F. 0584-0299 FNS 380-1 Burden Table 1-30-2020

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Overview

Reporting Recordkeeping Burden
Annualized Costs to Respondents
Annualized Costs to Gov't

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Sheet 1: Reporting Recordkeeping Burden

	APPENDIX F- OMB 0584-0299
Reporting Burden
Reporting Burden for Individuals/Households FNS 380-1, OMB 0584-0299
Form Number	Reg. Section	Description of Activity	No. of Respondents	Est. No. of Responses per Respondent	Est. Total Annual Responses	No. Hours per Response	Est. Total Burden Hours
FNS-380-1	275.12(f)	Reporting of Review Findings	53	858.4340	45,497.0000	1.056	48,044.8320
Record Keeping Burden
Recordkeeping Burden for Individuals/Households FNS 380-1, OMB 0584-0299
Form Number	Reg. Section	Description of Activity	No. of Record keepers	Est. No. of Records per Record keeper	Est. Total Annual Responses	No. Hours per Record to be Maintained	Est. Total Burden Hours
FNS-380-1	275.4	Record Retention	53	858.4340	45,497.0000	0.0236	1073.7292
Grand Total Reporting and Recordkeeping Burden			53	1716.87	90994	1.0796	49118.56

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Sheet 2: Annualized Costs to Respondents

Estimates of Annualized Cost to Respondents
FNS 380-1, OMB 0584-0299
Type of Respondents	Ragland-Greene, Rachelle - FNS: update annualized cost to respondents with fringe benefits and see edited table in SS. Number of Active Sample Cases Per Annum	Average Time Per Response	50 % Hourly Wage Rate	Total Respondent Cost
Reporting Burden
State Agencies	45,497	1.056	$11.8950	$571,493.28
Recordkeeping Burden
State Agencies	45,497	0.0236	11.8950	$12,772.0088
Grand Total Reporting & Recordkeeping Burden – Annualized Costs	90,994	1.080	23.79	$584,265.29
Total With Fringe Benefits			$192,807.54	$777,072.83

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Sheet 3: Annualized Costs to Gov't

Estimates of Annualized Cost to Federal Government
Reporting and Recordkeeping Cost for FNS 380, OMB 0584-0074
Activities	Hours Spent on Collection	Costs or Hourly Wage Rage	Total Cost	Fringe Benefits Cost for Staff (0.33)	Overall Base Cost w/ Fringe Benefits for Staff
1. Printing Cost	N/A	$2,000.00	$2,000.00	N/A	$2,000.00
2. 50% Reimbursement Cost to States for reporting & recordkeeping administrative cost	N/A	$584,265.29	$584,265.29	$192,807.55	$777,072.84
3. 2 Regional Federal Staff (GS 12 Step 6)	N/A	$194,600.00	$194,600.00	$64,218.00	$258,818.00
4a .Program Analyst GS 12 Step 6 Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR	80	$46.62	$3,729.60	$1,230.77	$4,960.37
4b. Program Branch Chief Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR	10	$56.15	$561.50	$185.30	$746.80
4c. Program Division Director Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR	5	$66.05	$330.25	$108.98	$439.23
5. Automated System Cost (includes fringe benefits in fixed rate Contractor Monitoring)	N/A	$180,000.00	$180,000.00	N/A	$180,000.00
Grand Total Cost to Government		$961,034.11	$965,486.64	$258,550.59	$1,224,037.23