| Respondent Category |
Type of respondents* (see below) |
Instruments |
Form |
Number of respondents* (see below) |
Frequency of response |
Total Annual responses** (see below) |
Hours per response |
Annual burden (hours) |
Hourly Wage Rate |
Total Annualized Cost of Respondent Burden |
| State Agency |
State Program Managers |
ABAWD Waiver Request (All Types) |
N/A |
36 |
1 |
36 |
1 |
36 |
$34.07 |
$1,226.52 |
| State Agency |
State Program Staff |
ABAWD Waiver Request (Based on market data) |
N/A |
34 |
1 |
34 |
34 |
1,156 |
$23.56 |
$27,235.36 |
| State Agency |
State Program Staff |
ABAWD Waiver Request (Based on LSA designation or DOL trigger notice) |
N/A |
2 |
1 |
2 |
3 |
6 |
$23.56 |
$141.36 |
|
TOTAL |
|
|
|
|
43 |
27.86 |
1,198 |
|
$28,603.24 |
|
TOTAL (minus 50% Federal reimbusement) |
$14,301.62 |