Appendix A.1 Excel Burden Chart

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Overview

Sample Burden Table - Studies
Sheet2
Sheet3

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Sheet 1: Sample Burden Table - Studies

Respondent Category	Type of respondents (optional)	Instruments	Number of respondents	Frequency of response	Total Annual responses	Hours per response	Annual burden (hours)	Hourly Wage Rate	Total Annualized Cost of Respondent Burden
State Government	SNAP State Agency	Waiver	53	24	1272	10	12,720.00	$17.53	$222,981.60
	SNAP State Agency	FFCRA Reporting	53	2	106	3	318.00	$17.53	$5,574.54
	SNAP State Agency	Weekly Oper.Update	53	52	2756	1	2,756.00	$17.53	$48,312.68
	SNAP State Agency	Continuing Resol Options	53	2	106	0.33	34.98	$17.53	$613.20
	WIC State Program Staff	Waiver	89	14	1246	0.25	311.50	$35.05	$10,918.08
	WIC State Program Staff	FFCRA Reporting	89	1	89	2	178.00	$35.05	$6,238.90
	WIC State Program Staff	MIS Data Pull Form	89	1	89	1.5	133.50	$35.05	$4,679.18
	FMNP State Program Staff	Waiver	49	3	147	0.25	36.75	$35.05	$1,288.09
	FMNP State Program Staff	FFCRA Reporting	49	1	49	3	147.00	$35.05	$5,152.35
	CN State Program Staff	Form: FNS10	56	24	1344	0.25	336.00	$35.05	$11,776.80
		Form: FNS44	57	12	684	0.25	171.00	$35.05	$5,993.55
		Form: FNS418	53	12	636	0.25	159.00	$35.05	$5,572.95
	CNP State agencies review standard waiver protocol guidance	CN NSLA Waiver Protocol Guidance Review / SP 15-2018, CACFP 12-2018, SFSP 05-2018 / Appendix F*	67	1	67	0.25	16.75	$27.75	$464.81
	CNP State agencies develop and submit standard waiver requests	Standard CN NSLA Statewide COVID-related Waiver request. Template / Appendix G , Appendix F*	67	9.3731	Warner, Jeffrey - FNS: This is how many standard waiver requests FNS has received from SAs. 628	1	628.00	Warner, Jeffrey - FNS: Department of Labor, Bureau of Labor Statistics, May 2019 National Occupational Employment and Wage Statistics, Occupational Group (25-0000): hourly mean wage. https://www.bls.gov/oes/current/oes_nat.htm $27.75	$17,427.00
	CNP State agencies that are required to submit standard reports for standard waivers approved under Section12(l) of the NSLA	COVID-19 Statewide Waiver Reporting Tool / Appendix H, Appendix F*	67	4.7313	Warner, Jeffrey - FNS: # of standard waiver requests that were approved on behalf of 67 SAs. 317	0.5	158.50	$27.75	$4,398.38
	CNP State agencies review technical assistance waiver guidance for state monitoring and oversight waivers	Technical Assistance Guidance Provided to States via email / Appendix S.1^*	63	1	63	0.5	31.50	$27.75	$874.13
	CNP State agencies request to waive state monitoring oversight requirements, following additional technical assistance guidance and providing an alternative plan to monitor CNP operations during COVID.	Waiver Template and Technical Assistance Guidance Provided to States via email / Appendices G and S.1^*	63	1	63	2.5	157.50	$27.75	$4,301.25
	CNP State agencies that received a waiver approval of onsite monitoring requirements	State Monitoring Plan Reporting Tool to Sumbit Quarterly Reports / Appendix I	63	4	252	0.334	84.17	$27.75	$8,602.50
	CNP State agencies provide notice to the public regarding proposed waiver requests.	NSLA Requirement to provide public notice of proposed waivers	67	10.3134328358209	Warner, Jeffrey - FNS: Approximate number of total waiver requests that FNS received during COVID. All were submitted on behalf of 67 SAs. 691	0.5	345.50	$27.75	$9,587.63
	CNP State agencies elect Nationwide participation.	Section 2202(a)(2)of the Families First Coronavirus Response Act - States elect nationwide participation/Appendices K/L**, M***, N****, O^, P.1^^, Q.1^^^, R.1^^^^	57	98	5586	0.0835	466.43	$27.75	$12,943.46
	CNP State agencies review local program operators' requests to implement meal pattern flexibilities in SY 2019-2020.	Original Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs / Appendix K and L**	67	453	30,351	0.25	7,587.75	$27.75	$210,560.06
	CNP State agencies review local program operators' requests to implement meal pattern flexibilities in SY 2020-2021.	Nationwide Waiver to Extend the Meal Pattern Flexibility through SY 2020-2021 / Appendix M***	67	453	30,351	0.25	7,587.75	$27.75	$210,560.06
	CNP State agencies review local program operators' requests to implement specific meal pattern flexibilities in SY 2021-2022.	Nationwide Waiver to Allow Specific School Meal Pattern Flexibility for School Year 2021-2022 / Appendix N****	67	334	22378	0.25	5,594.50	$27.75	$155,247.38
	CNP State agencies review CACFP operators' requests to implement specific meal pattern flexibilities in SY 2021-2022.	Nationwide Waiver to Allow Specific Meal Pattern Flexibility in the Child and Adult Care Food Program for School Year 2021-2022 / Appendix O^	67	79	5293	0.25	1,323.25	$27.75	$36,720.19
	State agencies have a plan to ensure program integrity while alllowing parental pickup of CNP foods.	First Nationwide Waiver to Allow Parents and Guardians to Pick Up Meals for Children / Appendix P.1^^	Warner, Jeffrey - FNS: FNS' Records indicate only 47/67 SAs participated in the first LWP Nationwide Waiver. 67	1	67	1	67.00	$27.75	$1,859.25
	Food Dist. State Program Staff	Form: FNS292A	60	52	3120	0.25	780.00	$35.05	$27,339.00
								$35.05
Local Government	WIC Local Agency Program Staff	FFCRA Reporting	1808	1	1808	1	1,808.00	$35.05	$63,370.40
	CNP Local Agency Program Staff (Eligible Service Providers/Program Operators) request approval to implement meal pattern flexbility in SY 2019-2020 from respective State agencies.	Original Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs / Appendix K and L**	30351	1	30351	1	30,351.00	Warner, Jeffrey - FNS: Department of Labor, Bureau of Labor Statistics, May 2019 National Occupational Employment and Wage Statistics, Occupational Group (25-0000): hourly mean wage. https://www.bls.gov/oes/current/oes_nat.htm $27.75	$842,240.25
	CNP Local Agency Program Staff (Eligible Service Providers/Program Operators) request approval to implement meal pattern flexbility in SY 2020-2021 from respective State agencies.	Nationwide Waiver to Extend the Meal Pattern Flexibility through SY 2020-2021 / Appendix M***	30351	1	30351	1	30,351.00	$27.75	$842,240.25
	CNP Local Agency Program Staff (Eligible Service Providers/Program Operators) request approval to implement specific meal pattern flexibility in SY 2021-2022 from respective State agencies.	Nationwide Waiver to Allow Specific School Meal Pattern Flexibility for School Year 2021-2022 / Appendix N****	22378	1	22378	1	22,378.00	$27.75	$620,989.50
	CACFP Local Agency Program Staff (Eligible Service Providers/Program Operators) request approval to implement specific meal pattern flexibility in SY 2021-2022 from respective State agencies.	Nationwide Waiver to Allow Specific Meal Pattern Flexibility in the Child and Adult Care Food Program for School Year 2021-2022 / Appendix O^	5293	1	5293	1	5,293.00	$27.75	$146,880.75
	CNP Local Agency Program Staff (Eligible Service Providers/Program Operators) notify their respective State agency of their decision to implement the flexibility granted in the waiver.	CNP Response #18: Nationwide Waiver of Local School Wellness Policy Triennial Assessments in the National School Lunch and School Breakfast / Appendix Q.1^^^	4277	1	4277	0.0835	357.13	$27.75	$9,910.34
	CNP Local Agency Program Staff (Eligible Service Providers/Program Operators) notify their respective State agency of their decision to implement the flexibility granted in the waiver.	CNP Response #98: Nationwide Waiver of Local School Wellness Policy Triennial Assessments in the National School Lunch and School Breakfast / Appendix R.1^^^^	4277	1	4277	0.0835	357.13	$27.75	$9,910.34	96107	24,048.60
Respondent	TOTAL		32,484	6.357	206,486	0.644	133,025.59		$3,565,528.83	96927	89,087.26
								Fully loaded (total * 1.33)=	$4,742,153.34	193034	113,135.86
Notes Concerning the OMB Disclosure Statements (public burden statements)
*Appendix F Child Nutrition Program Waiver Request Guidance and Protocol - Revised - In the OMB Disclosure Statement, FNS states that it will take 15 minutes to review the guidance, 1 hour to develop and submit the waiver request, and
30 minutes to report on the impact that waiver implementation had on CNP operations. These time estimates are reflected in three different rows in the above chart: Row 16 CNP State agencies review standard waiver protocol guidance (15 minutes),
Row 17 CNP State agencies develop and submit standard waiver requests (1 hour), and Row 18 CNP State agencies that are required to submit standard reports for standard waivers approved under Section12(l) of the NSLA (30 minutes)
**Appendix K Child Nutrition Response #4 The Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs - In the OMB Disclosure Statement, FNS states that it will take states 5 minutes to notify FNS of their election
to be subject to a nationwide waiver, that it will take local program operators 1 hour to develop and submit a request to implement the waiver, and states 15 minuts to review each request and respond to the program operator.
These time estimates are reflected in three different rows in the above chart: Row 23 CNP State agencies elect Nationwide participation (5 minutes), Row 32 CNP Local Agency Program Staff (Eligible Service Providers/Program Operators)
request approval to implement meal pattern flexbility in SY 2019-2020 from respective State agencies (1 hour), and Row 24 CNP State agencies review local program operators' requests to implement meal pattern flexibilities in SY 2019-2020 (15 minutes).
This also applies to Appendix L Child Nutrition Response #36 The Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs - Extension #4.
***Appendix M Child Nutrition Response #70 The Nationwide Waiver to Allow Meal Pattern Flexibility in the Child Nutrition Programs -Extension 5 - In the OMB Disclosure Statement, FNS states that it will take states 5 minutes to notify FNS of their election
to be subject to a nationwide waiver, that it will take local program operators 1 hour to develop and submit a request to implement the waiver, and states 15 minuts to review each request and respond to the program operator.
These time estimates are reflected in three different rows in the above chart: Row 23 CNP State agencies elect Nationwide participation (5 minutes), Row 33 CNP Local Agency Program Staff (Eligible Service Providers/Program Operators)
request approval to implement meal pattern flexbility in SY 2019-2020 from respective State agencies (1 hour), and Row 25 CNP State agencies review local program operators' requests to implement meal pattern flexibilities in SY 2019-2020 (15 minutes).
****Appendix N Child Nutrition Response #90 The Nationwide Waiver to Allow Specific Meal Pattern Flexibility for School Year 2021-2022 - In the OMB Disclosure Statement, FNS states that it will take states 5 minutes to notify FNS of their election
to be subject to a nationwide waiver, that it will take local program operators 1 hour to develop and submit a request to implement the waiver, and states 15 minutes to review each request and respond to the program operator.
These time estimates are reflected in three different rows in the above chart: Row 23 CNP State agencies elect Nationwide participation (5 minutes), Row 34 CNP Local Agency Program Staff (Eligible Service Providers/Program Operators)
request approval to implement meal pattern flexbility in SY 2019-2020 from respective State agencies (1 hour), and Row 26 CNP State agencies review local program operators' requests to implement meal pattern flexibilities in SY 2019-2020 (15 minutes).
^Appendix O Child Nutrition Response #91 The Nationwide Waiver to Allow Specific Meal Pattern Flexibility in the Child and Adut Care Food Program for School Year 2021-2022 - In the OMB Disclosure Statement, FNS states that it will take states 5 minutes to notify FNS of their election
to be subject to a nationwide waiver, that it will take local program operators 1 hour to develop and submit a request to implement the waiver, and states 15 minutes to review each request and respond to the program operator.
These time estimates are reflected in three different rows in the above chart: Row 23 CNP State agencies elect Nationwide participation (5 minutes), Row 35 CACFP Local Agency Program Staff (Eligible Service Providers/Program Operators)
request approval to implement meal pattern flexbility in SY 2019-2020 from respective State agencies (1 hour), and Row 27 CNP State agencies review CACFP program operators' requests to implement meal pattern flexibilities in SY 2019-2020 (15 minutes).
^^Appendix P.1 Child Nutrition Response #5 COVID-19 Nationwide Waiver to Allow Parents and Guardians to Pick Up Meals for Children - In the OMB Disclosure Statement, FNS states that it will take the states 5 minutes to notify FNS of their election
to be subject to a nationwide waiver and 1 hour for the states to develop and plan to ensure program integrity for local program operators who implement the flexibility granted. These time estimates are reflected in two differents rows in the above chart:
Row 23 CNP State agencies elect Nationwide participation (5 minutes) and Row 28 State agencies have a plan to ensure program integrity while alllowing parental pickup of CNP foods (1 hour).
^^^Appendix Q.1 Child Nutrition Response #18 The Nationwide Waiver of Local School Wellness Policy Triennial Assessments in the National School Lunch and School Breakfast Programs - In the OMB Disclosure Statement, it states that it takes the states 5 minutes to notify FNS of its election
to be subject to the nationwide waiver and that it takes 5 minutes for the local program operator to notify their respectkive state agency of their decision to participate in the waiver flexibility granted. These time estimates are reflected in two different rows in the above chart: Row 23
CNP State agencies elect Nationwide participation (5 minutes) and Row 36 CNP Local Agency Program Staff (Eligible Service Providers/Program Operators) notify their respective State agency of their decision to implement the flexibility granted in the waiver (5 minutes).
^^^^Appendix R.1 Child Nutrition Response #98 Nationwide Waiver of Local School Wellness Policy Triennial Assessments in the National School Lunch and School Breakfast Programs - In the OMB Disclosure Statement, it states that it takes the states 5 minutes to notify FNS of its election to
be subject to a nationwide waiver and that it takes the local program operators 5 minutes to notify their respective State agency of their decision to participate in the waiver flexibility granted. These time estimates are reflected in two different rows in the above chart: Row 23
CNP State agencies elect Nationwide participation (5 minutes) and Row 37 CNP Local Agency Program Staff (Eligible Service Providers/Program Operators) notify their respective State agency of their decision to implement the flexibility granted in the waiver (5 minutes).
^*Appendix S.1 Technical Assistance Email Subject Line: State Oversight Waivers and Plan - In the OMB Disclosure Statement, it states that it will take the states 30 minutes to review the technical assistance guidance provided via email and confirm receipt of such email and 2.5 hours for the
states to develop and submit a waiver request of program monitoring oversight. These time estimates are reflected in two different rows in the above chart: Row 19 CNP State agencies review technical assistance waiver guidance for state monitoring and oversight waivers (30 minutes) and
Row 20 CNP State agencies request to waive state monitoring oversight requirements, following additional technical assistance guidance and providing an alternative plan to monitor CNP operations during COVID (2.5 hours). Please note that the State agencies are encouraged to use the
template in Appendix G as they prepare these requests; however, it will take 2.5 hours to prepare these waiver requests.
Warner, Jeffrey - FNS: Is it necessary we include the burden programs have on federal employees who admister the programs? In previously approved collections that I've seen, calcuations of burden on federal workers and federal costs were not included. Federal Cost	SNAP Administrative Cost Sharing								$277,482.02
	Federal Worker, GS13 Step 1	Waiver Request	1		2,665	0.25	666.25	$65.42	$43,587.87
	Federal Worker, GS13 Step 1	FFCRA Reporting	1		4716	3.0	14,148.00	$65.42	$925,600.36
	Federal Worker, GS13 Step 1	Review FNS292A	1		3120	0.25	780.00	$65.42	$51,029.71
	CNP Administrative Costs
	Federal Worker, GS13 Step 1	Nationwide Waiver	1	98	98	8	784.00	$65.42	$51,289.28
	Federal Worker, GS13 Step 1	Review NSLA Waiver Requests	1	691	691	1	691.00	$65.42	$45,205.22
	Federal Worker, GS13 Step 1	COVID-19 Statewide Waiver Reporting Tool	Warner, Jeffrey - FNS: 3 staff members work together to develop the tool. 3	1	3	5	15.00	$65.42	$981.30
	Federal Worker, GS13 Step 1	State Monitoring Plan Reporting Tool to Sumbit Quarterly Reports	3	1	3	5	15.00	$65.42	$981.30
	Federal Worker, GS13 Step 1	Review Standard Waiver Report	5	63.4	Warner, Jeffrey - FNS: We know there are 5 FNS staff that review these 317 reports 317	0.5	158.50	$65.42	$10,369.07
	Federal Worker, GS13 Step 1	Review Quarterly Reports for State Monitoring Oversite Waivers	5	50.4	Warner, Jeffrey - FNS: We know there are 5 FNS staff members that review these 252 reports (submitted quarterly). 252	0.25	63.00	$65.42	$4,121.46
	Total								$1,410,647.59

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Sheet 2: Sheet2

		OMB #	Type of Request	How submitted	Assoc.Docs.
SNAP	Waiver Requests	0584-0083	This information is approved under the reference IC; We are asking for additional burden to cover the COVID-related waiver requests.	email	(instructions)
	Evaluation Data	0584-0654	This information was approved in the Emergency IC package referenced. This request extends this collection with additional burden hours to cover a longer time period.	email	(instructions)
	Weekly Operational Update	0584-0083	This information is approved under the referenced IC; States are required to submit this information in their State Plans and are required to update FNS of any changes. Because COVID is rapidly changing, FNS is seeking additional burden so states can report up to weekly, as needed, of any changes to their state plans due to COVID (i.e., SNAP applications; office closures; staff reductions). Note this is an estimate of the maximum burden FNS might needs for States; it could be less because the reporting is based on the level of changes, which varies based on the COVID data and need in a state at a given time.	email	??
	Continuing Res. Options	0584-0654	The CR adjusted how states can apply for a waiver. Instead of applying, they can simply inform FNS that they are using it within 5 days of adoption.	online form	(form)
WIC	Waiver Requests	0584-0654	This information was approved in the Emergency IC package referenced. This request extends this collection with additional burden hours to cover a longer time period.	online form	(form)
	Evaluation Data	0584-0654	This information was approved in the Emergency IC package referenced. This request extends this collection with additional burden hours to cover a longer time period. Note that in the Emergency IC FNS was trying to collect the data via State Plans but determined for reducing burden on states and improving FNS's ability to analyze the data, FNS has moved to a State and Local agency survey.	online form	(form)
	* State form				(form)
	* State MIS data pull				(instructions)
	* Local form				(form)
FMNP	Waiver Requests	0584-0654	This information was approved in the Emergency IC package referenced. This request extends this collection with additional burden hours to cover a longer time period.	?	(form)
	Evaluation Data	0584-0654	This information was approved in the Emergency IC package referenced. This request extends this collection with additional burden hours to cover a longer time period. Note that in the Emergency IC FNS was trying to collect the data via State Plans but determined for reducing burden on states and improving FNS's ability to analyze the data, FNS has moved to a State and Local agency survey.		(form)
CN	Waiver Requests	??	This activitiy is covered in the referenced IC and falls within existing burden approvals; FNS is not seeking anything related to CN waivers in this IC request.
	Evaluation Data	0584-0594	These three forms are covered under the referenced IC. FNS is seeking additional burden for the burden associated with adding the requested information to the remarks section of these three forms.	FNS FPRS reporting system
	* FNS-10			FPRS	form
	* FNS-44			FPRS	form
	* FNS-4xx			FPRS	form
FD	Commodities Use (FNS292A)	0584-0594	This form is covered under the referenced IC. FNS is seeking additional burden associated with changing from a one-time report to a weekly report during COVID.	email	form

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Sheet 3: Sheet3

Respondent Category	Type of respondents (optional)	Instruments	Number of respondents
State Government	SNAP State Agency	Waiver	53
	WIC State Program Staff	Waiver	89
	WIC State Program Staff	MIS Data Pull Form	89
	WIC State Program Staff	Instructions	89
	FMNP State Program Staff	Waiver	49
	FMNP State Program Staff	Evaluation Data	49
	CN State Program Staff	Form: FNS10	56
		Form: FNS44	57
		Form: FNS418	53
	Food Dist. State Program Staff	Form: FNS292A	60
Local Government	WIC Local Agency Program Staff	Evaluation Survey	1808
Respondent	TOTAL		2,066