OMB 0584-0064 Appendix E Burden Table 10.19.2020

---

Overview

Assumptions
Labor Rates
Reporting and Recordkeeping
Burden_Type Act
Burden_Type Act and Resp

---

Sheet 1: Assumptions

Included in Currently Approved ICR		FNS SNAP Forms ICR Assumptions (OMB Control No. 0584-0064)								Legend	Not Included in Currently Approved ICR
		Item	Regulatory Citation	Estimate in Currently Approved ICR	Updated Estimate		Difference in Estimate	Notes			Data Entry
					Number	Data Source					Calculation; Do Not Enter Data
Yes		Number of State agencies	Multiple	53	53		0
Yes		Number of States using telephone interviews	273.2(e)(1)	40	40	Previous ICR	0
Yes		Number of States using in-person interviews	273.2(e)(1)	13	13	Previous ICR	0
Yes		Number of telephone initial interviews	273.2(e)(1)	8,459,791	13,631,850	Calculation. Estimated from previous ICR using updated caseload data from the Food Program and Reporting System. Calculation uses ratio of initial cert compared to last time.	5,172,059
Yes		Number of in-person initial interviews	273.2(e)(1)	2,749,432	4,430,351	Calculation. Estimated from previous ICR using updated caseload data from the Food Program and Reporting System. Calculation uses ratio of initial cert compared to last time.	1,680,919
Yes		Number of States using monthly reports	273.21	2	1	FNS SNAP State Options Report, 14th Edition (October 2017)	-1
Yes		Number of States using quarterly reports	273.12(a)(4)	1	1	FNS SNAP State Options Report, 14th Edition (October 2017)	0
Yes		Number of States using simplified or periodic reports	273.12(a)(5)	51	51	FNS SNAP State Options Report, 14th Edition (October 2017)	0
Yes		Number of States using change reports	273.12(a)(1)	24	26	FNS SNAP State Options Report, 14th Edition (October 2017)	2
Yes		Number of initial applications	273.2	11,209,223	18,062,201	NDB-FY 18, 366B	6,852,978
Yes		Number of recertification applications	273.14(b)	14,619,642	14,656,751	NDB-FY 18, 366B	37,109
Yes		Number of medical expense verifications	273.2(f)(1) & (2)	696,000	1,117,000	Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2018; Table A.9, Total number of medical expense	421,000
Yes		Number of utility expense verifications	273.2(f)(1) & (2)	12,959,000	13,693,000	Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2018; Table A.9, Total number of excess shelter expense	734,000
Yes		Number of ABAWD verifications	273.2(f)(1) & (2)	3,704,192	2,864,000	Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2018; Table A.23; Total number of participants, adults age 18–49 without disabilities in childless households.	-840,192
Yes		Number of child support verifications	273.2(f)(1) & (2)	364,000	316,000	Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2018; Table A.9, Total number of child support payment	-48,000
Yes		Number of disabled verifications	273.2(f)(1) & (2)	3,633,000	4,073,000	Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2018; Table B.5; Number of non-elderly individuals with disabilities	440,000
Not Applicable		Number of households	Not Applicable	22,445,000	19,699,000	Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2018; Table A.12, Total number of households	-2,746,000	Number included for calculation and for number of household respondents.
Yes		Number of households with questionable information verifications	273.2(f)(1) & (2)	584,872	513,317	Calculation. Estimated from previous ICR using updated caseload data from the Food Program and Reporting System. Calculation uses ratio.	-71,555
Yes		Number of existing households w/ dependent care verifications	273.2(f)(1) & (2)	657,884	658,000	Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2018; Table A.9, Total number of dependent cate	116
Yes		Number of newly certified households w/ dependent care verifications	273.2(f)(1) & (2)	504,415	363,243	Calculation	-141,172
Yes		Number of student work hour verifications	273.2(f)(1) & (2)	121,688	1,354,273	A GAO Audit indicates 2,257,121 students received SNAP in 2016. The audit also indicates that, according to 2015-2016 National Postsecondary Student Aid Study (NPSAS) data, 60 percent of low-income students had a job while enrolled in college. GAO Audit: Food Insecurity--Better Information Could Help Eligible College Students Access Federal Food Assistance Benefits; Table 1 and Footnote 51. Available at https://www.gao.gov/assets/700/696254.pdf.	1,232,585
Yes		Number of in-person recertification interviews	273.2(f)(1) & (2)	2,923,928	2,931,350	Assumes 20% of recertification interviews will be in person and include travel time.	7,422
Yes		Number of income recertifications	273.2(f)(1) & (2)	7,309,821	7,328,376	Calculation. Estimated from previous ICR using updated caseload data from the Food Program and Reporting System. Calculation uses ratio.	18,555
Yes		Number of Social Security Number recertifications	273.2(f)(1) & (2)	146,196	146,568	Calculation. Estimated from previous ICR using updated caseload data from the Food Program and Reporting System. Calculation uses ratio.	372
Yes		Number of medical expense recertifications	273.2(f)(1) & (2)	292,393	293,135	Calculation. Estimated from previous ICR using updated caseload data from the Food Program and Reporting System. Calculation uses ratio.	742
Yes		Number of child support recertifications	273.2(f)(1) & (2)	730,982	141,555	Calculation. Estimated from previous ICR using updated caseload data from the Food Program and Reporting System. Calculation uses ratio.	-589,427
Yes		Number of utility expense recertifications	273.2(f)(1) & (2)	730,982	6,133,903	Calculation. Applies ratio of initial and recertification applications to utility expense universe.	5,402,921
Yes		Number of ABAWD recertifications	273.2(f)(1) & (2)	7,309,821	2,864,000	ABAWDs avg 10 mos cert period, assumes 1 recert	-4,445,821
Yes		Number of other information recertifications	273.2(f)(1) & (2)	7,309,821	11,792,751	Calculation. Subtracts ABAWD recertification from total number of recertifications.	4,482,930
Yes		Number of monthly reporting submissions	273.21	728,868	91,000	Updated based on Mathematica analysis	-637,868
Yes		Number of quarterly reporting submissions	273.12(a)(4)	1,733,336	19,000	Updated based on Mathematica analysis	-1,714,336
Yes		Number of simplified or periodic reporting submissions	273.12(a)(5)	21,342,556	11,624,000	Updated based on Mathematica analysis	-9,718,556
Yes		Number of change reporting submissions	273.12(a)(1)	3,235,456	9,366,000	Updated based on Mathematica analysis	6,130,544
Yes		Number of Eligibility, Denial, or Pending Status notices	273.10(g)(1)(i) & (ii) & (iii)	37,749,439	36,444,144	Calculation. Applies ratio based on household of FY14 vs FY 18.	-1,305,295
Yes		Number of Missing or Incomplete Report notices	273.12(a)(4)(iii) & 273.12(a)(5)(iii)(D)	60,942	53,486	Calculation. Applies ratio based on household of FY14 vs FY 18.	-7,456
Yes		Number of Missed Interview notices	273.2(h)(1)(i)(D) & 273.14(b)(3)(iii)	2,359,251	2,070,612	Calculation. Applies ratio based on household of FY14 vs FY 18.	-288,639
Yes		Number of Expiration notices	273.14(b)(1)	22,087,011	19,384,809	Calculation. Applies ratio based on household of FY14 vs FY 18.	-2,702,202
Yes		Number of Adverse Action Notices (NOAAs)	273.13(a)	1,655,043	1,452,559	Calculation. Applies ratio based on household of FY14 vs FY 18.	-202,484
Yes		Number of Adequate notices	273.12(a)(4)(v) & 273.13(b)	365,655	320,919	Calculation. Applies ratio based on household of FY14 vs FY 18.	-44,736
Yes		Number of Request for Contact notices	273.12(c)(3)(i)	1,655,043	479,344	Calculation. 1/3 of NOAAs due to regulatory limitation.	-1,175,699
No		Number of Match Results Notices	273.12(c)(3)(iii)	Not Applicable	479,344	Calculation. Using Request for Contact as a proxy for this number.	Not Applicable
No		Number of Subject to Work Requirements Notices	273.7(c)(1)	Not Applicable	5,224,000	Page 69 of FY18 characteristics report. Number of participants with work registrant status	Not Applicable
No		Number of Referral to E&T and Notice of Requirements	273.7(c)(2)	Not Applicable	128,495	FY19 SNAP Employment and Training Annual Reports as reported by State Agencies , number of Mandatory E&T Participants	Not Applicable
No		Number of Required Verification Notices	273.2(c)(5)	Not Applicable	32,718,952	Calculation. Application + recertification.	Not Applicable
No		Number of Eligibility, Denial, or Pending Status notices read by households	273.10(g)(1)(i) & (ii) & (iii)	Not Applicable	29,155,315	Calculation. Assumes 80% of missed interview notices are read.	Not Applicable
No		Number of Missing or Incomplete Report notices read by households	273.12(a)(4)(iii) & 273.12(a)(5)(iii)(D)	Not Applicable	42,789	Calculation. Assumes 80% of adverse action notices are read.	Not Applicable
Yes		Number of Missed Interview notices read by households	273.2(h)(1)(i)(D) & 273.14(b)(3)(iii)	2,123,326	1,656,490	Calculation. Assumes 80% of missed interview notices are read.	-466,836
No		Number of Expiration notices read by households	273.14(b)(1)	Not Applicable	15,507,847	Calculation. Assumes 80% of adverse action notices are read.	Not Applicable
Yes		Number of Adverse Action notices read by households	273.13(a)	82,753	1,162,047	Calculation. Assumes 80% of adverse action notices are read.	1,079,294
Yes		Number of Adequate Notices read by households	273.12(a)(4)(v) & 273.13(b)	14,626	256,735	Calculation. Assumes 80% of adequate notices are read.	242,109
Yes		Number of Request for Contact notices read by households	273.12(c)(3)(i)	1,324,034	383,475	Calculation. Assumes 80% of request for contact notices are read.	-940,559
No		Number of Match Results Notices read by households	273.12(c)(3)(iii)	Not Applicable	383,475	Calculation. Assumes 80% of notice of match results are read.	Not Applicable
No		Number of Subject to Work Requirements Notices read by households	273.7(c)(1)	Not Applicable	4,179,200	Calculation. Assumes 80% of subject to work requirements notices are read.	Not Applicable
No		Number of Referral to E&T and Notice of Requirements	273.7(c)(2)	Not Applicable	102,796	Calculation. Assumes 80% of referrals to E&T and notice of requirements are read.	Not Applicable
No		Number of Required Verification Notices read by households	273.2(c)(5)	Not Applicable	26,175,162	Calculation. Assumes 80% of required verification notices are read.	Not Applicable
Yes		Number of local agencies	272.1(f), 272.4(e)	2,724	2,724	Previous ICR	0
Yes		Number of case file records	272.1(f)	127,192,304	124,301,000	Caseload from FY 16, FY 17, and FY 18 characteristics reports. Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2018; Table A.29	-2,891,304
Yes		Number of duplicate participation records	272.4(e)	46,576,077	40,877,796	Calculation. Applies ratio based on household of FY14 vs FY 18.	-5,698,281
No		Number of Option to Disqualify Custodial Parent for Failure to Cooperate notices	273.11(o)(2)	Not Applicable	327,190	Calculation. Assumes this notice would impact 1% of all initial applications and recertifications.	Not Applicable
No		Number of Failure to Report Change in Residence notices	273.12(c)(4)(i)	Not Applicable	512,986	Calculation. Assumes this notice would impact 3.5% of all recertifications.	Not Applicable
No		Number of fleeing felon and probation or parole violators determinations	273.11(n)(3) & (4)	Not Applicable	654,379	Calculation. Assumes this notice would impact 2% of all initial applications and recertifications.	Not Applicable
No		Number of Change Report Forms	273.12(b)(4)	Not Applicable	42,084,952	Calculation. Estimated from number of initial applications and recertifications and number of change report forms.	Not Applicable
No		Number reporting changes in work hours below 20 a week (ABAWDs)	273.24(b)(7)	Not Applicable	744,640	Calculation. Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2018; Table A.23; Total number of participants, adults age 18–49 without disabilities in childless households multiplied by 26%, representing the number of ABAWDs who work (https://fns-prod.azureedge.net/sites/default/files/snap/nondisabled-adults.pdf).	Not Applicable

---

Sheet 2: Labor Rates

FNS SNAP Forms ICR Labor Rates (OMB Control No. 0584-0064)				Notes
Type of Respondent	Hourly Rate in Currently Approved ICR	Updated Hourly Rate
		Value	Data Source
State Agency	$20.75	$27.60	Bureau of Labor Statistics (BLS) Occupational Employment and Wages Statistics data from May 2019; Occupation Code 43-4061 Eligibility Interviewers, Government Programs; Median Hourly Wage Rate for State Government = $20.75. Available at https://www.bls.gov/oes/current/naics4_999200.htm#43-0000. Final labor rate is a fully loaded rate including fringe benefits and overhead at 33% of the BLS reported labor rate ($20.75 X 1.33 = $27.60).
Local Agency	$22.56	$30.00	Bureau of Labor Statistics (BLS) Occupational Employment and Wages Statistics data from May 2019; Occupation Code 43-4061 Eligibility Interviewers, Government Programs; Median Hourly Wage Rate for Local Government = $22.56. Available at https://www.bls.gov/oes/current/naics4_999300.htm#43-0000. Final labor rate is a fully loaded rate including fringe benefits and overhead at 33% of the BLS reported labor rate ($22.56 X 1.33 = $30.00).
Households	$7.25	$7.25	Federal minimum wage rate. Available at http://www.dol.gov/whd/minimumwage.htm.

---

Sheet 3: Reporting and Recordkeeping

Requirement in Currently Approved ICR		FNS SNAP Forms ICR Reporting Burden Estimate (OMB Control No. 0584-0064)
		Regulatory Section	Burden Activity	Number of Respondents	Responses per Respondent	Total Annual Responses	Estimated Average Hours per Response	Estimated Total Hours	Hourly Cost to Respondent	Cost to Respondents	Previously Approved Burden Hours	Change in Burden Hours due to an Adjustment	Change in Burden Hours due to Program Change	Total Burden Hour Difference		Legend	Not Included in Currently Approved ICR
		A	B	C	D	E = C x D	F	G = E x F	H	I = G x H	J	K = G - J	L	M = K + L
		Affected Public: State, Local, or Tribal Governments
		State Agency Reporting
		Application
Yes		273.2	New application	53	340,796.25	18,062,201	0.3173	5,731,136.38	$27.60	$158,179,364.01	3,556,686.46	2,174,449.92	0.00	2,174,449.92
		Interview
Yes		273.2(e)(1)	Interview: Initial Interview (Telephone)	40	340,796.25	13,631,850	Increased the burden estimate from 0.5 hours (30 minutes) to 0.6346 hours (38 minutes) based on feedback received through limited consultations with State agencies. 0.6346	8,650,772.01	$27.60	$238,761,307.48	4,229,815.44	4,420,956.57	0.00	4,420,956.57
Yes		273.2(e)(1)	Interview: Initial Interview (In Person)	13	340,796.23	4,430,351	Increased the burden estimate from 0.5 hours (30 minutes) to 0.6346 hours (38 minutes) based on feedback received through limited consultations with State agencies. 0.6346	2,811,500.74	$27.60	$77,597,420.55	1,374,716.03	1,436,784.72	0.00	1,436,784.72
		Verification
Yes		273.2(f)(1) & (2)	Verification: Income	53	340,796.25	18,062,201	Hourly burden increased for complexity. 0.0835	1,508,193.78	$27.60	$41,626,148.42	561,582.07	946,611.71	0.00	946,611.71
Yes		273.2(f)(1) & (2)	Verification: Identity	53	340,796.25	18,062,201	Hourly burden increased for complexity. 0.0835	1,508,193.78	$27.60	$41,626,148.42	561,582.07	946,611.71	0.00	946,611.71
Yes		273.2(f)(1) & (2)	Verification: Alien Eligibility	53	340,796.25	18,062,201	Hourly burden increased for complexity. 0.0835	1,508,193.78	$27.60	$41,626,148.42	561,582.07	946,611.71	0.00	946,611.71
Yes		273.2(f)(1) & (2)	Verification: Social Security Number	53	340,796.25	18,062,201	Hourly burden increased for complexity. 0.0835	1,508,193.78	$27.60	$41,626,148.42	561,582.07	946,611.71	0.00	946,611.71
Yes		273.2(f)(1) & (2)	Verification: Medical expenses (if claimed and to receive income deduction)	53	21,075.47	1,117,000	Hourly burden increased for complexity. 0.0835	93,269.50	$27.60	$2,574,238.20	34,869.61	58,399.89	0.00	58,399.89
Yes		273.2(f)(1) & (2)	Verification: Residency	53	340,796.25	18,062,201	Hourly burden increased for complexity. 0.0835	1,508,193.78	$27.60	$41,626,148.42	561,582.07	946,611.71	0.00	946,611.71
Yes		273.2(f)(1) & (2)	Verification: Utility expenses (if the State agency does not utilize a standard utility allowance and the applicant wishes to claim expenses)	53	258,358.49	13,693,000	Hourly burden increased for complexity. 0.0835	1,143,365.50	$27.60	$31,556,887.80	649,245.90	494,119.60	0.00	494,119.60
Yes		273.2(f)(1) & (2)	Verification: Hours worked (Able-bodied Adults w/out Dependents)	53	54,037.74	2,864,000	Hourly burden increased for complexity. 0.0835	239,144.00	$27.60	$6,600,374.40	185,580.03	53,563.97	0.00	53,563.97
Yes		273.2(f)(1) & (2)	Verification: Legal obligation to pay child support and actual child support payments	53	5,962.26	316,000	Hourly burden increased for complexity. 0.0835	26,386.00	$27.60	$728,253.60	18,236.40	8,149.60	0.00	8,149.60
Yes		273.2(f)(1) & (2)	Verification: Disability	53	76,849.06	4,073,000	Hourly burden increased for complexity. 0.0835	340,095.50	$27.60	$9,386,635.80	182,013.30	158,082.20	0.00	158,082.20
Yes		273.2(f)(1) & (2)	Verification: Household composition	53	340,796.25	18,062,201	Hourly burden increased for complexity. 0.0835	1,508,193.78	$27.60	$41,626,148.42	561,582.07	946,611.71	0.00	946,611.71
Yes		273.2(f)(1) & (2)	Verification: Questionable Information	53	9,685.23	513,317	Hourly burden increased for complexity. 0.1002	51,434.36	$27.60	$1,419,588.43	29,302.09	22,132.28	0.00	22,132.28
Yes		273.2(f)(1) & (2)	Verification: Newly certified households w/ dependent care	53	6,853.64	363,243	Hourly burden increased for complexity. 0.0835	30,330.79	$27.60	$837,129.82	42,034.59	-11,703.80	0.00	-11,703.80
Yes		273.2(f)(1) & (2)	Verification: Existing households w/ dependent care	53	12,415.09	658,000	Hourly burden increased for complexity. 0.0501	32,965.80	$27.60	$909,856.08	21,929.46	11,036.34	0.00	11,036.34
Yes		273.5(b)(5)	Verification: Student Work Hours	53	25,552.32	1,354,273	Hourly burden increased for complexity. 0.1002	135,698.15	$27.60	$3,745,269.07	6,096.57	129,601.58	0.00	129,601.58
		Recertification Application
Yes		273.14(b)	Recertification application	53	276,542.47	14,656,751	0.25	3,664,187.75	$27.60	$101,131,581.90	3,654,910.50	9,277.25	0.00	9,277.25
		Recertification Interview
Yes		273.14(b)(3)	Interview: Recertification	53	276,542.47	14,656,751	Increased the burden estimate from 0.334 hours (20 minutes) to 0.50 hours (30 minutes) based on feedback received through limited consultations with State agencies. 0.50	7,328,375.50	$27.60	$202,263,163.80	4,882,960.43	2,445,415.07	0.00	2,445,415.07
		Recertification
Yes		273.2(f)(8)(i)	Recertification: Income (if source changed or amount changed by more than $50)	53	138,271.25	7,328,376	0.1002	734,303.28	$27.60	$20,266,770.40	732,444.06	1,859.21	0.00	1,859.21
Yes		273.2(f)(8)(i)	Recertification: Social Security Number (if Social Security number is new)	53	2,765.43	146,568	0.1002	14,686.11	$27.60	$405,336.74	14,648.88	37.23	0.00	37.23
Yes		273.2(f)(8)(i)	Recertification: Medical expenses (unreported and reoccurring expenses that have changed by more than $25)	53	5,530.85	293,135	0.1002	29,372.13	$27.60	$810,670.71	29,297.76	74.36	0.00	74.36
Yes		273.2(f)(8)(i)	Recertification: Legal obligation to pay child support (if there were changes in obligation to pay)	53	2,670.85	141,555	0.1002	14,183.81	$27.60	$391,473.18	73,244.41	-59,060.60	0.00	-59,060.60
Yes		273.2(f)(8)(i)	Recertification: Utility expenses (if has changed by more than $25)	53	115,734.02	6,133,903	0.1002	614,617.08	$27.60	$16,963,431.42	73,244.41	541,372.67	0.00	541,372.67
Yes		273.2(f)(8)(i)	Recertification: Hours worked (Able-bodied Adults w/out Dependents)	53	54,037.74	2,864,000	0.1002	286,972.80	$27.60	$7,920,449.28	732,444.06	-445,471.26	0.00	-445,471.26
Yes		273.2(f)(8)(i)	Recertification: Other information which has changed may be verified	53	222,504.74	11,792,751	0.1002	1,181,633.65	$27.60	$32,613,088.75	732,444.06	449,189.59	0.00	449,189.59
No		273.12(c)(4)(i)	Recertification: Failure to Report Shelter Cost Change due to move notices	53	9,678.98	512,986	0.0334	17,133.73	$27.60	$472,891.01	0.00	17,133.73	0.00	17,133.73
		Reports
Yes		273.21	Monthly Reports	1	91,000.00	91,000	0.1169	10,637.90	$27.60	$293,606.04	85,204.67	-74,566.77	0.00	-74,566.77
Yes		273.12(a)(4)	Quarterly Reports	1	19,000.00	19,000	0.1336	2,538.40	$27.60	$70,059.84	231,573.69	-229,035.29	0.00	-229,035.29
Yes		273.12(a)(5)	Simplified or Periodic Reports	51	227,921.57	11,624,000	0.1837	2,135,328.80	$27.60	$58,935,074.88	3,920,627.51	-1,785,298.71	0.00	-1,785,298.71
Yes		273.12(a)(1)	Change Reports	26	360,230.77	9,366,000	0.1837	1,720,534.20	$27.60	$47,486,743.92	594,353.28	1,126,180.92	0.00	1,126,180.92
No		273.24(b)(7)	Report of ABAWDs Change in Work Hours Below 20 Hours per Week	53	14,049.81	744,640	0.1837	136,790.37	$27.60	$3,775,414.16	0.00	136,790.37	0.00	136,790.37
		Notices
Yes		273.10(g)(1)(i) & (ii) & (iii)	Notice of Eligibility, Denial, or Pending Status	53	687,625.36	36,444,144	All notices were increased to 0.0501 hours (3 minutes) for complexity and aligns with 4 decimal places required by PRAO. 0.0501	1,825,851.61	$27.60	$50,393,504.56	1,260,831.27	565,020.34	0.00	565,020.34
Yes		273.12(a)(4)(iii) & 273.12(a)(5)(iii)(D)	Notice of Missing or Incomplete Report	53	1,009.17	53,486	All notices were increased to 0.0501 hours (3 minutes) for complexity and aligns with 4 decimal places required by PRAO. 0.0501	2,679.65	$27.60	$73,958.30	2,035.46	644.18	0.00	644.18
Yes		273.2(h)(1)(i)(D) & 273.14(b)(3)(iii)	Notice of Missed Interviews	53	39,068.15	2,070,612	All notices were increased to 0.0501 hours (3 minutes) for complexity and aligns with 4 decimal places required by PRAO. 0.0501	103,737.66	$27.60	$2,863,159.45	39,399.49	64,338.17	0.00	64,338.17
Yes		273.14(b)(1)	Notice of Expiration	53	365,751.11	19,384,809	All notices were increased to 0.0501 hours (3 minutes) for complexity and aligns with 4 decimal places required by PRAO. 0.0501	971,178.93	$27.60	$26,804,538.49	737,706.17	233,472.76	0.00	233,472.76
Yes		273.13(a)	Notice of Adverse Action	53	27,406.77	1,452,559	All notices were increased to 0.0501 hours (3 minutes) for complexity and aligns with 4 decimal places required by PRAO. 0.0501	72,773.21	$27.60	$2,008,540.48	55,278.44	17,494.76	0.00	17,494.76
Yes		273.12(a)(4)(v) & 273.13(b)	Adequate Notice	53	6,055.08	320,919	All notices were increased to 0.0501 hours (3 minutes) for complexity and aligns with 4 decimal places required by PRAO. 0.0501	16,078.04	$27.60	$443,753.96	12,212.88	3,865.17	0.00	3,865.17
Yes		273.12(c)(3)(i)	Request for Contact	53	9,044.23	479,344	All notices were increased to 0.0501 hours (3 minutes) for complexity and aligns with 4 decimal places required by PRAO. 0.0501	24,015.13	$27.60	$662,817.71	55,278.44	-31,263.31	0.00	-31,263.31
No		273.11(o)(2)	Notice of option to disqualify custodial parent for failure to cooperate	53	6,173.40	327,190	All notices were increased to 0.0501 hours (3 minutes) for complexity and aligns with 4 decimal places required by PRAO. 0.0501	16,392.22	$27.60	$452,425.24	0.00	16,392.22	0.00	16,392.22
No		273.12(c)(3)(iii)	Notice of Match Results	53	9,044.23	479,344	All notices were increased to 0.0501 hours (3 minutes) for complexity and aligns with 4 decimal places required by PRAO. 0.0501	24,015.13	$27.60	$662,817.71	0.00	24,015.13	0.00	24,015.13
No		273.7(c)(1)	Notice of Subject to Work Requirements	53	98,566.04	5,224,000	All notices were increased to 0.0501 hours (3 minutes) for complexity and aligns with 4 decimal places required by PRAO. 0.0501	261,722.40	$27.60	$7,223,538.24	0.00	261,722.40	0.00	261,722.40
No		273.7(c)(2)	Referral to E&T and Notice of Requirements	53	2,424.43	128,495	All notices were increased to 0.0501 hours (3 minutes) for complexity and aligns with 4 decimal places required by PRAO. 0.0501	6,437.60	$27.60	$177,677.75	0.00	6,437.60	0.00	6,437.60
No		273.2(c)(5)	Notice of Required Verification	53	617,338.72	32,718,952	All notices were increased to 0.0501 hours (3 minutes) for complexity and aligns with 4 decimal places required by PRAO. 0.0501	1,639,219.50	$27.60	$45,242,458.07	0.00	1,639,219.50	0.00	1,639,219.50
		Other
No		273.11(n)(3) & (4)	Fleeing felon and probation or parole violators determination	53	12,346.77	654,379	0.0501	32,784.39	$27.60	$904,849.11	0.00	32,784.39	0.00	32,784.39
No		273.12(e)(3)	Mass change in Federal benefits procedures	53	1.00	53	Based on feedback received through limited consultations with State agencies. 62	3,286.00	$27.60	$90,693.60	0.00	3,286.00	0.00	3,286.00
No		273.12(b)(4)	Change Report Form	53	794,055.70	42,084,952	0.0167	702,818.70	$27.60	$19,397,796.08	0.00	702,818.70	0.00	702,818.70
		State Agency Reporting Subtotal		53	7,389,511.23	391,644,095	0.1325937191	51,929,547.12	$27.60	$1,433,255,501	31,621,336	20,308,211	0.00	20,308,211
		Local Agency Recordkeeping
Yes		272.1(f)	Case Files	2,724	45,631.79	124,301,000.00	Changed from 0.03 to 0.0334 consistent with OMB Conversion of Minutes to Decimals 0.0334	4,151,653.40	$30.00	$124,549,602.00	3,815,769.12	335,884.28	0.00	335,884.28
Yes		272.4(e)	Monitoring Duplicate Participation	2,724	15,006.53	40,877,796.00	Increased the burden estimate from 0.0042 hours (less than 1 minute) to 0.0167 hours (1 minute) based on feedback received through limited consultations with State agencies. 0.0167	682,659.19	$30.00	$20,479,775.80	194,066.68	488,592.52	0.00	488,592.52
		Local Agency Recordkeeping Subtotal		2,724	60,638.324522761	165,178,796.00	0.0293	4,834,312.59	$30.00	$145,029,377.80	4,009,835.80	824,476.79	0.00	824,476.79
		State, Local, and Tribal Government Reporting and Recordkeeping Subotal		2,777	200,512.38	556,822,891.00	0.10	56,763,859.7143	$27.80	$1,578,284,878.34	35,631,171.53	21,132,688.19	0.00	21,132,688.19
		Affected Public: Individuals/Household
		Individuals/Household Reporting
		Application
Yes		273.2	New application	18,062,201	1.00	18,062,201	0.3173	5,731,136.38	$7.25	$41,550,738.74	3,556,686.46	2,174,449.92	0.00	2,174,449.92
		Interview
Yes		273.2(e)(1)	Initial interview	18,062,201	1.00	18,062,201	Increased the burden estimate from 0.5 hours (30 minutes) to 0.6346 hours (38 minutes) based on feedback received through limited consultations with State agencies. 0.6346	11,462,272.75	$7.25	$83,101,477.47	5,604,611.50	5,857,661.25	0.00	5,857,661.25
Yes		273.2(e)(1)	Initial interview travel	4,430,351	1.00	4,430,351	2	8,860,702.00	$7.25	$64,240,089.50	4,483,689.20	4,377,012.80	0.00	4,377,012.80
		Verification
Yes		273.2(f)(1) & (2)	Verification: Income	18,062,201	1.00	18,062,201	0.0668	1,206,555.03	$7.25	$8,747,523.94	748,776.10	457,778.93	0.00	457,778.93
Yes		273.2(f)(1) & (2)	Verification: Identity	18,062,201	1.00	18,062,201	0.0668	1,206,555.03	$7.25	$8,747,523.94	748,776.10	457,778.93	0.00	457,778.93
Yes		273.2(f)(1) & (2)	Verification: Alien Eligibility	18,062,201	1.00	18,062,201	0.0668	1,206,555.03	$7.25	$8,747,523.94	748,776.10	457,778.93	0.00	457,778.93
Yes		273.2(f)(1) & (2)	Verification: Social Security Number	18,062,201	1.00	18,062,201	0.0668	1,206,555.03	$7.25	$8,747,523.94	748,776.10	457,778.93	0.00	457,778.93
Yes		273.2(f)(1) & (2)	Verification: Medical expenses (if claimed and to receive income deduction)	1,117,000	1.00	1,117,000	0.0668	74,615.60	$7.25	$540,963.10	46,492.80	28,122.80	0.00	28,122.80
Yes		273.2(f)(1) & (2)	Verification: Residency	18,062,201	1.00	18,062,201	0.0668	1,206,555.03	$7.25	$8,747,523.94	748,776.10	457,778.93	0.00	457,778.93
Yes		273.2(f)(1) & (2)	Verification: Utility expenses (if the State agency does not utilize a standard utility allowance and the applicant wishes to claim expenses)	13,693,000	1.00	13,693,000	0.0668	914,692.40	$7.25	$6,631,519.90	865,661.20	49,031.20	0.00	49,031.20
Yes		273.2(f)(1) & (2)	Verification: Hours worked (Able-bodied Adults w/out Dependents)	2,864,000	1.00	2,864,000	Hourly burden increased for complexity. 0.1002	286,972.80	$7.25	$2,080,552.80	247,440.03	39,532.77	0.00	39,532.77
Yes		273.2(f)(1) & (2)	Verification: Legal obligation to pay child support and actual child support payments	316,000	1.00	316,000	0.0668	21,108.80	$7.25	$153,038.80	24,315.20	-3,206.40	0.00	-3,206.40
Yes		273.2(f)(1) & (2)	Verification: Disability	4,073,000	1.00	4,073,000	0.0668	272,076.40	$7.25	$1,972,553.90	242,684.40	29,392.00	0.00	29,392.00
Yes		273.2(f)(1) & (2)	Verification: Household composition	18,062,201	1.00	18,062,201	0.0668	1,206,555.03	$7.25	$8,747,523.94	748,776.10	457,778.93	0.00	457,778.93
Yes		273.2(f)(1) & (2)	Verification: Questionable Information	513,317	1.00	513,317	0.0668	34,289.58	$7.25	$248,599.42	39,069.45	-4,779.87	0.00	-4,779.87
Yes		273.2(f)(1) & (2)	Verification: Student Work Hours	1,354,273	1.00	1,354,273	0.0668	90,465.44	$7.25	$655,874.41	8,128.76	82,336.68	0.00	82,336.68
Yes		273.9(d)(4) and 273.10(e)(1)(i)(E)	Verification: Newly certified households w/ dependent care	363,243	1.00	363,243	0.0835	30,330.79	$7.25	$219,898.23	42,118.66	-11,787.86	0.00	-11,787.86
Yes		273.9(d)(4) and 273.10(e)(1)(i)(E)	Verification: Existing households w/ dependent care	658,000	1.00	658,000	0.0334	21,977.20	$7.25	$159,334.70	21,973.32	3.88	0.00	3.88
		Recertification Application
Yes		273.14	Recertification application	14,656,751	1.00	14,656,751	0.25	3,664,187.75	$7.25	$26,565,361.19	3,654,910.50	9,277.25	0.00	9,277.25
		Recertification Interview
Yes		273.14(b)(3)	Recertification interview	14,656,751	1.00	14,656,751	Increased the burden estimate from 0.334 hours (20 minutes) to 0.50 hours (30 minutes) based on feedback received through limited consultations with State agencies. 0.50	7,328,375.50	$7.25	$53,130,722.38	4,882,960.43	2,445,415.07	0.00	2,445,415.07
Yes		273.14(b)(3)	Recertification travel time	2,931,350	1.00	2,931,350	2	5,862,700.00	$7.25	$42,504,575.00	5,847,856.80	14,843.20	0.00	14,843.20
		Recertification
Yes		273.2(f)(8)(i)	Recertification: Income (if source changed or amount changed by more than $50)	7,328,376	1.00	7,328,376	0.1002	734,303.28	$7.25	$5,323,698.75	732,444.06	1,859.21	0.00	1,859.21
Yes		273.2(f)(8)(i)	Recertification: Social Security Number (if Social Security number is new)	146,568	1.00	146,568	0.1002	14,686.11	$7.25	$106,474.32	14,648.88	37.23	0.00	37.23
Yes		273.2(f)(8)(i)	Recertification: Medical expenses (unreported and reoccurring expenses that have changed by more than $25)	293,135	1.00	293,135	0.1002	29,372.13	$7.25	$212,947.92	29,297.76	74.36	0.00	74.36
Yes		273.2(f)(8)(i)	Recertification: Legal obligation to pay child support (if there were changes in obligation to pay)	141,555	1.00	141,555	0.1002	14,183.81	$7.25	$102,832.63	73,244.41	-59,060.60	0.00	-59,060.60
Yes		273.2(f)(8)(i)	Recertification: Utility expenses (if has changed by more than $25)	6,133,903	1.00	6,133,903	0.1002	614,617.08	$7.25	$4,455,973.83	73,244.41	541,372.67	0.00	541,372.67
Yes		273.2(f)(8)(i)	Recertification: Hours worked (Able-bodied Adults w/out Dependents)	2,864,000	1.00	2,864,000	0.1002	286,972.80	$7.25	$2,080,552.80	732,444.06	-445,471.26	0.00	-445,471.26
Yes		273.2(f)(8)(i)	Recertification: Other information which has changed may be verified	11,792,751	1.00	11,792,751	0.1002	1,181,633.65	$7.25	$8,566,843.96	732,444.06	449,189.59	0.00	449,189.59
No		273.12(c)(4)(i)	Failure to Report Shelter Cost Change due to move notices	512,986	1.00	512,986	0.0167	8,566.87	$7.25	$62,109.78	0.00	8,566.87	0.00	8,566.87
		Reports
Yes		273.21	Monthly Report	91,000	11.00	1,001,000	0.1169	117,016.90	$7.25	$848,372.53	937,251.36	-820,234.46	0.00	-820,234.46
Yes		273.12(a)(4)	Quarterly Report	19,000	3.00	57,000	0.1336	7,615.20	$7.25	$55,210.20	694,721.07	-687,105.87	0.00	-687,105.87
Yes		273.12(a)(5)	Simplified or Periodic Report	11,624,000	1.066	12,391,984	0.167	2,069,461.32	$7.25	$15,003,594.54	3,356,208.35	-1,286,747.04	0.00	-1,286,747.04
Yes		273.12(a)(1)	Change Report	9,366,000	1.00	9,366,000	0.167	1,564,122.00	$7.25	$11,339,884.50	540,321.15	1,023,800.85	0.00	1,023,800.85
No		273.24(b)(7)	Report of ABAWDs Change in Work Hours Below 20 Hours per Week	744,640	1.00	744,640	0.167	124,354.88	$7.25	$901,572.88	0.00	124,354.88	0.00	124,354.88
		Notices
No		273.10(g)(1)(i) & (ii) & (iii)	Notice of Eligibility, Denial, or Pending Status	29,155,315	1.00	29,155,315	0.0835	2,434,468.80	$7.25	$17,649,898.82	0.00	2,434,468.80	0.00	2,434,468.80
No		273.12(a)(4)(iii) & 273.12(a)(5)(iii)(D)	Notice of Missing or Incomplete Report	42,789	1.00	42,789	0.0835	3,572.88	$7.25	$25,903.39	0.00	3,572.88	0.00	3,572.88
Yes		273.2(h)(1)(i)(D) & 273.14(b)(3)(iii)	Notice of Missed Interviews	1,656,490	1.00	1,656,490	0.0835	138,316.92	$7.25	$1,002,797.63	35,459.54	102,857.37	0.00	102,857.37
No		273.14(b)(1)	Notice of Expiration	15,507,847	1.00	15,507,847	0.0835	1,294,905.22	$7.25	$9,388,062.88	0.00	1,294,905.22	0.00	1,294,905.22
Yes		273.13(a)	Notice of Adverse Action	1,162,047	1.00	1,162,047	0.0835	97,030.92	$7.25	$703,474.20	1,381.98	95,648.95	0.00	95,648.95
Yes		273.12(a)(4)(v) & 273.13(b)	Adequate Notice	256,735	1.00	256,735	0.0835	21,437.37	$7.25	$155,420.95	244.25	21,193.12	0.00	21,193.12
Yes		273.12(c)(3)(i)	Request for Contact	383,475	1.00	383,475	0.0835	32,020.16	$7.25	$232,146.18	44,222.74	-12,202.57	0.00	-12,202.57
No		273.11(o)(2)	Notice of option to disqualify custodial parent for failure to cooperate	327,190	1.00	327,190	0.0835	27,320.37	$7.25	$198,072.65	0.00	27,320.37	0.00	27,320.37
No		273.12(c)(3)(iii)	Notice of Match Results	383,475	1.00	383,475	0.0835	32,020.16	$7.25	$232,146.18	0.00	32,020.16	0.00	32,020.16
No		273.7(c)(1)	Notice of Subject to Work Requirements	4,179,200	1.00	4,179,200	0.0835	348,963.20	$7.25	$2,529,983.20	0.00	348,963.20	0.00	348,963.20
No		273.7(c)(2)	Referral to E&T and Notice of Requirements	102,796	1.00	102,796	0.0835	8,583.47	$7.25	$62,230.13	0.00	8,583.47	0.00	8,583.47
No		273.2(c)(5)	Notice of Required Verification	26,175,162	1.00	26,175,162	0.0835	2,185,626.03	$7.25	$15,845,788.70	0.00	2,185,626.03	0.00	2,185,626.03
		Other
No		273.11(n)(3) & (4)	Fleeing felon and probation or parole violators determination	654,379	1.00	654,379	0.0501	32,784.39	$7.25	$237,686.81	0.00	32,784.39	0.00	32,784.39
No		273.12(b)(4)	Change Report Form	42,084,952	1.00	42,084,952	Based on feedback received through limited consultations with State agencies. 0.05	2,104,247.60	$7.25	$15,255,795.10	0.00	2,104,247.60	0.00	2,104,247.60
		Individuals/Household Reporting Subotal		19,699,000	19.3395803811	380,970,394	0.1770	67,423,437.06	$7.25	$488,819,918.66	42,058,833.37	25,364,603.69	0.00	25,364,603.69
		TOTAL REPORTING AND RECORDKEEPING BURDEN		19,701,777	47.60	937,793,285	0.1324	124,187,297	$16.65	$2,067,104,797.00	77,690,005	46,497,292	0.00	46,497,291.88

---

Sheet 4: Burden_Type Act

FNS SNAP Forms ICR Total Burden Estimate (OMB Control No. 0584-0064)
	Number of Respondents	Responses Per Respondent	Total Annual Responses	Estimated Average Hours Per Response	Estimated Total Hours	Hourly Cost to Respondent	Cost to Respondents	Previously Approved Burden Hours	Change in Burden Hours due to an Adjustment	Change in Burden Hours due to Program Change	Total Burden Hour Difference
	A	B	C = A x B	D	E = C x D	F	G = E x F	H	I = E - H	J	K
Total Reporting Burden	19,699,053	39.22	772,614,488.93	0.15	119,352,984.18	$34.85	$1,922,075,419.20	73,680,169.10	45,672,815.08	0.00	45,672,815.08
Total Recordkeeping Burden	2,724	60,638.32	165,178,796.00	0.03	4,834,312.59	$30.00	$145,029,377.80	4,009,835.80	824,476.79	0.00	824,476.79
Total Burden for #0584-0064	This estimate is the total number of respondents. If there are respondents that conduct both reporting and recordkeeping activities, the respondent should be counted once. 19,701,777	47.60	937,793,284.93	0.13	124,187,296.77	$16.65	$2,067,104,797.00	77,690,004.89	46,497,291.88	0.00	46,497,291.88

---

Sheet 5: Burden_Type Act and Resp

FNS SNAP Forms ICR Total Burden Estimate (OMB Control No. 0584-0064)
Respondent	Estimated Number of Respondent	Responses Annually per Respondent	Total Annual Responses	Estimated Avgerage Number of Hours Per Response	Estimated Total Hours	Hourly Wage Rates	Total Annual Cost to Respondents
Reporting Burden
State/Local/Tribal Governments	53	7,389,511.23	391,644,095.00	0.13	51,929,547.12	$27.60	$716,627,750.27	$1,433,255,500.54
Households	19,699,000	19.34	380,970,393.93	0.18	67,423,437.06	$7.25	$488,819,918.66
Total Estimated Reporting Burden	19,699,053	39.22	772,614,488.93	0.15	119,352,984.18		$-	$-
Recordkeeping Burden							$-	$-
State/Local/Tribal Governments	2,724	60,638.32	165,178,796.00	0.03	4,834,312.59	$30.00	$145,029,377.80
Total Estimated Recordkeeping Burden	2,724	60,638.32	165,178,796.00	0.03	4,834,312.59		$-	$-
TOTAL REPORTING AND RECORDKEEPING BURDEN FOR #0584-0064	19,701,777	47.60	937,793,284.93	0.13	124,187,296.77		$-	$-
							$1,350,477,046.72	$2,700,954,093.45