Attachment B - FNS 339 Burden Table Estimates

Attachment C - FNS 339 Burden Table (2.8.19).xlsx

WIC Federal and State Agreement

Attachment B - FNS 339 Burden Table Estimates

OMB: 0584-0332

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Sheet 1: Sheet1

OMB Control No ICR Ref. No / RCF ID Submitted Date Agency/Sub Agency ICR Tracking Number Title Current Expiration Date Last Reviewed By Status Request Type EM. Review
0584-0606 201503-0584-004 8/27/2018 USDA/FNS
SNAP and Work (Individuals/Households) Respondents + non-respondents 3/31/2019
Received in OIRA Gen IC No

Sheet 2: Sheet2

Respondents Form Estimated Number of Respondents Responses Annually Per Respondent Total Annual Responses Estimated Average Number of Hours Per Response Estimated Total Annual Burden Hours Hourly Wage Rate Total Annualized Cost of Respondent Burden
Reporting Burden 
State, Territory, and Indian Tribal Government Agencies (Respondent types: WIC - 90; FMNP - 49; SFMNP - 52) FNS-339 129 1 129 0.125 16.125 $42.17 $679.99
Recordkeeping Burden 
State, Territory, and Indian Tribal Government Agencies (Respondent types: WIC - 90; FMNP - 49; SFMNP - 52) FNS-339 129 1 129 0.125 16.125 $42.17 $679.99
Total Reporting and Recordkeeping Burden 129* 1 129 0.25 32.25 $42.17 $1,359.98
Attachment C - Federal-State Supplemental Nutrition Programs Agreement (FNS-339) Burden Table *The total number of respondents includes an unduplicated count of respondents that are responsible for the operation of 90 WIC Programs, 49 FMNP Programs, and 52 SFMNP Programs: 5 State agencies solely operate the FMNP program; 19 State agencies solely operate the SFMNP program; 15 State agencies operate both the FMNP and SFMNP programs; 59 State agencies solely operate the WIC program; 13 State agencies operate both the WIC and FMNP programs; 2 State agencies operate both the WIC and SFMNP programs; and 16 State agencies operate the WIC, FMNP, and SFMNP programs.

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