| Respondent Category |
Instruments |
Form |
Number of respondents |
Frequency of response |
Total Annual responses |
Hours per response |
Annual burden (hours) |
Hourly Wage Rate |
Fully Loaded ( Hourly wage + 33%) |
Total Annualized Cost of Respondent Burden |
| Individuals / Households |
P-EBT Application Submission |
N/A |
1,660,000 |
1 |
1,660,000 |
0.166666667 |
276,666.7 |
$7.25 |
N/A |
$2,005,833.34 |
| State Agencies |
State Plan Submission- P-EBT |
Attachment C |
53 |
1 |
53 |
1 |
53 |
$35.92 |
$47.77 |
$2,532.00 |
| P-EBT Household Eligibility Determination |
N/a |
53 |
31,231 |
1,660,000 |
0.25 |
415000 |
$35.92 |
$47.77 |
$19,826,044.00 |
| Monthly P-EBT Reporting to FNS |
FNS-292B |
53 |
12 |
636 |
1 |
636 |
$35.92 |
$47.77 |
$30,384.01 |
| P-EBT Adminstrative Cost Plan (100% funding) |
FNS-366A |
53 |
1 |
53 |
10 |
530 |
$35.92 |
$47.77 |
$25,320.01 |
| P-EBT Quarterly Administrative Cost Report (100% funding) |
SF-425 |
53 |
4 |
212 |
1 |
212 |
$35.92 |
$47.77 |
$10,128.00 |
| SA Subtotal |
|
|
53 |
31338.755 |
1660954 |
0.251 |
416431 |
|
|
$19,894,408.02 |
| Grand Total |
|
|
1,660,053 |
2.001 |
3,320,954 |
0.209 |
693,098 |
|
|
$21,900,241.36 |