| Appendix B- OMB 0584-0299 |
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| Reporting Burden for FNS 380-1, OMB 0584-0299 |
| Form Number |
Reg. Section |
Description of Activity |
No. of Respondents |
Est. No. of Responses per Respondent |
Est. Total Annual Responses |
No. Hours per Response |
Est. Total Burden Hours |
| FNS-380-1 |
275.14(d) |
Review Processing-Schedules- Update SA Discretionary Codes |
53 |
1.0000 |
53 |
3 |
159.00 |
| FNS-380-1 |
275.14(d) |
Review Processing-Schedules- Report SA Discretionary code updates |
53 |
1.0000 |
53 |
0.25 |
13.25 |
| FNS-380-1 |
275.12(f) |
Reporting of Review Findings on Form |
53 |
858.4340 |
45,497 |
1.0560 |
48,044.83 |
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Reporting Totals |
53.00 |
860.43396 |
45,603.00 |
4.3060 |
48,217.08 |
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| Recordkeeping Burden for FNS 380-1, OMB 0584-0299 |
| Form Number |
Reg. Section |
Description of Activity |
No. of Record keepers |
Est. No. of Records per Record keeper |
Est. Total Annual Responses |
No. Hours per Record to be Maintained |
Est. Total Burden Hours |
| FNS-380-1 |
275.4 |
Record Retention |
53 |
858.433962 |
45,497 |
0.0236 |
1073.7292 |
| Grand Total Reporting and Recordkeeping Burden |
53.00 |
1,718.87 |
91,100.00 |
4.3296 |
49,290.81 |
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49,291 |
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Total Burden per response |
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Description of Activity |
No. of Record keepers |
Est. No. of Records per Record keeper |
Est. Total Annual Responses |
No. Hours per Record to be Maintained |
Est. Total Burden Hours |
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Grand Total Reporting and Recordkeeping Burden |
53.00 |
1,718.87 |
91,100.00 |
4.33 |
49,290.81 |
| Estimates of Annualized Cost to Respondents |
| Financial Burden for State Agencies FNS 380-1, OMB 0584-0299 |
| Type of Respondents |
Reg Citation |
Activity |
Number of responses |
Average Time Per Response |
Hourly Wage Rate (50% for State Agency Staff – not Households) |
Total without loaded wages |
Fully loaded wages |
Total Costs |
| Reporting Burden |
| State Agencies |
275.14(d) |
Review Processing-Schedules- Update SA Discretionary Codes |
53 |
3 |
$14.29 |
$2,272.11 |
$749.80 |
$3,021.91 |
| State Agencies |
275.14(d) |
Review Processing-Schedules- Report SA Discretionary code updates |
53 |
0.25 |
$14.29 |
$189.34 |
$62.48 |
$251.83 |
| State Agencies |
275.12(f) |
Reporting of Review Findings |
45,497 |
1.0560 |
$14.29 |
$686,560.65 |
$226,565.01 |
$913,125.66 |
| Total Reporting Burden |
$689,022.10 |
$227,377.29 |
$916,399.40 |
| Recordkeeping Burden |
| State Agencies |
275.4 |
Record Retention |
45,497 |
0.0236 |
$14.29 |
$12,772.01 |
$4,214.76 |
$16,986.77 |
| Grand Total Reporting and Recordkeeping Costs |
$701,794.11 |
$231,592.06 |
$933,386.17 |
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28.58 |
*mean social work salary |
21-1020 |
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https://www.bls.gov/oes/2022/may/oes_nat.htm |
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| Estimates of Annualized Cost to Federal Government |
| Reporting and Recordkeeping Cost for FNS 380-1, OMB 0584-0299 |
| Activities |
Annual Responses |
Hours Spent on Collection |
Costs or Hourly Wage Rage |
Total Cost |
Fringe Benefits Cost for Staff (0.33) |
Overall Cost w/ Fringe Benefits for Staff |
| 1. Printing Cost |
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$2,000.00 |
$2,000.00 |
N/A |
$2,000.00 |
| 2. 50% Reimbursement Cost to States for reporting & recordkeeping administrative cost |
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$701,794.11 |
$231,592.06 |
$933,386.17 |
| 3. 60 Regional Federal Staff (GS 12 Step 5) review of 380-1 submissions |
17597 |
1.056 |
$39.75 |
$738,651.67 |
$243,755.05 |
$982,406.72 |
| 4a .Program Analyst GS 13 Step 1 Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR |
1 |
80 |
$40.51 |
$3,240.80 |
$1,069.46 |
$4,310.26 |
| 4b. Program Branch Chief Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR 14/1 |
1 |
10 |
$47.87 |
$478.70 |
$157.97 |
$636.67 |
| 4c. Program Division Director Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR 15/1 |
1 |
5 |
$56.31 |
$281.55 |
$92.91 |
$374.46 |
| 5. Automated System Cost (includes fringe benefits in fixed rate Contractor Monitoring) |
1 |
N/A |
$180,000.00 |
$180,000.00 |
N/A |
$180,000.00 |
| Grand Total Cost to Government |
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$182,184.44 |
$1,626,446.83 |
$476,667.45 |
$2,103,114.29 |
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| hrly base |
12/6 |
$39.75 |
SALARY TABLE 2023-GS (opm.gov) |
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| hrly base |
13/1 |
$40.51 |
https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2023/GS_h.pdf |
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| hrly base |
14/1 |
$47.87 |
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| hrly base |
15/1 |
$56.31 |
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| 17597 |
#fed cases reviewed 2019 |
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