Appendix C -WIC Breastfeeding Awards Burden Table

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Overview

Burden Table - WIC Agencies
Federal

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Sheet 1: Burden Table - WIC Agencies

Respondent Category	Type of respondents (optional)	Instruments	Form	Number of respondents	Frequency of response	Total Annual responses	Hours per response	Annual burden (hours)	Hourly Wage Rate	Total Annualized Cost of Respondent Burden
(A) 3 Categories: - Individual / Household - State/ Local/ Tribal Government - Business (Profit, Non-Profit, or Farm)	(B) Describe the respondent. (optional)	(C) Description or Name of Instrument. For rules, this will be the CFR citation.	(E) Form Number, where applicable	(F) Number of unique persons estimated to respond	(G) Number of times per year the respondent will respond to each instrument	(H) (= F x G) Total responses per year for each instrument	(I) Average Time (in hours) it will take each person to respond to the instrument. To convert minutes to hours, divide minutes by 60.	(J) (= H x I) Average total time (in hours) it will take all respondents to respond.	(Q) BLS Hourly Wage. Use a wage rate that best fits the respondent.	(R) = Hourly Wage Rate (Q) x Total Burden (P)
Non-Profit	WIC Local Agency	Application		11	1	11	2	22.0	$29.58	$650.76
Local Government	WIC Local Agency	Application		139	1	139	2	278.0	29.58	$8,223.24
State Government	WIC State Agency	Evaluation		89	2	178	1.2	213.6	29.58	$6,318.29
	TOTAL			239	1.372	328	1.566	513.6		$15,192.29
	Fully loaded wages									20,205.74

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Sheet 2: Federal

Respondent Category	Type of respondents	Instruments	Form	Number of respondents	Frequency of response	Total Annual responses	Hours per response	Annual burden (hours)	Hourly Wage Rate	Total Annualized Cost of Respondent Burden
Federal Government	RO	Evaluation		7	22.0	150.0	0.416	62.4	$49.24	$3,072.58
Federal Government	NO	Evaluation		1	30.0	30.0	0.167	5.01	$53.67	$268.89
	TOTAL			8	22.5	180.0	0.375	67.4		$3,341.46
	Fully loaded wages									$4,444.15