| Respondent Category |
Type of respondents (optional) |
Instruments |
Form |
Number of respondents |
Frequency of response |
Total Annual responses |
Hours per response |
Annual burden (hours) |
Hourly Wage Rate |
Total Annualized Cost of Respondent Burden |
|
|
|
|
|
|
|
|
|
|
|
| State Government |
SNAP State Program Staff |
Waiver |
|
53 |
5 |
265 |
0.25 |
66.25 |
$17.53 |
$1,161.36 |
|
SNAP State Program Staff |
Evaluation Info |
|
53 |
1 |
53 |
3 |
159 |
$17.53 |
$2,787.27 |
|
WIC State Program Staff |
Waiver |
|
89 |
10 |
890 |
0.25 |
222.5 |
$35.05 |
$7,798.63 |
|
WIC State Program Staff |
Evaluation Info |
|
89 |
1 |
89 |
3 |
267 |
$35.05 |
$9,358.35 |
|
FMNP State Program Staff |
Waiver |
|
49 |
4 |
196 |
0.25 |
49 |
$35.05 |
$1,717.45 |
|
FMNP State Program Staff |
Evaluation Info |
|
49 |
1 |
49 |
3 |
147 |
$35.05 |
$5,152.35 |
|
CN State Program Staff |
Form: FNS10 |
|
53 |
6 |
318 |
0.25 |
79.5 |
$35.05 |
$2,786.48 |
|
|
Form: FNS44 |
|
53 |
6 |
318 |
0.25 |
79.5 |
$35.05 |
$2,786.48 |
|
|
Form: FNS418 |
|
53 |
6 |
318 |
0.25 |
79.5 |
$35.05 |
$2,786.48 |
|
Food Dist. State Program Staff |
Form: FNS292A |
|
65 |
26 |
1690 |
0.25 |
422.5 |
$35.05 |
$14,808.63 |
|
|
|
|
|
|
|
|
|
$35.05 |
|
| Local Government |
WIC Local Agency Program Staff |
Report to State |
|
1808 |
1 |
1808 |
3 |
5424 |
$35.05 |
$190,111.20 |
|
|
|
|
|
|
0 |
0.25 |
0 |
$35.05 |
$- |
| Respondent |
TOTAL |
|
|
2,068 |
2.898 |
5,994 |
1.167 |
6,996 |
|
$241,254.66 |
|
|
|
|
|
|
|
|
|
|
|
| Federal Cost |
SNAP Administrative Cost Sharing |
|
|
|
|
|
|
|
|
$3,948.63 |
|
Federal Worker, GS13 Step 1 |
Waiver Request |
|
1 |
|
1,351 |
0.25 |
337.75 |
$49.19 |
$16,613.92 |
|
|
Evaluation Info |
|
1 |
|
1145 |
0.5 |
572.5 |
$49.19 |
$28,161.28 |
|
|
Review FNS292A |
|
1 |
|
1690 |
0.25 |
422.5 |
$49.19 |
$20,782.78 |
|
Total |
|
|
|
|
|
|
|
|
$69,506.61 |
|
|
|
|
|
|
|
|
|
|
|