| APPENDIX D |
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| Reporting and Recordkeeping Burden for State Agencies FNS 245, OMB 0584-0034 |
| Regulation |
Description of Activity |
Number of Respondents |
Estimated Frequency Number of Negative Sample Cases Per Respondent |
Estimated Total Annual Number of Negative Sample Cases Per Annum |
Estimated Annual Reporting Hours Per Respondents |
Estimated Total Annual Burden Hours |
Previous Submission Total Hours |
Difference Due to Program Changes |
Difference Due to Adjustments |
| Reporting Burden |
| 275.13 (b) |
Household Case Record Review |
53 |
668.79 |
35,446.00 |
1.50 |
53,169.00 |
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| 275.13 (c) |
Error analysis |
53 |
668.79 |
35,446.00 |
1.15 |
40,762.90 |
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| 275.13 (d) |
Reporting of review findings |
53 |
668.79 |
35,446.00 |
0.25 |
8,861.50 |
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| 275.13 (e) |
Disposition of case review |
53 |
668.79 |
35,446.00 |
0.25 |
8,861.50 |
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| Total Reporting Burden |
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3.15 |
111,654.90 |
114,594.71 |
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-2,939.81 |
| Recordkeeping Burden |
| 275.4 |
Record Retention |
53 |
668.792452830189 |
35,446.00 |
0.0236 |
836.5256 |
919.688 |
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-83.1624 |
| Total Recordkeeping Burden |
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| Total Reporting and Recordkeeping Burden |
53 |
3343.96226415094 |
177,230.00 |
0.63472 |
112,491.43 |
115,514.40 |
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-3,022.97 |
| Estimates of Annualized Cost to Respondents FNS 245, OMB 0584-0034 |
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| Regulation |
Description of Activity |
Number of Negative Sample Cases Per Annum |
Reporting Hours |
Burden Hours |
Hourly Wage Rate (50% for State Agency Staff – not Households) |
ttl cost not loaded |
Hourly with Loaded Wages |
Total Respondent Cost with loaded wages |
difference |
| Reporting Burden |
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| 275.13 (b) |
Household Case Record Review |
35,446.00 |
1.50 |
53,169.00 |
$13.03 |
$692,526.23 |
$17.32 |
$921,059.88 |
$228,533.65 |
| 275.13 (c) |
Error analysis |
35,446.00 |
1.15 |
40,762.90 |
$13.03 |
$530,936.77 |
$17.32 |
$706,145.91 |
$175,209.13 |
| 275.13 (d) |
Reporting of review findings |
35,446.00 |
0.25 |
8,861.50 |
$13.03 |
$115,421.04 |
$17.32 |
$153,509.98 |
$38,088.94 |
| 275.13 (e) |
Disposition of case review |
35,446.00 |
0.25 |
8,861.50 |
$13.03 |
$115,421.04 |
$17.32 |
$153,509.98 |
$38,088.94 |
| Total Reporting Burden |
3.15 |
111,654.90 |
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$1,454,305.07 |
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$1,934,225.75 |
$479,920.67 |
| Recordkeeping Burden |
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$0.00 |
| 275.4 |
Record Retention |
35,446.00 |
0.0236 |
836.5256 |
$13.03 |
$10,895.75 |
$17.32 |
$14,491.34 |
$3,595.60 |
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$0.00 |
| Total Reporting and Recordkeeping Burden and Costs |
112,491.43 |
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$1,465,200.82 |
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$1,948,717.09 |
$483,516.27 |
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34322=2018 cases |
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26.05 |
*mean social work salary |
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https://www.bls.gov/oes/2019/may/oes_nat.htm |
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59.15 |
*mean General and Operations Managers |
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7.25 |
households |
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| Estimates of Annualized Cost to Respondents |
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| Regulation |
Description of Activity |
Number of Active Sample Cases Per Annum |
Reporting Hours |
Burden Hours |
Hourly Wage Rate (50% for State Agency Staff – not Households) |
ttl cost not loaded |
Hourly with Loaded Wages |
Total Respondent Cost with loaded wages |
difference |
| Reporting Burden |
|
| 275.13 (b) |
Household Case Record Review |
35,446.00 |
1.50 |
53,169.00 |
$13.03 |
$692,526.23 |
$17.32 |
$921,059.88 |
$228,533.65 |
| 275.13 (c) |
Error analysis |
35,446.00 |
1.15 |
40,762.90 |
$13.03 |
$530,936.77 |
$17.32 |
$706,145.91 |
$175,209.13 |
| 275.13 (d) |
Reporting of review findings |
35,446.00 |
0.25 |
8,861.50 |
$13.03 |
$115,421.04 |
$17.32 |
$153,509.98 |
$38,088.94 |
| 275.13 (e) |
Disposition of case review |
35,446.00 |
0.25 |
8,861.50 |
$13.03 |
$115,421.04 |
$17.32 |
$153,509.98 |
$38,088.94 |
| Total Reporting Burden |
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3.15 |
111,654.90 |
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$1,454,305.07 |
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$1,934,225.75 |
$479,920.67 |
| Recordkeeping Burden |
$0.00 |
| 275.4 |
Record Retention |
35,446.00 |
0.0236 |
836.5256 |
$13.03 |
$10,895.75 |
$17.32 |
$14,491.34 |
$3,595.60 |
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$0.00 |
| Total Reporting and Recordkeeping Burden and Costs |
112,491.43 |
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$1,465,200.82 |
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$1,948,717.09 |
$483,516.27 |
| Estimates of Annualized Cost to Federal Government for FNS 245, OMB 0584-0034 |
| Activities |
Hours Spent on Collection |
Costs or Hourly Wage Rate |
Total Cost |
Fringe Benefits Cost for Staff (0.33) |
Overall Base Cost w/ Fringe Benefits for Staff |
| 1. Printing Cost |
N/A |
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$2,000.00 |
N/A |
$2,000.00 |
| 2. 50% Reimbursement Cost to States for reporting & recordkeeping administrative cost |
N/A |
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$1,465,200.82 |
$483,516.27 |
$1,948,717.09 |
| 3. 33% of annual salary for 105 Regional Federal Staff (GS 12/1 base) annual |
N/A |
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$2,315,624.85 |
$764,156.20 |
$3,079,781.05 |
| 4a .Program Analyst GS 13 step 1 base Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR |
80 |
$32.02 |
$36.99 |
$12.21 |
$49.20 |
| 4b. Program Branch Chief Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR |
10 |
$45.00 |
$450.00 |
$148.50 |
$598.50 |
| 4c. Program Division Director Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR |
5 |
$52.93 |
$264.65 |
$87.33 |
$351.98 |
| 5. Automated System Cost (includes fringe benefits in fixed rate Contractor Monitoring) |
N/A |
$180,000.00 |
$180,000.00 |
N/A |
$180,000.00 |
| Grand Total Cost to Government |
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$180,129.95 |
$3,963,577.31 |
$1,247,920.51 |
$5,211,497.82 |
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| annual base |
66,829 |
gs 12/1 |
https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2021/GS.pdf |
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| hrly base |
32 |
13/1 |
https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2021/GS_h.pdf |
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| hrly base |
45 |
14/1 |
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| hrly base |
53 |
15/1 |
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| Estimates of Annualized Cost to Respondents |
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| Recordkeeping Burden for State Agencies FNS 380, OMB 0584-0074 |
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| Regulation |
Description of Activity |
Number of Respondents |
Number of Active Sample Cases Per Annum |
Responses per Respondent |
Reporting Hours |
Burden Hours |
Previous Submission Total Hours |
Difference Due to Program Changes |
Difference Due to Adjustments |
Hourly Wage Rate (50% for State Agency Staff – not Households) |
ttl cost not loaded |
Hourly with Loaded Wages |
Total Respondent Cost with loaded wages |
difference |
| Reporting Burden |
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|
|
| 275.13 (b) |
Household Case Record Review |
53 |
35,446.00 |
668.79 |
1.50 |
53,169.00 |
|
|
|
$13.03 |
$692,526.23 |
$17.32 |
$921,059.88 |
$228,533.65 |
| 275.13 (c) |
Error analysis |
53 |
35,446.00 |
668.79 |
1.15 |
40,762.90 |
|
|
|
$13.03 |
$530,936.77 |
$17.32 |
$706,145.91 |
$175,209.13 |
| 275.13 (d) |
Reporting of review findings |
53 |
35,446.00 |
668.79 |
0.25 |
8,861.50 |
|
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|
$13.03 |
$115,421.04 |
$17.32 |
$153,509.98 |
$38,088.94 |
| 275.13 (e) |
Disposition of case review |
53 |
35,446.00 |
668.79 |
0.25 |
8,861.50 |
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$13.03 |
$115,421.04 |
$17.32 |
$153,509.98 |
$38,088.94 |
| Total Reporting Burden |
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3.15 |
111,654.90 |
114,594.71 |
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-2,939.81 |
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$1,454,305.07 |
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$1,934,225.75 |
$479,920.67 |
| Recordkeeping Burden |
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$0.00 |
| 275.4 |
Record Retention |
53 |
35,446.00 |
668.79 |
0.0236 |
836.5256 |
919.688 |
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-83.1624 |
$13.03 |
$10,895.75 |
$17.32 |
$14,491.34 |
$3,595.60 |
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$0.00 |
| Total Reporting and Recordkeeping Burden and Costs |
112,491.43 |
115,514.40 |
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-3,022.97 |
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$1,465,200.82 |
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$1,948,717.09 |
$483,516.27 |
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34322=2018 cases |
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26.05 |
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*mean social work salary |
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https://www.bls.gov/oes/2019/may/oes_nat.htm |
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59.15 |
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*mean General and Operations Managers |
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7.25 |
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households |
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