Attachment B Excel Burden Chart for 0584-0005 Special Milk Program for Children

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Overview

RecordKeeping
Reporting
60 day Summ
Burden Summary
Notes

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Sheet 1: RecordKeeping

Recordkeeping
				A	B	C = (A*B)	D	E= (C*D)	F	G =E-F
Child Nutrition Program	CFR Citation	Regulation	Form Number	Estimated # Record-keepers	Records Per Recordkeeper	Total Annual Records	Estimated Avg. # of Hours Per Record	Estimated Total Hours	Current OMB Approved Burden Hrs	Total Difference
State Agency Level
Milk	215.7	SA maintains applications submitted by, and agreements executed with, SFAs and sponsors.		Source: NDB 54 State Agencies 54	Avg per SA of 3445 total institutions Source: NDB 63.80	3,445	0.10	344.52	388	-43
Milk	215.11(b)	SA maintains documentation of compliance reviews, site visits and Program assistance.		54	Average SFAs per SA participating in the milk program receiving an administrative review. 5.00	270	0.20	54.00	54	0
Milk	215.11(c)(1)	SA maintains Program records as necessary to support the reimbursement payments and reports.		54	24.00	1,296	0.10	129.60	130	0
Milk				54	Average Number of Institutions per SA * 12 months =766 766.00	41,364	0.10	4136.40	4,655	-519
Milk	215.12	SA maintains all records of action taken on disallowed claims.		54	Avg of 2 per SA have corrective action 2	108	0.33	35.64	36	0
Milk	215.13(a)	A-133 Audit, Audit Plan, and Management Evaluations including records of the receipt and expenditure of funds under the Program.		54	1	54	0.26	14.04	14	0
		State Agency Level Total		54	861.80	46,537	0.10	4,714	5,276	-562
Institution Level
Milk	215.7	SFA maintains Program records to support claims.		Source: NDB 2679 SFAs & RCCIs 388 CCIs 378 Camps 3,445	monthly for SFAs (10 months) 10	34,450	0.20	6,890.00	7,758	-868
Milk	215.14a	Compliance with procurement requirements		Source: NDB 2679 SFAs & RCCIs 2,679	1	2,679	0.20	535.80	586	-50
		Institution Level Total		3,445	10.78	37,129	0.20	7,426	8,344	-918
Site Level
		Site Level Total		0	0	0	0	0	0	0
		Total Recordkeeping Burden		3,499	23.91	83,666	0.15	12,140	13,620	-1,480
			Child Nutrition Program	Estimated # Record-keepers	Records Per Recordkeeper	Total Annual Records	Estimated Avg. # of Hours Per Record	Estimated Total Hours	Current OMB Approved Burden Hrs	Total Difference
			Milk	3,499	23.91146	83,666	0.145	12,140	13,620	(1,480)
			0	-	-	-	-	-	-	-
			0	-	-	-	-	-	-	-
			0	-	-	-	-	-	-	-	"Please un-hide the colums 40-47 for more data"
			0	-	-	-	-	-	-	-
			Total	3,499	#REF!	#REF!	#REF!	#REF!	#REF!	#REF!

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Sheet 2: Reporting

Reporting
				A	B	C = (A*B)	D	E= (C*D)	F				G =E-F
Prgm Rule	CFR Citation	Title	Form Number	Estimated # Respondents	Responses per Respondents	Total Annual Records	Estimated Avg. # of Hours Per Response	Estimated Total Hours	Current OMB Approved Burden Hrs	Due to Authorizing Statute	Due to Program Change -	Due to an Adjustment	Total Difference	Justification		Data Validation - List
State Agency Level																Milk
Milk	215.5(a)	SA requests funds to pay SMP claims.		Source: SAE 54 State Agencies 54	24	1,296	0.25	324.00	324				0
Milk	215.11(c)(2)	SA submits quarterly report (FNS-777). THIS BURDEN WAS TRANSFERRED TO THE FPRS ICR.		54	0	0	0.00	0	0				0
Milk	215.16	Grant Closeout Reports		0	0	0	0.00	0	0				0
		State Agency Level Total		54	24.00	1,296	0.25	324	324	0	0	0	0
Institution Level
Milk	§215.7	SFA must submit to SA an application and agreement to operate the SMP.		NDB: 2679 SFAs & RCCIs 388 CCIs 378 Camps 3,445	1	3,445	0.25	861.3	970				-109
Milk	§215.13(a)-(b)	OMB A - 133 Audits, OIG audits, SA visits . Burden determined negligible during last renewal, but wasn't noted in the burden chart.		0	0	0	0.00	0	0				0
		Institution Level Total		3,445	1.00	3,445	0.25	861	970	0	0	0	-109
Site Level
Milk
		Site Level Total		0	0	0	0	0	0	0	0	0	0
		Total Reporting Burden		3,499	1.35	4,741	0.25	1,185	1,294	0	0	0	-109
			Prgm Rule	Estimated # Respondents	Responses per Respondents	Total Annual Records	Estimated Avg. # of Hours Per Response	Estimated Total Hours	Current OMB Approved Burden Hrs	Due to Authorizing Statute	Due to Program Change -	Due to an Adjustment	Total Difference
			Milk	3,499	1.35496	4,741	0.25000	1,185	1,294	0	0	0	(109)
			0	-	-	-	-	-	-				-
			0	-	-	-	-	-	-				-
			0	-	-	-	-	-	-				-		"Please un-hide the colums 40-47 for more data"
			0	-	-	-	-	-	-				-
			Total	3,499	#REF!	#REF!	#REF!	#REF!	#REF!	0	0	0	#REF!

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Sheet 3: 60 day Summ

SUMMARY OF BURDEN RECORDKEEPING & REPORTING
TOTAL NO. RESPONDENTS	3,499
AVERAGE NO. RESPONSES PER RESPONDENT	25.2664
TOTAL ANNUAL RESPONSES	88,407
AVERAGE HOURS PER RESPONSE	0.150725845858708
TOTAL BURDEN HOURS FOR PART 215 WITH REVISION	13,325
CURRENT OMB INVENTORY FOR PART 215	14,914		This is the Current OMB Approved Burden Hrs column 'J'
DIFFERENCE (NEW BURDEN REQUESTED WITH REVISION)	-1,589

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Sheet 4: Burden Summary

OMB Control #0584-0005 - Burden Summary - 7 CFR Part 215, Special Milk Program Regulations
	Estimated # Respondents	Responses Per Respondent	Total Annual Responses (Col. BxC)	Estimated Avg. # of Hours Per Response	Estimated Total Hours (Col. DxE)
Recordkeeping
State Agency Level	54	861.80	46,537	0.10	4,714
Institution Level	3,445	10.78	37,129	0.20	7,426
Site Level	-		-		-
Recordkeeping Total	3,499	23.91	83,666	0.15	12,140
Reporting
State Agency Level	54	24.00	1,296	0.25	324
Institution Level	3,445	1.00	3,445	0.25	861
Site Level	-		-		-
Reporting Total	3,499	1.35	4,741	0.25	1,185
TOTAL BURDEN FOR (Title)	3,499	25.2664	88,407	0.1507	13,325
Add total number of recordkeepers to the total annual responses.

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Sheet 5: Notes

Date	User Initials	Comments
11/1/11	SW	This is a DRAFT of the Special Milk Program Burden doc using the redesigned template
11/2/11	SW	Burden reduction for renewal. Need to eliminate burden associated with the FNS-10 and FNS-777 to not duplicate burden in those ICRs.
11/22/11	BB	Removed duplicate burden at site level; regulatory language puts burden of information collection at insitution level
1/11/12	BB	revised notice to incorporate PRAB comments; returned to PRAB 1.12.12
3/20/15	SW	Burden corrections for renewal.