Burden table revision2

Burden table revision2.xlsx

Pandemic Electronic Benefit Transfer (P-EBT)

Burden table revision2

OMB: 0584-0660

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Respondent Category Instruments Form Number of respondents Frequency of response Total Annual responses Hours per response Annual burden (hours) Previously Approved Annual Burden Hours Difference due to Program Change Difference due to Adjustment Hourly Wage Rate Fully Loaded ( Hourly wage + 33%) Total Annualized Cost of Respondent Burden
Individuals / Households P-EBT Application Submission (Schools Only) N/A 581,000 1 581,000 0.166666667 96,833 276,666.70
-179,833.37 $7.25 N/A $702,041.67
Schools Student Eligibility Data (School Year) N/A 94,767 4 379,068 20 7,581,360 0.00 7,581,360.00
$28.75 $38.24 $289,892,253.00
Student Eligibility Data (Summer) N/A 94,767 1 94,767 1 94,767 0.00 94,767.00
$28.75 $38.24 $3,623,653.16
P-EBT Local Level Administrative Cost Reporting to State N/A 94,767 1 94,767 1 94,767 0.00 94,767.00
$28.75 $38.24 $3,623,653.16
Schools Subtotal

94,767 2 568,602 7.33333333333333 7,770,894 0.00 7,770,894.00
$28.75 $38.24 $297,139,559.33
State Agencies State Plan Submission- P-EBT (Schools + Child Care For School Year) N/A 53 1 53 1 53 53.00

$36.13 $48.05 $2,546.80
State Plan Submission- P-EBT (Schools + Child Care For Summer) N/A 53 1 53 1 53 0.00 53.00
$36.13 $48.05 $2,546.80
P-EBT Household Eligibility Determination (Schools + Child Care) N/A 53 163,396 8,660,000 1 8,660,000 415,000.00
8,245,000.00 $36.13 $48.05 $416,138,114.00
Monthly P-EBT Reporting to FNS (Schools + Child Care) FNS-292B 53 12 636 1 636 636.00

$36.13 $48.05 $30,561.64
P-EBT Administrative Cost Plan (100% funding) (Schools + Child Care) FNS-366A 53 1 53 16 848 530.00
318.00 $36.13 $48.05 $40,748.86
P-EBT Quarterly Administrative Cost Report (100% funding) (Schools + Child Care) SF-425 53 4 212 1 212 212.00

$36.13 $48.05 $10,187.21
P-EBT Reporting to FNS (Summer) N/A 53 1 53 0.5 27 0 26.5
$36.13 $48.05 $1,273.40
SA Subtotal

53 163416.226 8,661,060 1.000 8,661,829 416,431.00 79.50 8,245,318.00

$416,225,978.73
Grand Total

675,820 14.517 9,810,662 1.685 16,529,556 693,097.70 7,770,974 8,065,484.63

$1,011,205,865.64





































Total Changes 15,836,458.13


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