Revised Excel Spreadsheet

Burden chart 9-25-2019.xls

Food Programs Reporting System (FPRS)

Revised Excel Spreadsheet

OMB: 0584-0594

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0584-0594 can be found here:

Document [xlsx]

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Overview

FPRS FNS FORMS AKA WORKSHEETS
Sheet2
SF 425 Estimates
FNS 778-778A formerly SF 269
0081 FNS 388 and 388A
0083fns366A-B-9-2019
0293 FNS 152, 153 & 667
0025 FNS 101 AND 191
0045 FNS 798 and 798A
0447 FNS 203 & 683A
Sheet1
Sheet3

Sheet 1: FPRS FNS FORMS AKA WORKSHEETS

Food and Nutrition Service Data Collection Information (by Program)
Annual Burden Hours
Affected Public	Current OMB Control Number	Worksheet Number	Title of Worksheet	Estimated No. of Respondents1	Frequency of Response per Respondent2	Total Annual Response	Estimated Hrs per Response	Annual Burden Hrs	Previous Submission Total Hours	Differences due to Program Changes	Differences due to Adjustments	Hourly Wage Rate3	Respondent Cost
0584-0026	FNS-742	CN School Food Authority (SFA) Verification Collection Report	20,858.0	1.0	20,858.0	5.0	104,290.0				$27.22	$2,838,773.80
0584-0594	FNS-828	CN School Food Authority Paid Lunch Price Report	56.0	1.0	56.0	5.0	280.0				$27.22	$7,621.60
0584-0226	FNS-874	Local Education Agency Second Review of Applications	56.0	1.0	56.0	5.0	280.0				$27.22	$7,621.60

			TOTAL	33,510.0		57,670.0		208,620.5					$5,678,650.01

Reviewers Note: Methodology used to calculate annual burden hours is as folllows: Estimated No. of Respondents1 x Frequency of Response per Respondent x Estimated Hrs per Response2. The hourly wage rate is an hourly mean wage for education-related occupations for functions performed by State agency and local agency program staff.

Sheet 2: Sheet2

0584-0025	FNS-101	Participation in Food Programs-By Race	2,719.0	1.0	2,719.0	2.0	5,438.0
0584-0025	FNS-101 (CNMI)	PARTICIPATION IN FOOD PROGRAMS - BY ETHNICITY	3.0	1.0	3.0	2.5	7.5
0584-0025	FNS-191	CSFP Racial/Ethnic Group Participation	252.0	1.0	252.0	2.0	504.0
0584-0025	FNS-101	Participation in Food Programs-By Race	134.0	1.0	134.0	1.9	254.6
			3,108.0		3,108.0		6,204.1






Current OMB Control Number	Worksheet Number	Title of Worksheet	Estimated No. of Respondents1	Frequency of Response per Respondent2	Total Annual Response	Estimated Hrs per Response	Annual Burden Hrs
0584-0293	FNS-667	Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs	55.0	5.0	275.0	3.5	962.5
0584-0293	FNS-152	Monthly Distribution of Donated Food to Family Units	115.0	12.0	1,380.0	2.5	3,450.0
0584-0293	FNS-153	Monthly Report of the CSFP and Quarterly Administrative Financial Status Report	57.0	12.0	684.0	6.3	4,309.2
0584-0293	FNS-667	TEFAP-SUP	55.0	5.0	275.0	3.5	962.5
			115.0	22.7304347826087	2,614.0		9,684.2

Sheet 3: SF 425 Estimates

0348-0061	SF-425	NSLP	57.0	4.0	228.0	1.5	342.0
0348-0061	SF-425	SBP	57.0	4.0	228.0	1.5	342.0
0348-0061	SF-425	SMP	57.0	4.0	228.0	1.5	342.0
0348-0061	SF-425	CACFP	55.0	4.0	220.0	1.5	330.0
0348-0061	SF-425	SFSP	53.0	4.0	212.0	1.5	318.0
0348-0061	SF 425	CN Team Nutrition	57.0	4.0	228.0	1.5	342.0
0348-0061	SF 425	CN - Administrative Review & Training (I)	57.0	2.0	114.0	1.5	171.0
0348-0061	SF 425	CN - Administrative Review & Training (II)	57.0	4.0	228.0	1.5	342.0
0348-0061	SF 425	CN - Summer Food Service Program Pilot Programs	57.0	4.0	228.0	1.5	342.0
0348-0061	SF 425	CN - Direct Certification & Verfication	57.0	4.0	228.0	1.5	342.0
0348-0061	SF 425	CN - CACFP Child Care Wellness Grants	57.0	4.0	228.0	1.5	342.0
0348-0061	SF-425	CN Direct Certification and Improvement	57.0	4.0	228.0	1.5	342.0
0348-0061	SF-425	CN National School Lunch Program Equipment Grants	57.0	4.0	228.0	1.5	342.0
0348-0061	SF-425	CN National Food Service Management Institute (FSMI)	1.0	4.0	4.0	1.5	6.0
0348-0061	SF-425	CN FSMI Produce Safety University Support	1.0	4.0	4.0	1.5	6.0
0348-0061	SF-425	CN FSMI Food Safety	1.0	4.0	4.0	1.5	6.0
0348-0061	SF-425	CN FSMI General Education	1.0	4.0	4.0	1.5	6.0
0348-0061	SF-425	CN Community Gardens Pilot Program	150.0	4.0	600.0	1.5	900.0
0348-0061	SF-425	CN Hunger-Free Community Grants	150.0	4.0	600.0	1.5	900.0
0348-0061	SF-425	SNAP Outreach	53.0	4.0	212.0	1.5	318.0
0348-0061	SF-425	SNAP Health and Census Pilot	53.0	4.0	212.0	1.5	318.0
0348-0061	SF-425	SNAP Participation	53.0	4.0	212.0	1.5	318.0
0348-0061	SF-425	SNAP Increasing Participation Among Elderly	53.0	4.0	212.0	1.5	318.0
0348-0061	SF-425	SNAP Healthy Incentives	53.0	4.0	212.0	1.5	318.0
0348-0061	SF-425	CSFP	42.0	1.0	42.0	1.5	63.0
0348-0061	SF-425	FDPNE	111.0	4.0	444.0	1.5	666.0
0348-0061	SF-425	FDPIR-NET	111.0	1.0	111.0	1.5	166.5
0348-0061	SF-425	FDPIR	111.0	4.0	444.0	1.5	666.0
0348-0061	SF-425	ARRA FDPIR	111.0	0.0	0.0	0.0	0.0
0348-0061	SF-425	TEFAP - Infrastructure	150.0	4.0	600.0	1.5	900.0
0348-0061	SF-425	WIC Breastfeeding Peer Counseling	90.0	1.0	90.0	1.5	135.0
0348-0061	SF-425	WIC General Infrastructure	90.0	1.0	90.0	1.5	135.0
0348-0061	SF-425	WIC General Infrastructure State Agency Model	90.0	4.0	360.0	1.5	540.0
0348-0061	SF-425	WIC State Agency Model	90.0	4.0	360.0	1.5	540.0
0348-0061	SF-425	WIC State to State Technical Assistance	90.0	1.0	90.0	1.5	135.0
0348-0061	SF-425	WIC Technology State Agency Model	90.0	4.0	360.0	1.5	540.0
0348-0061	SF-425	WIC Special Project Full Grant	90.0	4.0	360.0	1.5	540.0
0348-0061	SF-425	WIC Special Project Concept Grant	90.0	4.0	360.0	1.5	540.0
0348-0061	SF-425	WIC Breastfeeding Performance Bonus	90.0	1.0	90.0	1.5	135.0
0348-0061	SF-425	WIC Electronic Benefits Transfer	90.0	4.0	360.0	1.5	540.0
0348-0061	SF-425	ARRA WIC Electronic Benefits Transfer	90.0	0.0	0.0	0.0	0.0
0348-0061	SF-425	ARRA WIC State Agency Model	90.0	0.0	0.0	0.0	0.0
0348-0061	SF-425	ARRA WIC Technology State Agency Model	90.0	0.0	0.0	0.0	0.0
0348-0061	SF-425	Food Safety - Center of Excellence	3.0	4.0	12.0	1.5	18.0
			150.0		9,275.0		13,912.5

Sheet 4: FNS 778-778A formerly SF 269

0348-0039	SF-269(778)	SNAP	53.0	4.0	212.0	16.8	3,561.6
0348-0039	SF-269A(778a)	SNAP	7.0	4.0	28.0	1.0	28.0
			53		240.0		3,589.6

Sheet 5: 0081 FNS 388 and 388A

0584-0081	FNS-388	State Issuance and Participation Estimates	53.0	12.0	636.0	5.6	3,561.6	$24.25
0584-0081	FNS-388A	Project Area Issuance and Participation	53.0	2.0	106.0	14.8	1,572.0	$24.25
			53		742.0	20.4	5,133.6

Sheet 6: 0083fns366A-B-9-2019

0584-0083	FNS-366A	Program and Budget Summary Statement: Budget Projection	53.0	1.0	53.0	13.0	689.0
0584-0083	FNS-366B	Program and Budget Summary Statement: Program Activity Statement	53.0	4.0	212.0	15.0	3,180.0	per rulemaking make sure to align with 0584-0608
			53	----	265.0	----	3,869.0

Sheet 7: 0293 FNS 152, 153 & 667

0584-0293	FNS-667	Rachelle Ragland Greene: remove, 2 year money ARRA-Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs	55.0	0.0	0.0	0.0	0.0	removed
			55		0.0		0.0



0584-0293	FNS-667	Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs	55.0	5.0	275.0	3.5	962.5
0584-0293	FNS-152	Monthly Distribution of Donated Food to Family Units	Rachelle Ragland Greene: 253.8(b) & 254.3(a), Commodity Inventories. The ITO or State agency, in coordination with the FNS Regional Office, tracks commodity inventories at storage facilities, utilizing Form FNS-152 “ Monthly Distribution of Donated Foods to Family Units.” This form is also used to report monthly participation of households. 97 ITOs and State agencies will report monthly participation on Form FNS-152. Because 97 ITOs and State agencies will report monthly participation 12 times per year,we anticipate 1,164 responses will be made annually. Each response will take about 2.5 hours to complete. The total burden for this activity is 2,910 hours. 111.0	12.0	1,332.0	2.5	3,330.0
0584-0293	FNS-153	Monthly Report of the CSFP and Quarterly Administrative Financial Status Report	42.0	12.0	504.0	6.3	3,175.2
			111		2,111.0		7,467.7

Sheet 8: 0025 FNS 101 AND 191

0584-0025	FNS-101	Participation in Food Programs-By Race	2,719.0	1.0	2,719.0	2.0	5,438.0
0584-0025	FNS-101	Participation in Food Programs-By Race	111.0	1.0	111.0	1.9	210.9
0584-0025	FNS-191	CSFP Racial/Ethnic Group Participation	192.0	1.0	192.0	2.0	384.0
			2719		3,022.0		6,032.9

Sheet 9: 0045 FNS 798 and 798A

0584-0045	FNS-798	WIC Financial Management and Participation Report	90.0	15.0	1,350.0	3.1	4,185.0
0584-0045	FNS-798A	Addendum to WIC Financial Management and Participation Report - NSA Expenditures	90.0	1.0	90.0	1.7	153.0
			90		1,440.0		4,338.0

Sheet 10: 0447 FNS 203 & 683A

0584-0447	FNS-683a	WIC Farmers' Market Nutrition Program (FMNP) Annual Financial Report	46.0	1.0	46.0	3.0	138.0
0584-0447	FNS-203	WIC Farmers' Market Nutrition Program Report	46.0	1.0	46.0	1.0	46.0
			46	2.0	92.0		184.0

Sheet 11: Sheet1

FNS-388	State Issuance and Participation Estimates	53.0	12.0	636.0	5.6	3,561.6
FNS-388 (AS)	State Issuance and Participation Estimates	1.0	12.0	12.0	8.0	96.0
FNS-388 (CNMI-NAP)	State Issuance and Participation Estimates	1.0	12.0	12.0	2.5	30.0
FNS-388 (PR)	State Issuance and Participation Estimates	1.0	12.0	12.0	6.0	72.0
FNS-388 (PR-NAP)	PR-NAP ISSUANCE AND PARTICIPATION ESTIMATES	1.0	12.0	12.0	6.0	72.0
FNS-388A	Project Area Issuance and Participation	53.0	2.0	106.0	14.8	1,572.0
FNS-388A (CNMI-NAP)	CNMI SNAP Project Area Data Format	3.0	2.0	6.0	2.5	15.0
FNS-388A (PR)	Puerto Rico SNAP Project Area Data Format	10.0	2.0	20.0	6.0	120.0
FNS-683B	WIC Farmers' Market Nutrition Program (FMNP) Annual Financial Report	49.0	1.0	49.0	3.0	147.0
		53.0	16.3207547169811	865.0		5,685.6

Sheet 12: Sheet3

0348-0039	SF-425(778)	SNAP Federal Financial Report	53.0	4.0	212.0	16.8	3,561.6
0348-0039	SF-425(778a)	SNAP Federal Financial Report	7.0	4.0	28.0	1.0	28.0
0348-0039	SF-425 (FNS-778) (AS)	FINANCIAL STATUS REPORT - America Samoa	1.0	4.0	4.0	8.0	32.0
0348-0039	SF-425 (FNS-778) (CNMI-NAP)	FINANCIAL STATUS REPORT - CNMI	1.0	4.0	4.0	2.5	10.0
0348-0039	SF-425 (FNS-778) (PR)	FINANCIAL STATUS REPORT - PR	1.0	4.0	4.0	80.0	320.0
0348-0039	SF-425 (FNS-778) (PR 2018/2019)	PR Disaster Relief Grant	1.0	1.0	1.0	80.0	80.0
			53.0	4.77358490566038	253.0		4,031.6

File Type	application/vnd.ms-excel
Author	cmountjoy
Last Modified By	Ragland-Greene, Rachelle - FNS
File Modified	2019-09-30
File Created	2012-02-07