Appendix F OMB 0584-0303 275 regs burden chart

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Overview

OMB#0303 275 regs
Annualized Cst to States
ANnualized Cost to fEd Govt

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Sheet 1: OMB#0303 275 regs

275 Regs Reporting OMB 0584-0303
Reg. Section	Affected Public	Description of Activity	Estimated Number of Respondents	Estimated responses per respondent	REVISED Total Annual responses	REVISED Number of Burden Hours Per Response	REVISED Estimated Total Burden Hours	Windows User: use these last 3 columns to reflect any decreases or increases. Previous Submission Total Hours	Difference Due to Program Changes	Difference Due to Adjustments
275.11(a)(1)-(a)(2)	State Agencies	Sampling Plan	53	1	53	20	1060	1060	0	0
275.2(c)(1)(i)	State Agencies	Use of 3rd Party Contractors-Notification of intent to hire	3	1	3	0.25	0.75	0	0.75	0
275.2(c)(1)(ii)	State Agencies	Use of 3rd Party Contractors-Submission of signed contract and tasks	3	1	3	0.5	1.5	0	1.5	0
275.2(c)(1)(iii)	State Agencies	Use of 3rd Party Contractors-Submission of completed deliverables	3	1	3	0.5	1.5	0	1.5	0
275.2(c)(1)(iv)	State Agencies	Use of 3rd Party Contractors-Notification of training sessions	3	1	3	0.08	0.24	0	0.24	0
275.2(d)(4)	State Agencies	Arbitration Process	12	3	36	34	1224	1224	0	0
273.23(f)	State Agencies	Good Cause Process	1	1	1	160	160	160	0	0
275.23(h)	State Agencies	New Investment Plan Template Form FNS 74 A	9	1	9	32	288	288	0	0
275.23(h)(4)	State Agencies	New Investment Progress Report Template Form FNS 74 B	9	2	18	5	90	90	0	0
SUB-TOTAL REPORTING BURDEN			53	2.43396226415094	129	21.9068992248062	2825.99	2822	3.99	0
275 Recordkeeping OMB 0584-0303
Reg. Section	Affected Public	Description of Activity	Estimated Number of Respondents	Estimated responses per respondent	REVISED Total Annual responses	REVISED Number of Burden Hours Per Response	REVISED Estimated Total Burden Hours	Windows User: use these last 3 columns to reflect any decreases or increases. Previous Submission Total Hours	Difference Due to Program Changes	Difference Due to Adjustments
275.4	State Agencies	Sampling Plan Record Retention	53	1	53	0.0236	1.2508	1.2508	0	0
275.4	State Agencies	Arbitration Process Record Retention	12	3	36	0.0236	0.8496	0.8496	0	0
275.4	State Agencies	Good Cause Process Record Retention	1	1	1	0.0236	0.0236	0.0236	0	0
275.4	State Agencies	New Investment Plan Template Form FNS 74 A Record Retention	9	1	9	0.0236	0.2124	0.2124	0	0
275.4	State Agencies	New Investment Progress Report Template Form FNS 74 B Record Retention	9	2	18	0.0236	0.4248	0.4248	0	0
Grand Total RECORDKEEPING			53	2.20754716981132	117	0.118	2.7612	2.7612	0	0
Reg. Section	Affected Public	Description of Activity	Estimated Number of Respondents	Number of Reports Annually By State	Number of Total Annual Records	Estimated Time Per Record	Estimated Total Record Keeping Hours	Windows User: use these last 3 columns to reflect any decreases or increases. Previous Submission Total Hours	Difference Due to Program Changes	Difference Due to Adjustments
Grand Total REPORTING & RECORDKEEPING			53	4.64150943396226	246	11.4989886178862	2828.7512	2824.7612	3.99	0
		Effects of Rule AE64
		Adds 4 new line items/regulatory citations for burden
		0303 burden goes up 3.99 hours for reporting
		Arbitration burden doesn't change, but the regulatory reference does change due to rulemaking amendments.
		No recordkeeping is required by Feds, states have their own rules for recordkeeping their own contracts.

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Sheet 2: Annualized Cst to States

Type of Respondent	Requirement	Responses Per Year	Hours Per Response	Wage-50% Cost Per Hour	Total Reporting Cost	Fringe
State Agencies	Sampling Plan	53	7	$23.91	$8,868.76	$2,926.69
State Agencies	Use of 3rd Party Contractors-Notification of intent to hire	3	0.25	$13.92	$10.44	$3.44
State Agencies	Use of 3rd Party Contractors-Submission of signed contract and tasks	3	0.5	$13.92	$20.87	$6.89
State Agencies	Use of 3rd Party Contractors-Submission of completed deliverables	3	0.5	$13.92	$20.87	$6.89
State Agencies	Use of 3rd Party Contractors-Notification of training sessions	3	0.08	$13.92	$3.34	$1.10
State Agencies	Arbitration	12	34	$13.92	$5,677.32	$1,873.52
State Agencies	Good Cause	1	160	$13.92	$2,226.40	$734.71
State Agencies	New Investment Plan Form FNS 74 A	9	32	$13.92	$4,007.52	$1,322.48
State	New Investment Plan Progress Report FNS 74B	9	5	$13.92	$626.18	$206.64
Reporting Cost					$21,461.69	$7,082.36
				Fringe (+33%)	$7,082.36
				Total With Fringe	$28,544.05
	27.83	*mean social work salary
	$47.81	mean statistician	https://www.bls.gov/oes/2021/may/oes_nat.htm
	7.25	households
Type of Respondent	Requirement	Responses Per Year	Hours Per Response	Wage-50% Cost Per Hour	Total Wage cost	Fringe benefit increase G*33%	Total Reporting Cost
State Agencies	Sampling Plan	53	1.2508	$23.91	$1,584.72	$522.96	$2,107.68
State Agencies	Arbitration	36	0.8496	$13.92	$425.60	$140.45	$566.05
State Agencies	Good Cause	1	0.0236	$13.92	$0.33	$0.11	$0.44
State Agencies	New Investment Plan Form FNS 74 A	9	0.2124	$13.92	$26.60	$8.78	$35.38
State Agencies	New Investment Plan Form FNS 74 B	18	0.4248	$13.92	$106.40	$35.11	$141.51
Total Recordkeeping Cost					$2,143.65	$707.40	$2,851.05
Total Reporting and Recordkeeping State Costs							$31,395.10

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Sheet 3: ANnualized Cost to fEd Govt

Annualized cost to Fed Government
Estimates of Annualized Cost to Federal Government
Reporting and Recordkeeping Federal Cost for FNS 275 OMB 0584-0303
Activities	Hours Spent on Collection	Costs or Hourly Wage Rage	Responses per year	Cost	Fringe Benefits Cost for Staff (0.33)	Overall Base Cost w/ Fringe Benefits for Staff
1. Printing Cost	N/A	$2,000.00	0.00	$2,000.00	N/A	$2,000.00
2. 50% Reimbursement Cost to States for reporting & recordkeeping administrative cost	N/A	$0.00	0.00	$30,687.70	$10,126.94	$40,814.64
3. Regional office Fed Costs				$63,388.92	$20,918.34	$84,307.26
4. National Office Fed Costs				$45,282.55	$14,943.24	$60,225.79
Grand Total Cost to Government				$141,359.17	$45,988.53	$187,347.70
	annual base	77,407
	hrly base	37.09	gs 12/5	https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2022/GS.pdf
	hrly base	39	13/1	https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2022/GS_h.pdf
	hrly base	46	14/1
	hrly base	54	15/1
Requirement- Regional Offices	Total Responses Per Year	Hrs Per Response	Regional Office Respondents per Response	Regional Ofc Salary	Regional Office Salary Costs	Fringe benefits (33%)	TOTAL salary
Sampling Plan 13/1	53	24	1	$38.92	$49,506.24	$16,337.06	$65,843.30
Arbitration 13/1	36	5	1	$45.99	$8,278.20	$2,731.81	$11,010.01
Good Cause	1	0	0	$0.00	$0.00	$0.00	$0.00
New Investment Plan Form FNS 74A 13/1	9	8	1	$38.92	$2,802.24	$924.74	$3,726.98
New Investment Plan 74B 13/1	18	4	1	$38.92	$2,802.24	$924.74	$3,726.98
Total R.O Salary Costs					$63,388.92	$20,918.34	$84,307.26
Requirement- National Office	Total Responses Per Year	Hrs Per Response	National Office Respondents per Response	National Ofc base hrly	National Office Base Salary Costs	Fringe benefits (33%)	TOTAL salary
Sampling Plan 13/1	53	0	0	$38.92	$0.00	$0.00	$0.00
Arbitration 14/1	36	18	1	$45.99	$29,801.52	$9,834.50	$39,636.02
Good Cause 13/1	1	50	4	$38.92	$7,784.00	$2,568.72	$10,352.72
New Investment Plan Form FNS 74A 13/1	9	4	2	$38.92	$2,802.24	$924.74	$3,726.98
New Investment Plan Form FNS 74B 13/1	18	1.5	1	$38.92	$1,050.84	$346.78	$1,397.62
a .Program Analyst GS 13 Step 1 Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR	1	80	1	$38.92	$3,113.60	$1,027.49	$4,141.09
b. Program Branch Chief Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR 14/1	1	10	1	$45.99	$459.90	$151.77	$611.67
c. Program Division Director Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR 15/1	1	5	1	$54.09	$270.45	$89.25	$359.70
Total N.O Salary Costs					$45,282.55	$14,943.24	$60,225.79