-777(SAE) |
NSLP, SBP, SMP, CACFP and Food Distribution Program (FDP) |
87.0 |
4.0 |
348.0 |
0.5 |
174.0 |
$24.25 |
$4,219.50 |
|
|
0348-0061 |
SF-425 |
NSLP |
57.0 |
4.0 |
228.0 |
1.5 |
342.0 |
$24.25 |
$8,293.50 |
|
|
0348-0061 |
SF-425 |
SBP |
57.0 |
4.0 |
228.0 |
1.5 |
342.0 |
$24.25 |
$8,293.50 |
|
|
0348-0061 |
SF-425 |
SMP |
57.0 |
4.0 |
228.0 |
1.5 |
342.0 |
$24.25 |
$8,293.50 |
|
|
0348-0061 |
SF-425 |
CACFP |
55.0 |
4.0 |
220.0 |
1.5 |
330.0 |
$24.25 |
$8,002.50 |
|
|
0348-0061 |
SF-425 |
SFSP |
53.0 |
4.0 |
212.0 |
1.5 |
318.0 |
$24.25 |
$7,711.50 |
|
|
0348-0061 |
SF-425 |
CN Team Nutrition |
57.0 |
4.0 |
228.0 |
1.5 |
342.0 |
$24.25 |
$8,293.50 |
|
|
0348-0061 |
SF-425 |
CN - Administrative Review & Training (I) |
57.0 |
2.0 |
114.0 |
1.5 |
171.0 |
$24.25 |
$4,146.75 |
|
|
0348-0061 |
SF-425 |
CN - Administrative Review & Training (II) |
57.0 |
4.0 |
228.0 |
1.5 |
342.0 |
$24.25 |
$8,293.50 |
|
|
0348-0061 |
SF-425 |
CN - Summer Food Service Program Pilot Programs |
57.0 |
4.0 |
228.0 |
1.5 |
342.0 |
$24.25 |
$8,293.50 |
|
|
0348-0061 |
SF-425 |
CN - Direct Certification & Verfication |
57.0 |
4.0 |
228.0 |
1.5 |
342.0 |
$24.25 |
$8,293.50 |
|
|
0348-0061 |
SF-425 |
CN - CACFP Child Care Wellness Grants |
57.0 |
4.0 |
228.0 |
1.5 |
342.0 |
$24.25 |
$8,293.50 |
|
|
0348-0061 |
SF-425 |
CN Direct Certification and Improvement |
57.0 |
4.0 |
228.0 |
1.5 |
342.0 |
$24.25 |
$8,293.50 |
|
|
0348-0061 |
SF-425 |
CN National School Lunch Program Equipment Grants |
57.0 |
4.0 |
228.0 |
1.5 |
342.0 |
$24.25 |
$8,293.50 |
|
|
0348-0061 |
SF-425 |
CN National Food Service Management Institute (FSMI) |
1.0 |
4.0 |
4.0 |
1.5 |
6.0 |
$24.25 |
$145.50 |
|
|
0348-0061 |
SF-425 |
CN FSMI Produce Safety University Support |
1.0 |
4.0 |
4.0 |
1.5 |
6.0 |
$24.25 |
$145.50 |
|
|
0348-0061 |
SF-425 |
CN FSMI Food Safety |
1.0 |
4.0 |
4.0 |
1.5 |
6.0 |
$24.25 |
$145.50 |
|
|
0348-0061 |
SF-425 |
CN FSMI General Education |
1.0 |
4.0 |
4.0 |
1.5 |
6.0 |
$24.25 |
$145.50 |
|
|
0348-0061 |
SF-425 |
CN Community Gardens Pilot Program |
150.0 |
4.0 |
600.0 |
1.5 |
900.0 |
$24.25 |
$21,825.00 |
|
|
0348-0061 |
SF-425 |
CN Hunger-Free Community Grants |
150.0 |
4.0 |
600.0 |
1.5 |
900.0 |
$24.25 |
$21,825.00 |
|
|
|
|
PROGRAM SUBTOTALS |
207.0 |
|
7,841.0 |
|
12,610.0 |
|
$305,792.50 |
|
|
|
Special Nutrition Assistance Program |
|
|
|
|
0584-0025 |
FNS-101 |
Participation in Food Programs-By Race |
2,719.0 |
1.0 |
2,719.0 |
2.0 |
5,438.0 |
$24.25 |
$131,871.50 |
|
|
0584-0069 |
FNS-209 |
Status of Claims Against Households |
53.0 |
4.0 |
212.0 |
3.0 |
636.0 |
$24.25 |
$15,423.00 |
|
|
0584-0083 |
FNS-366A |
Program and Budget Summary Statement: Budget Projection |
53.0 |
1.0 |
53.0 |
13.0 |
689.0 |
$24.25 |
$16,708.25 |
|
|
0584-0083 |
FNS-366B |
Program and Budget Summary Statement: Program Activity Statement & Updates |
53.0 |
1.0 |
53.0 |
35.0 |
1,855.0 |
$35.55 |
$65,945.25 |
|
|
0584-0081 |
FNS-388 |
State Issuance and Participation Estimates |
53.0 |
11.3 |
600.0 |
5.7 |
3,390.0 |
$24.25 |
$82,207.50 |
|
|
0584-0081 |
FNS-388A |
Project Area Issuance and Participation |
53.0 |
2.3 |
120.0 |
14.8 |
1,779.6 |
$24.25 |
$43,155.30 |
|
|
0584-0542 |
FNS-759 |
Supplemental Nutrition Assistance Program Education (SNAP-Ed) EARS Reporting Form |
52.0 |
1.0 |
52.0 |
54.0 |
2,808.0 |
$24.25 |
$68,094.00 |
|
|
0584-NEW |
FNS-778 |
SNAP |
53.0 |
4.0 |
212.0 |
16.8 |
3,561.6 |
$24.25 |
$86,368.80 |
New Burden |
|
0584-NEW |
FNS-778a |
SNAP |
7.0 |
4.0 |
28.0 |
1.0 |
28.0 |
$24.25 |
$679.00 |
New Burden |
|
0584-0339 |
FNS-583 |
SNAP Employment and Training Program Activity Report |
53.0 |
13.2 |
698.0 |
31.3 |
21,858.6 |
$24.25 |
$530,072.02 |
|
|
0584-0080 |
FNS-46 |
Issuance Reconciliation Report |
54.0 |
12.0 |
648.0 |
4.0 |
2,592.0 |
$24.25 |
$62,856.00 |
|
|
0584-0037 |
FNS-292A&B |
Disaster Relief |
55.0 |
2.0 |
110.0 |
0.4175 |
45.9 |
$24.25 |
$1,113.68 |
|
|
0348-0061 |
SF-425 |
SNAP Outreach |
53.0 |
4.0 |
212.0 |
1.5 |
318.0 |
$24.25 |
$7,711.50 |
|
|
0348-0061 |
SF-425 |
SNAP Health and Census Pilot |
53.0 |
4.0 |
212.0 |
1.5 |
318.0 |
$24.25 |
$7,711.50 |
|
|
0348-0061 |
SF-425 |
SNAP Participation |
53.0 |
4.0 |
212.0 |
1.5 |
318.0 |
$24.25 |
$7,711.50 |
|
|
0348-0061 |
SF-425 |
SNAP Increasing Participation Among Elderly |
53.0 |
4.0 |
212.0 |
1.5 |
318.0 |
$24.25 |
$7,711.50 |
|
|
0348-0061 |
SF-425 |
SNAP Healthy Incentives |
53.0 |
4.0 |
212.0 |
1.5 |
318.0 |
$24.25 |
$7,711.50 |
|
|
|
|
PROGRAM SUBTOTALS |
2,774.0 |
|
6,565.0 |
|
46,271.8 |
|
$1,143,051.80 |
|
|
|
Food Distribution Program |
|
|
|
|
0584-0293 |
FNS-667 |
Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs |
55.0 |
5.0 |
275.0 |
3.5 |
962.5 |
$24.25 |
$23,340.63 |
|
|
0584-0293 |
FNS-152 |
Monthly Distribution of Donated Food to Family Units |
97.0 |
12.0 |
1,164.0 |
2.5 |
2,910.0 |
$24.25 |
$70,567.50 |
|
|
0584-0293 |
FNS-153 |
Monthly Report of the CSFP and Quarterly Administrative Financial Status Report |
20.0 |
12.0 |
240.0 |
6.3 |
1,512.0 |
$24.25 |
$36,666.00 |
|
|
0348-0061 |
SF-425 |
CSFP |
42.0 |
1.0 |
42.0 |
1.5 |
63.0 |
$24.25 |
$1,527.75 |
|
|
0584-0025 |
FNS-191 |
CSFP Racial/Ethnic Group Participation |
192.0 |
1.0 |
192.0 |
2.0 |
384.0 |
$24.25 |
$9,312.00 |
|
|
0584-0025 |
FNS-101 |
Participation in Food Programs-By Race |
111.0 |
1.0 |
111.0 |
2.4 |
268 |
$24.25 |
$6,499.00 |
|
|
0348-0061 |
SF-425 |
FDPNE |
111.0 |
4.0 |
444.0 |
1.5 |
666.0 |
$24.25 |
$16,150.50 |
|
|
0348-0061 |
SF-425 |
FDPIR-NET |
111.0 |
1.0 |
111.0 |
1.5 |
166.5 |
$24.25 |
$4,037.63 |
|
|
0348-0061 |
SF-425 |
FDPIR |
111.0 |
4.0 |
444.0 |
1.5 |
666.0 |
$24.25 |
$16,150.50 |
|
|
0348-0061 |
SF-425 |
TEFAP - Infrastructure |
150.0 |
4.0 |
600.0 |
1.5 |
900.0 |
$24.25 |
$21,825.00 |
|
|
|
|
PROGRAM SUBTOTALS |
192.0 |
|
3,623.0 |
|
8,498.0 |
|
$206,076.50 |
|
|
|
Special Supplemental Food Program for Women, Infants and Children (WIC) |
|
|
|
|
0584-0447 |
FNS-683 |
WIC Farmers' Market Nutrition Program (FMNP) Annual Financial Report |
45.0 |
1.0 |
45.0 |
3.0 |
135.0 |
$24.25 |
$3,273.75 |
|
|
0584-0447 |
FNS-203 |
WIC Farmers' Market Nutrition Program Report |
45.0 |
1.0 |
45.0 |
1.0 |
45.0 |
$24.25 |
$1,091.25 |
|
|
0584-0541 |
FNS-683A |
Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report |
51.0 |
1.0 |
51.0 |
2.0 |
102.0 |
$24.25 |
$2,473.50 |
|
|
0584-0431 |
FNS-648 |
WIC Local Agency Directory |
90 |
1.0 |
90.00 |
0.167 |
15.0 |
$24.25 |
$363.75 |
|
|
0584-0045 |
FNS-798 |
WIC Financial Management and Participation Report |
90.0 |
15.0 |
1,350.0 |
3.1 |
4,185.0 |
$24.25 |
$101,486.25 |
|
|
0584-0045 |
FNS-798A |
Addendum to WIC Financial Management and Participation Report - NSA Expenditures |
90.0 |
1.0 |
90.0 |
1.7 |
153.0 |
$24.25 |
$3,710.25 |
|
|
0348-0061 |
SF-425 |
WIC Breastfeeding Peer Counseling |
90.0 |
1.0 |
90.0 |
1.5 |
135.0 |
$24.25 |
$3,273.75 |
|
|
0348-0061 |
SF-425 |
WIC General Infrastructure |
90.0 |
1.0 |
90.0 |
1.5 |
135.0 |
$24.25 |
$3,273.75 |
|
|
0348-0061 |
SF-425 |
WIC General Infrastructure State Agency Model |
90.0 |
4.0 |
360.0 |
1.5 |
540.0 |
$24.25 |
$13,095.00 |
|
|
0348-0061 |
SF-425 |
WIC State Agency Model |
90.0 |
4.0 |
360.0 |
1.5 |
540.0 |
$24.25 |
$13,095.00 |
|
|
0348-0061 |
SF-425 |
WIC State to State Technical Assistance |
90.0 |
1.0 |
90.0 |
1.5 |
135.0 |
$24.25 |
$3,273.75 |
|
|
0348-0061 |
SF-425 |
WIC Technology State Agency Model |
90.0 |
4.0 |
360.0 |
1.5 |
540.0 |
$24.25 |
$13,095.00 |
|
|
0348-0061 |
SF-425 |
WIC Special Project Full Grant |
90.0 |
4.0 |
360.0 |
1.5 |
540.0 |
$24.25 |
$13,095.00 |
|
|
0348-0061 |
SF-425 |
WIC Special Project Concept Grant |
90.0 |
4.0 |
360.0 |
1.5 |
540.0 |
$24.25 |
$13,095.00 |
|
|
0348-0061 |
SF-425 |
WIC Breastfeeding Performance Bonus |
90.0 |
1.0 |
90.0 |
1.5 |
135.0 |
$24.25 |
$3,273.75 |
|
|
0348-0061 |
SF-425 |
WIC Electronic Benefits Transfer |
90.0 |
4.0 |
360.0 |
1.5 |
540.0 |
$24.25 |
$13,095.00 |
|
|
0348-0061 |
SF-425 |
ARRA WIC Electronic Benefits Transfer |
90.0 |
4.0 |
360.0 |
1.5 |
540.0 |
$24.25 |
$13,095.00 |
|
|
0348-0061 |
SF-425 |
ARRA WIC State Agency Model |
90.0 |
4.0 |
360.0 |
1.5 |
540.0 |
$24.25 |
$13,095.00 |
|
|
0348-0061 |
SF-425 |
ARRA WIC Technology State Agency Model |
90.0 |
4.0 |
360.0 |
1.5 |
540.0 |
$24.25 |
$13,095.00 |
|
|
|
|
PROGRAM SUBTOTALS |
90.0 |
|
5,271.0 |
|
10,035.0 |
|
$243,348.75 |
|
|
|
Grants Management |
|
|
|
|
0348-0061 |
SF-425 |
Food Safety - Center of Excellence |
3.0 |
4.0 |
12.0 |
1.5 |
18.0 |
$24.25 |
$436.50 |
|
|
|
|
PROGRAM SUBTOTALS |
3.0 |
|
12.0 |
|
18.0 |
|
$436.50 |
|
|
|
|
|
|
|
|
|
|
|
3,266.0 |
7.13779240661359 |
23,312.0 |
3.32157967367063 |
77,432.8 |
|
$1,898,706.05 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Reviewers Notes:
- Methodology used to calculate annual burden hours is as folllows: Estimated No. of Respondents1 x Frequency of Response per Respondent x Estimated Hrs per Response2. The hourly wage rate is an hourly mean wage for education-related occupations for functions performed by State agency and local agency program staff. |
|
|
|
|
|
|
| - Additional tabs are provided as summaries for Control Numbers with more than one form in the collection. |
|
|
|
|
|
|
|
|
|
|
|