Appendix I Burden Table

					Apeendix I Burden Table
Regulation	Respondent Type	Burden Activity	Estimated Number of Respondents	Estimated Responses per Respondent	Estimated Total Annual Responses	Estimated Hours per Response	Estimated Total Annual Hours	Hourly Cost to Respondent	Estimated Cost to Respondent	Fringe Benefits (X 0.33)	With Fully Loaded Wages	Burden Hours in Use without a Valid OMB Control Number	Previously Approved Burden Hours merge from 0605	Previously Approved Burden Hours for 0083	Difference Due to Adjustments	Differences Due to Program Changes				OMB Control Number 0584-0083
REPORTING																				Expiration Date xx/xx/xxxx
State Agency Burden
272.2, 285.3	State Government Management Analyst	Plan of Operations	53	1	53	7.5845	401.9785	$17.66	$7,096.93	$2,341.99	$9,438.92			348.74	53.2385			State gov management analyst			https://www.bls.gov/oes/current/oes131111.htm#ind
Consolidated Appropriations Act, Section 501(b)	State Government Management Analyst	Card Skimming Reporting	53	4	212	1	212	$17.66	$3,742.86	$1,235.14	$4,978.00					212
272.2	State Government Management Analyst	Territory Memorandum of Understanding (MOU) and Puerto Rico Plan of Operations	3	1	3	6.5845	19.7535	$17.66	$348.75	$115.09	$463.83	19.7535			19.7535
277.18	State Government Management Analyst	Advance Planning Document (APD)	56	1	56	2.5	140	$17.66	$2,471.70	$815.66	$3,287.36	140			140
277.18	State Government Management Analyst	Report APD to FNS via email	56	1	56	0.5	28	$17.66	$494.34	$163.13	$657.47	28			28
277.18	State Government Management Analyst	Transmittal Letter for APD	56	1	56	0.167	9.352	$17.66	$165.11	$54.49	$219.60	9.352			9.352
277.18	State Government Management Analyst	Other APD Plan or Update*	12	1	12	2.5	30	$17.66	$529.65	$174.78	$704.43			530	-500
272.3(c)	State Government Management Analyst	SNAP Waiver Requests (WIMS)	45	4	180	1	180	$17.66	$3,177.90	$1,048.71	$4,226.61			177.3	2.69999999999999
272.14, 273.16	Administrative Manager	Annual Email Reminder from FNS Regional Offices (0605)*	54	1	54	0.167	9.018	$26.28	$236.99	$78.21	$315.20	0.167	8.85		0.167			Administrative manager			https://www.bls.gov/oes/current/oes113012.htm
272.14, 273.16	Eligibility Interviewer	Compile Information to Confirm Proper Systems are in Place for Matches (0605)	54	1	54	1	54	$11.05	$596.70	$196.91	$793.61	1	53		1
272.14, 273.16	Administrative Manager	Report Information to FNS via email (0605)*	54	1	54	1	54	$26.28	$1,419.12	$468.31	$1,887.43	1	53		1			eligbility interviewer			https://www.bls.gov/oes/current/oes434061.htm
State Agency Reporting Total Burden Estimates			164	4.81707317073171	790	1.44063544303797	1138.10	$17.82	$20,280.05	$6,692.42	$26,972.47	199.2725	114.85		-244.789	212
RECORDKEEPING
State agency Recordkeeping
Regulations	Respondent Type	Form Number or Activities	Number of Recordkeepers	Number of Records per Recordkeeper	Estimated Total Annual Records	Estimated Hours per Recordkeeper	Estimated Total Annual Hours	Hourly Cost to Recordkeeper	Estimated Cost Recordkeeper	Fringe Benefits (X 0.33)	With Fully Loaded Wages
	State Government Management Analyst	FNS - 366A	54	1	54	0.0501	2.7054	$17.66	$47.76	$15.76	$63.53	0.0501		2.65	0.0501			State Gov Management Analyst			https://www.bls.gov/oes/current/oes131111.htm
	State Government Management Analyst	FNS - 366B	55	4	220	0.0501	11.022	$17.66	$194.59	$64.22	$258.81	0.4008		10.6	0.4008
	State Government Management Analyst	FNS - 388	56	12	672	0.0501	33.6672	$17.66	$594.39	$196.15	$790.54	1.8036		15.26	20.2108
	State Government Management Analyst	FNS - 388A	54	2	108	0.0501	5.4108	$17.66	$95.53	$31.52	$127.05	0.1002		2.54	2.971
	State Government Management Analyst	Plan of Operations Updates	53	1	53	0.0668	3.5404	$17.66	$62.51	$20.63	$83.13			3.15	0.3904
	State Government Management Analyst	Card Skimming Records	53	4	212	0.0668	14.1616	$17.66	$250.02	$82.51	$332.53					14.1616
	State Government Management Analyst	Territory MOU and Puerto Rico Plan of Operations Updates	3	1	3	0.0668	0.2004	$17.66	$3.54	$1.17	$4.71	0.2004			0.2004
	State Government Management Analyst	SF-425/FNS-778	56	4	224	0.0501	11.2224	$17.66	$198.13	$65.38	$263.51	0.6012		10.6	0.6012
	State Government Management Analyst	Advance Planning Document (APD)	56	1	56	0.0501	2.8056	$17.66	$49.53	$16.35	$65.88	2.8056			2.8056
	State Government Management Analyst	Transmittal Letter for APD	56	1	56	0.0501	2.8056	$17.66	$49.53	$16.35	$65.88	2.8056			2.8056
	State Government Management Analyst	Other APD Plan or Update	12	1	12	0.1169	1.4028	$17.66	$24.77	$8.17	$32.94			23.32	-21.9172
7 CFR 272.1(f)	Eligibility Interviewer	Maintain Confirmation of Match Records (0605)	54	1	54	0.0835	4.51	$11.05	$49.82	$16.44	$66.27	0.0835	4.4		0.0835			eligibility interviewer
Recordkeeping Total Estimates			68	25.3529411764706	1724	0.054207192575406	93.45	$17.34	$1,620.13	$534.64	$2,154.78	8.8009			8.5521	14.1616
Grand Total			232	10.8362068965517	2514	0.489878758949881	1231.56	$17.78	$21,900.19	$7,227.06	$29,127.25
ESTIMATED ANNUAL REPORTING AND RECORDKEEPING BURDEN
Respondent Type		Estimated Number of Respondents/Recordkeepers	Estimated Frequency of Response	Estimated Total Annual Responses	Estimated Number of Burden Hours Per Response	Estimated Total Burden Hours	Total Annual Cost of Respondent Burden
STATES		232	10.836206897	2,514	0.489878759	1,231.56	$21,900.19