| 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 | Fully Loaded ( Hourly wage + 33%) | Total Annualized Cost of Respondent Burden |
| (A) 3 Categories: - Individual / Household - State/ Local/ Tribal Government - Business (Profit, Non-Profit, or Farm) |
(B) Describe the respondent. (optional) |
(C) Description or Name of Instrument. For rules, this will be the CFR citation. |
(E) Form Number, where applicable |
(F) Number of unique persons estimated to respond |
(G) Number of times per year the respondent will respond to each instrument |
(H) (= F x G) Total responses per year for each instrument |
(I) Average Time (in hours) it will take each person to respond to the instrument. To convert minutes to hours, divide minutes by 60. |
(J) (= H x I) Average total time (in hours) it will take all respondents to respond. |
(Q) BLS Hourly Wage. Use a wage rate that best fits the respondent. |
(R) = Hourly Wage Rate (Q) x Total Burden (P) |
|
| State Agency | State Program Staff | State Agency Opt-In | NA | 69 | 1 | 69 | 1.5 | 103.5 | $35.92 | $47.77 | $4,944.20 |
| State Program Staff | State Agency Implementation Plan - CACFP | NA | 69 | 1 | 57 | 10 | 570.0 | $35.92 | $47.77 | $27,228.90 | |
| State Program Staff | State Agency Implementation Plan - School Programs | NA | 69 | 1 | 56 | 10 | 560 | $35.92 | $47.77 | $26,751.20 | |
| TOTAL | 69 | 2.638 | 182 | 7.167 | 1,234 | $58,924.30 |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |