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APPENDIX W. 0584-0293 FOOD DISTRIBUTION BURDEN TABLE

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APPENDIX W. 0584-0293 FOOD DISTRIBUTION BURDEN TABLE
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Extracted Text

#0584-0293

State, Local, Tribal (SLT)

Appendix W - FNS Food Distribution Programs Burden Hour Estimates
AFFECTED PUBLIC: STATE, LOCAL, AND TRIBAL GOVERNMENTS
Sec. of
Regs/Authority

Prior citation

Title

Form No.

Est. No. of
Respondents

Est. No. of Responses
per Respondent

Total Annual
Responses
[(d) X (e)]

Est. Total
Hours per
Response

Est. Total Burden
[(f) X (g)]

Currently
Program Change due to Previously
Approved Burden rulemaking
Omitted

Adjustment

Net Change

240.4

240.4

Cash in Lieu of Donated Foods for
FNS-44
Nonresidential Child and Adult Care Institutions

Reporting burden contained in OMB #0584-0594, recordkeeping burden below

N/A 0

0

0

0

240.5

240.5

Reporting burden contained in OMB #0584-0594, recordkeeping burden below

N/A 0

0

0

0

240.6

Cash in Lieu of Donated Foods for Commodity
Schools
Funds for SAs That Have Phased Out Facilities

FNS-10

240.6

FNS-10

Reporting burden contained in OMB #0584-0594, recordkeeping burden below

N/A 0

0

0

0

100.00 0.00

0.00

0.00

0

0.00 236.00

0.00

0.00

236

247.4(a)(2) & (b) & 247.4(a)(2) & (b) & (c)
State/Local Agreements
(c)
New with final rulemaking (RIN Public Posting of Availability of USDA Foods
247.5(b)(16)
0584-AE92)
https://www.reginfo.gov/
public/do/eAgendaViewRule?
pubId=202204&RIN=0584-AE92

50

1.00

50.00

2.00

100.00

59

1.00

59.00

4.00

236.00

247.6(a)-(c)

247.6(a)-(c)

State Plan

1

1.00

1.00

50.00

50.00

50.00 0.00

0.00

0.00

0

247.6(d)

247.6(d)

State Plan Amendments

45

1.00

45.00

5.25

236.25

236.25 0.00

0.00

0.00

0

247.7(a)

247.7(a)

Applications of Recipient Agencies

30

1.00

30.00

2.00

60.00

60.00 0.00

0.00

0.00

0

247.19(a)

247.19(a)

Agreement to Prevent Dual Participation

60

1.00

60.00

1.00

60.00

60.00 0.00

0.00

0.00

0

247.23(b)

247.23(b)

State Provision of Administrative Funds

5

1.00

5.00

5.00

25.00

25.00 0.00

0.00

0.00

0

247.26

247.26

Closeout Procedures

SF-425

45

1.00

45.00

8.00

360.00

360.00 0.00

0.00

0.00

0

247.29(a) & (b)(2)
(ii)
247.31(c)

247.29(a) & (b)(2)(ii)

FNS-153

45

12.00

540.00

6.00

3,240.00

3,240.00 0.00

0.00

0.00

0

247.31(c)

Receipt, Disposal, and Inventory of Donated
Foods
Audit Responses

42

4.00

168.00

30.00

5,040.00

5040.00 0.00

0.00

0.00

0

247.34

247.34

Management Reviews

42

2.00

84.00

8.00

672.00

672.00 0.00

0.00

0.00

0

250.1(c)

250.1(c)

57

1.00

57.00

0.33

18.81

18.81 0.00

0.00

0.00

0

250.4(c)

250.4(c)

Notification of Suspected Embezzlement,
Misuse, Theft, etc.
Child Nutrition Program Recipient Agency
Agreements

230

1.00

230.00

2.00

460.00

460.00 0.00

0.00

0.00

0

250.10(a) &
250.58(a)

250.10(a) & 250.58(a)

Child Nutrition Program Recipient Agency Input
for Availability of Donated Foods

10,926

1.00

10,926.00

0.25

2,731.50

2731.50 0.00

0.00

0.00

0

250.10(b)

250.10(b)

225.00

22,500.00

0.05

1,125.00

1125.00 0.00

0.00

0.00

0

250.11(a)

Distributing Agency Provision of Donated Foods
Information to Recipient Agencies
Destination Data for Delivery of Donated Foods FNS-7

100

250.11(a)

100

5.00

500.00

0.05

25.00

25.00 0.00

0.00

0.00

0

250.11(b)

250.11(b)

Receipt of Shipments
Distributing Agency

100

303.00

30,300.00

0.02

606.00

606.00 0.00

0.00

0.00

0

Recipient Agency

100

303.00

30,300.00

0.02

606.00

606.00 0.00

0.00

0.00

0

35

1.00

35.00

0.25

8.75

8.75 0.00

0.00

0.00

0

100

1.00

100.00

1.00

100.00

100.00 0.00

0.00

0.00

0

15

1.00

15.00

0.25

3.75

3.75 0.00

0.00

0.00

0

20

1.00

20.00

0.25

5.00

5.00 0.00

0.00

0.00

0

1

1.00

1.00

10.00

10.00

10.00 0.00

0.00

0.00

0

560

1.00

560.00

0.25

140.00

140.00 0.00

0.00

0.00

0

10

1.00

10.00

0.25

2.50

2.50 0.00

0.00

0.00

0

Distributing Agency Recall Response Reporting

15

4.00

60.00

24.00

1,440.00

1,440.00 0.00

0.00

0.00

0

Child Nutrition Program Recipient Agency
Recall Response Reporting
Distributing Agency Reporting of Complaints to
FNS
Excess Operating Funds Justification

485

1.00

485.00

4.00

1,940.00

1,940.00 0.00

0.00

0.00

0

78

8.00

624.00

0.10

62.40

62.40 0.00

0.00

0.00

0

5

1.00

5.00

0.33

1.65

1.65 0.00

0.00

0.00

0

Donated Food Account Deposits and
Expenditures

10

1.00

10.00

0.25

2.50

2.50 0.00

0.00

0.00

0

250.12(b)

250.12(b)

250.12(c)

250.12(c)

250.12(e)

250.12(e)

250.13(c) &
250.18(d)
250.13(d)

250.13(c) & 250.18(d)

250.14(c)

250.14(c)

250.14(d)

250.14(d)

250.15(c)

250.15(c)

250.13(d)

250.15(d)

250.15(d)

250.17(a)

250.17(a)

250.17(c)

250.17(c)

Distributing Agency Reporting of Donated Food
Losses to FNS
Distributing Agency Request to Maintain Excess
Inventories
Distribution Agency Request for FNS Approval
to Transfer Donated Foods from One Program
to Another
Distributing Agency Storage and Distribution
Charges
Distributing Agency Justification of Cost of
Storage and Distribution System
Child Nutrition Programs and Charitable
Institutions Recipient Agency Reporting of
Donated Food Losses
Distributing Agency Request for FNS Approval
for Recipient Agencie's Transfers of Donated
Foods

FNS-57

0.00

Page 1 of 13

Notes

#0584-0293

State, Local, Tribal (SLT)

Sec. of
Regs/Authority
250.18(a)

Prior citation
250.18(a)

Title

Form No.

Est. No. of
Respondents

Est. No. of Responses
per Respondent

Total Annual
Responses
[(d) X (e)]

Est. Total
Hours per
Response

Est. Total Burden
[(f) X (g)]

Commodity Inventory Reporting

Currently
Program Change due to Previously
Approved Burden rulemaking
Omitted

Adjustment

Net Change

0.00

250.21

250.21

250.22(b)

250.22(b)

Food Distribution Program on Indian
Reservations (FDPIR)
The Emergency Food Assistance Program
(TEFAP) and Child Nutrition Programs
Distributing Agency's Management Evaluation
System
Corrective Action Plans

250.36(b)

250.36(b)

Processing Refund Applications

4,700

3.00

14,100.00

0.50

7,050.00

7050 0.00

0.00

0.00

0

250.30(f)

250.30(f)

Recipient Agency Processing Agreement

1

1.00

1.00

2.00

2.00

2 0.00

0.00

0.00

0

250.39(b)

250.39(b)

Processing Manual

57

1.00

57.00

0.33

18.81

18.81 0.00

0.00

0.00

0

250.53

250.53

6,783

1.00

6,783.00

1.00

6,783.00

6,783.00 0.00

0.00

0.00

0

250.58

250.58

Contract Provisions Between RAs and Food
Service Management Companies
Ordering Donated Food

250.69(a) &
250.70(a)
250.69(b) &
250.70(b)
250.69(a)-(b) &
250.70(a)-(b)
250.69(d)(3) &
250.70(d)(3)

Notes

FNS-152

115

12.00

1,380.00

2.50

3,450.00

3,450.00 0.00

0.00

0.00

0

FNS-155

106

2.00

212.00

2.50

530.00

530.00 0.00

0.00

0.00

0

97

1.00

97.00

0.33

32.01

32.01 0.00

0.00

0.00

0

15

1.00

15.00

4.00

60.00

60.00 0.00

0.00

0.00

0

Direct Delivery of Donated Food

FNS-52

158

542.00

85,636.00

0.10

8,563.60

8563.60 0.00

0.00

0.00

0

Multi-Food Requisition

FNS-53

157

30.00

4,710.00

0.10

471.00

471.00 0.00

0.00

0.00

0

5

1.00

5.00

0.25

1.25

1.25 0.00

0.00

0.00

0

5

1.00

5.00

0.25

1.25

1.25 0.00

0.00

0.00

0

5

5.00

25.00

0.50

12.50

12.50 0.00

0.00

0.00

0

Citation updated due to final rule.

7

15.00

105.00

1.00

105.00

0.00 105.00

0.00

0.00

105.00

Increase in burden hours due to
program change due to final rule.

Congregate Meals in a Disaster or Situation of
Distress
Household Distribution in a Disaster or
250.69(b) & 250.70(b)
Situation of Distress
Distributing Agency Submission of Emergency
250.69(c) & 250.70(c)
Feeding Organization Application to FNS for
Disasters and Situations of Distress
New with final rulemaking (RIN Disaster Household Distribution Bi-Weekly
0584-AE92)
Report
https://www.reginfo.gov/
public/do/eAgendaViewRule?
pubId=202204&RIN=0584-AE92
250.69(a) & 250.70(a)

250.69(f)-(g) &
250.70(f)-(g)

250.69(f)-(g) & 250.70(f)-(g)

251.2(c)(1)

251.2(c)(1)

Distributing Agency Report of Donated Foods
Distributed for Disaster Relief and Request for
Replacement Foods
TEFAP Federal-State Agreements

251.4(g)

251.4(g)

Availability and Control of Commodities

54

1.00

54.00

2.00

108.00

108.00 0.00

0.00

0.00

0

251.4(j)

251.4(j)

Inter-Agency Agreements

2

1.00

2.00

0.50

1.00

1.00 0.00

0.00

0.00

0

251.4(g)

251.4(l)

Commodity Losses and Claims Determinations

54

2.00

108.00

8.00

864.00

864.00 0.00

0.00

0.00

0

251.4(l)

New with final rulemaking (RIN Requirement for the Public Posting of
0584-AE92)
Availability of USDA Foods Through TEFAP
https://www.reginfo.gov/
public/do/eAgendaViewRule?
pubId=202204&RIN=0584-AE92

54

1.00

54.00

4.00

216.00

0.00

0.00

216.00

251.6(a)

251.6(a)

State Agency Distribution Plan

25

1.00

25.00

4.00

100.00

100.00 0.00

0.00

0.00

0

251.6(b)

251.6(b)

State Agency Distribution Plan

14

1.00

14.00

8.00

112.00

112.00 0.00

0.00

0.00

0

251.9(e) &
251.10(b) (1)

251.9(e) & 251.10(d) (1)

Report of State Administrative Cost Matching
Requirements

FNS-667

54

5.00

270.00

3.50

945.00

945.00 0.00

0.00

0.00

0

Citation updated due to final rule.

251.10(b)(3)

New with final rulemaking (RIN Report of Eligible Recipient Agency List to FNS FNS-929
0584-AE92)
https://www.reginfo.gov/
public/do/eAgendaViewRule?
New
with final rulemaking (RIN Recipients of USDA Foods for Home
FNS-930
pubId=202204&RIN=0584-AE92
0584-AE92)
Consumption
https://www.reginfo.gov/
public/do/eAgendaViewRule?
Monitoring Eligible Recipient Agencies and
251.10(e)
pubId=202204&RIN=0584-AE92
Distribution Sites

54

1.00

54.00

1.00

54.00

0.00 54.00

0.00

0.00

54.00

Increase in burden hours due to
program change due to final rule.

54

4.00

216.00

2.00

432.00

0.00 432.00

0.00

0.00

432.00

Increase in burden hours due to
program change due to final rule.

54

1.00

54.00

2.00

108.00

108.00 0.00

0.00

0.00

0

Citation updated due to final rule.

SF-425

14

2.00

28.00

1.50

42.00

42.00 0.00

0.00

0.00

0

Citation updated due to final rule.

2

1.00

2.00

1.00

2.00

2.00 0.00

0.00

0.00

0

Citation updated due to final rule.

251.10(b)(4)

251.11

251.13(g)

251.10(j)(6)

Reporting Requirements

251.13(h)

251.10(j)(7)

Cooperative Agreements

FNS-292

Reporting burden contained in OMB #0584-0594, recordkeeping below.

FNS-74

Reporting burden contained in OMB #0584-0067, recordkeeping below.

0.00 216.00

253.5(a) & 254.3(a) 253.5(a) & 254.3(a)

Plans of Operation

24

1.01

24.24

3.00

72.72

72.72 0.00

0.00

0.00

0

253.5(i) & 254.3(a) 253.5(i) & 254.3(a)

Monitoring and Review of Program Operations

117

1.00

117.00

2.00

234.00

234.00 0.00

0.00

0.00

0

253.7 & 254.3(a)

Certification of Households to Participate State Agencies or ITOs
Damaged, or Out of Condition Commodities

117

180.00

21,060.00

0.50

10,530.00

10,530.00 0.00

0.00

0.00

0

117

2.00

234.00

0.25

58.50

58.50 0.00

0.00

0.00

0.00

253.7 & 254.3(a)

253.8(f) & 254.3(a) 253.8(f) & 254.3(a)

FNS-57

Page 2 of 13

Citation updated due to prior
error.

Increase in burden hours due to
program change due to final rule.

#0584-0293

State, Local, Tribal (SLT)

Sec. of
Regs/Authority
253.12

Prior citation

Title

Form No.

Est. No. of
Respondents

Est. No. of Responses
per Respondent

New with final rulemaking (RIN Administrative Waivers
0584-AE92)
https://www.reginfo.gov/
public/do/eAgendaViewRule?
pubId=202204&RIN=0584-AE92

TOTAL REPORTING
Sec. of
Regs/Authority

Prior citation

Title

Form No.

11.00

8.00

88.00

26,403.00

1,709.01

233,283.24

231.51

60,415.75

Est. No. of
Recordkeepers

Est. No. of Records
per Recordkeeper
12.00

247.29(a)

Records of Receipt, Disposal & Inventory of
Donated Foods
Records of Fair Hearing Proceedings

250.11(b)

Receipt of Shipments

240.5

240.5

240.6

240.6

247.27(b)(4)

247.27(b)(4)

247.28(b)

247.28(b)

247.29(a)
250.11(b)

Est. Total Burden
[(f) X (g)]

1.00

56

240.4

Est. Total
Hours per
Response

11

State Agencies: Cash in Lieu of Donated Foods
for Nonresidential Child and Adult Care
Institutions
Cash in Lieu of Donated Foods for Commodity
Schools
Funds For States That Have Phased Out Food
Distribution Facilities
Record of Use of Funds

240.4

Total Annual
Responses
[(d) X (e)]

Total Annual Records
[(d)X(e)]

Est. Total
Hours per
Record

672.00

0.25

Est. Total Burden
[(f)X(g)]
168.00

Currently
Program Change due to Previously
Approved Burden rulemaking
Omitted
0.00 88.00

59,284.75

0.00

1,131.00

Adjustment

Net Change

Notes

0.00

88.00

Increase in burden hours due to
program change due to final rule.

0.00

0.00
Adjustment

Currently
Program Change due to Previously
Approved Burden rulemaking
Omitted

1,131.00
Net Change

Notes

168.00

0.00

0.00

0.00

0.00

3

12.00

36.00

0.25

9.00

9.00

0.00

0.00

0.00

0.00

56

94.00

5,264.00

0.25

1,316.00

1316.00

0.00

0.00

0.00

0.00

42

12.00

504.00

0.05

25.20

25.20

0.00

0.00

0.00

0.00

42

12.00

504.00

0.05

25.20

25.20

0.00

0.00

0.00

0.00

42

36.00

1,512.00

0.05

75.60

75.60

0.00

0.00

0.00

0.00

100
100

303.00

30,300.00

0.02

606.00

606.00

0.00

0.00

0.00

0.00

Recipient Agency Records of Receipt of
Shipments (Child Nutrition Program)
Distributing Agency Maintenance of Inventory
Record of Donated Foods
Storage Facility Reviews

100

303.00

30,300.00

0.02

606.00

606.00

0.00

0.00

-

-

263

1.00

263.00

0.08

21.04

21.04

0.00

0.00

0.00

0.00

263

2.00

526.00

0.08

42.08

42.08

0.00

0.00

0.00

0.00

25

1.00

25.00

0.08

2.00

2.00

0.00

0.00

0.00

0.00

100

1.00

100.00

0.02

2.00

2.00

0.00

0.00

0.00

0.00

Distributing Agency Records of Receipt of
Shipments

FNS-57

250.12(b)

250.12(b)

250.12(b) &
250.21(b)(2)
250.12(e)

250.12(b) & 250.21(b)(2)

250.13(b)

250.13(b)

250.15(d)

250.15(d)

Distributing Agency Maintenance of Records of
Transfers and Related Inspections
Distributing Agency Maintenance of Records
Related to Costs Incurred in Storing and
Distributing Donated Foods, Related
Administrative Costs, and Funds Used
Distributing Agency Complaint Records

263

1.00

263.00

0.33

86.79

86.79

0.00

0.00

0.00

0.00

250.17(a)

250.17(a)

Distributing Agency Operating Funds

52

1.00

52.00

0.08

4.16

4.16

0.00

0.00

0.00

0.00

250.17(c)

250.17(c)

Distributing Agency Donated Food Account

263

1.00

263.00

0.08

21.04

21.04

0.00

0.00

0.00

0.00

250.19(a)

250.19(a)

Recordkeeping of Agreements, Reports, and
Other Records
Commercial Entity Agreements (Storage
Facilities, Carriers, Etc.)
Commodity Offer Value Method

127

1.00

127.00

0.08

10.16

10.16

0.00

0.00

0.00

0.00

52

2.00

104.00

0.08

8.32

8.32

0.00

0.00

0.00

0.00

263

1.00

263.00

0.33

86.79

86.79

0.00

0.00

0.00

0.00

52

2.00

104.00

0.08

8.32

8.32

0.00

0.00

0.00

0.00

Recipient/Subdistributing Agency
Agreements - Child Nutrition Program
Recipient Agency Maintenance

20,866

1.00

20,866.00

0.05

1,043.30

1043.30

0.00

0.00

0.00

0.00

Recipient/Subdistributing Agency
Agreements - Distributing Agency
Maintenance
Records Related to the Receipt,
Distribution, and Inventory of Donated
Foods - Distributing Agency Maintenance

263

80.42

21,150.46

0.05

1,057.52

1057.52

0.00

0.00

0.00

0.00

263

15.00

3,945.00

0.08

315.60

315.60

0.00

0.00

0.00

0.00

Records Related to the Receipt,
Distribution, and Inventory of Donated
Foods (Child Nutrition Programs)

20,866

15.00

312,990.00

0.10

31,299.00

25039.20

0.00

0.00

6259.80

6,783

1.00

6,783.00

0.25

1,695.75

1695.75

0.00

0.00

0.00

0.00

52

6.00

312.00

0.08

24.96

24.96

0.00

0.00

0.00

0.00

250.12(e)

Management Evaluation and Review
Records
Multi-State and In-State Processor Audits

250.53 & 250.54

250.53 & 250.54

250.67(a)

250.67(a)

Recipient Agency Recordkeeping and Reviews
of Food Service Management Companies
Agreements with Correctional Institutions

250.69(d) &
250.70(d)

250.69(f)-(g) & 250.70(f)-(g)

Records for Disasters and Situations of Distress

6259.80 Revision made in response to
comments.

Citation updated due to final rule.

Page 3 of 13

#0584-0293

State, Local, Tribal (SLT)

Sec. of
Regs/Authority

Prior citation

Title

Form No.

Applications to Become Disaster
Organizations and Related Records
Federal-State Agreements

Est. No. of Responses
per Respondent

Total Annual
Responses
[(d) X (e)]

Est. Total
Hours per
Response

Est. Total Burden
[(f) X (g)]

Adjustment

Currently
Program Change due to Previously
Approved Burden rulemaking
Omitted

Net Change

Notes

5

400.00

2,000.00

0.02

40.00

40.00

0.00

0.00

0.00

0.00

54

1.00

54.00

0.08

4.32

4.32

0.00

0.00

0.00

0.00

54

30.00

1,620.00

0.08

129.60

129.60

0.00

0.00

0.00

0.00

54

1.00

54.00

0.33

17.82

17.82

0.00

0.00

0.00

0.00

251.4(j)

TEFAP Eligible Recipient Agency (ERA)
Agreements
Documentation of Transfer of Section 32
Commodities
Inter-Agency Agreements

2

1.00

2.00

0.50

1.00

1.00

0.00

0.00

0.00

0.00

251.4(l)(5)

Claims and Adjustments

54

1.00

54.00

2.00

108.00

108.00

0.00

0.00

0.00

54

15.00

810.00

0.08

64.80

64.80

0.00

0.00

0.00

0.00 Citation updated due to prior
error.
0.00

54

12.00

648.00

0.08

51.84

51.84

0.00

0.00

0.00

0.00

54

1.00

54.00

1.00

54.00

0.00

54.00

0.00

0.00

54.00 Increase in burden hours due to
program change due to final rule.

251.2(c)(1)

251.2(c)(1)

251.2(c)(2)

251.2(c)(2)

251.4(g)

251.4(g)

251.4(j)
251.4(g)

Receipt, Disposal, and Inventory of
Commodities - Distributing Agency
Funds Paid to ERAs for Storage and Distribution
251.10(a) (2)
251.10(a)(2)
- Distributing Agency
New with final rulemaking (RIN Eligible Recipient Agency List
251.10(a)(3)
0584-AE92)
https://www.reginfo.gov/
public/do/eAgendaViewRule?
253.5(h) & 254.3(a) 253.5(a) & 254.3(a)
Recordkeeping of Reports:
pubId=202204&RIN=0584-AE92
251.10(a)(1)

Est. No. of
Respondents

251.10(a)(1)

Plans of Operation

117

1.00

117.00

0.08

9.36

9.36

0.00

0.00

0.00

0.00

Household Applications

117

180.00

21,060.00

0.08

1,684.80

1684.00

0.00

0.00

0.00

0.00

Reporting Changes

117

50.00

5,850.00

0.08

468.00

468.00

0.00

0.00

0.00

0.00

Disposal of Out of Condition Commodities

25

1.00

25.00

0.08

2.00

2.00

0.00

0.00

0.00

0.00

117

1.00

117.00

0.08

9.36

9.36

0.00

0.00

0.00

0.00

Commodity Inventories

117

12.00

1,404.00

0.08

112.32

112.32

0.00

0.00

0.00

0.00

Damaged or Out of Condition Commodities

117

2.00

234.00

0.08

18.72

18.72

0.00

0.00

0.00

0.00

ITO Applications

SF-424

253.5(j) & 254.3(a) 253.5(j) & 254.3(a)

Investigations and Complaints

117

1.00

117.00

3.00

351.00

351.00

0.00

0.00

0.00

0.00

253.7(h) & 254.3(a) 253.7(h) & 254.3(a)

Fair Hearings

117

1.00

117.00

0.25

29.25

29.25

0.00

0.00

0.00

0.00

253.11(b) &
254.3(a)

Management of Administrative Funds

117

1.00

117.00

0.50

58.50

58.50

0.00

0.00

0.00

0.00

51,611

9.14

471,682.46

0.09

41,774.52

35,459.92

54.00

0.00

6,259.80

6,313.80

253.11(b) & 254.3(a)

SF-425

TOTAL RECORDKEEPING

Reporting
Recordkeeping
TOTAL

Est. No. of
No. of Responses
Respondents
per Respondent
26,403
1,709.01
51,611
9.14
78,014
9.04

Currently
Program Change due to Previously
Est. Total
Approved Burden rulemaking
Omitted
Total Annual
Hours per
Responses
Response Est. Total Burden
233,283.24
231.51
60,415.75
59284.75
1,131.00
471,682.46
0.09
41,774.52
35459.92
54.00
704,965.70
0.14
102,190.27
94,744.67
1,185.00

Page 4 of 13

Adjustment

-

6,259.80
6,259.80

Net Change

1,131.00
6,313.80
7,444.80

#0584-0293

Private for Profit (PFP)

Appendix W - FNS Food Distribution Programs Burden Hour Estimates
AFFECTED PUBLIC: PRIVATE - FOR PROFIT
Sec. of Regs/
Prior Citation
Authority

Title

Form No.

Unique No. of
Respondents

250.11(b)

250.11(b)

250.12(f)

250.12(f)

250.18(b) and
250.37(a)

250.18(b)

Commercial Consignee Receipt of
Shipments
Commercial Entity Agreements (Storage
Facilities, Carriers, Etc.)
Processor Performance Reports

250.37(c)

250.37(c)

Summary Performance Report

110

250.20(c)

250.20(c)
250.33(a)

Multi-State and In-State Processors'
Responses to CPA Audit Deficiencies
End Product Data Schedules

50

250.33(a)

131

250.34

250.34

Substitution of Donated Foods

1

250.35(d)

250.35(d)

Limitation on Donated Food Inventories
National Processing Agreement

250.30(d)

Total Annual Responses
[(d) X (e)]

Est. Total Burden Currently Approved Program Change due to
Burden
rulemaking
[(f) X (g)]

Est. Total Hours per
Response

Previously
Omitted

Adjustment

Net Change

Notes

2,812

2,812

303.00

852,036.00

0.02

17,040.72

17,040.72

-

-

-

-

63

131

1.00

63.00

2.00

126.00

126.00

-

-

-

-

500

500

12.00

6,000.00

1.00

6,000.00

6,000.00

-

-

-

-

12.00

1,320.00

1.00

1,320.00

1,320.00

-

-

-

-

2.00

100.00

4.00

400.00

400.00

-

-

-

-

12.00

1,572.00

0.50

786.00

786.00

-

-

-

-

1.00

1.00

1.00

1.00

1.00

-

-

-

-

1

1.00

1.00

1.00

1.00

1.00

-

-

-

-

5

1.00

5.00

2.00

10.00

10.00

-

-

-

-

State Participation Agreement

500

1.00

500.00

0.50

250.00

250.00

-

-

-

-

250.30(e)

In-State Processing Agreement

4

1.00

4.00

0.50

2.00

2.00

-

-

-

-

250.30(f)

Recipient Agency Processing Agreement

1

1.00

1.00

0.50

0.50

0.50

-

-

-

-

78.33

1.00

78.33

2.00

156.66

156.66

-

-

-

-

202.45

861,681.33

0.03

26,093.88

26,093.88

0.00

0.00

0.00

0.00

250.30(c)

250.30(i)

250.30(c )

250.30(i)

TOTAL REPORTING
Sec. of Regs/
Prior Citation
Authority
240.4

240.4

250.11(b)

250.11(b)

250.19(a)

250.19(a)

250.37(d)

250.19(a)

TOTAL RECORDKEEPING

FNS-57

Est. No. of
Respondents

Est. No. of
Responses per
Respondent

Agreements Between Processors and
Distributors

Title
Private Institutions: Cash In Lieu of
Donated Foods for Nonresidential Child
Care Institutions
Commercial Consignee Records of Receipt
of Shipments
Multi-State and In-State Processor CPA
Audits
Records Related to Processors' Receipt,
Distribution, and Inventory of Donated
Foods

4,256.33
Form No.

FNS-57

3,443.00

Est. No. of Record
keepers

Est. No. of Records
per Record keeper

Total Annual Records
[(d)X(e)]

Est. Total Hours per Record

Est. Total Burden Currently Approved Program Change due to
Burden
rulemaking
[(f)X(g)]

Previously
Omitted

Net Change

Notes

500

500

364.00

182,000.00

0.25

45,500.00

45,500.00

-

-

-

-

2,812

2,812

303.00

852,036.00

0.02

17,040.72

17,040.72

-

-

-

-

131

131

2.00

262.00

0.25

65.50

65.50

-

-

-

-

1.00

131.00

0.50

65.50

65.50

3,443

1,357.52

1,034,429.00

0.06

62,671.72

62,671.72

131

762

-

-

-

-

0.00

0.00

0.00

0.00

Currently Approved Program Change due to

Reporting
Recordkeeping
TOTAL

Adjustment

Est. No. of
Respondents
3,443
3,443
6,886

No. of Responses
per Respondent Total Annual Responses
202.45
861,681.33
1,357.52
1,034,429.00
275.36
1,896,110.33

Burden
rulemaking
Est. Total Hours per
Response
Est. Total Burden
0.03
26,093.88
26,093.88
0.06
62,671.72
62,671.72
0.05
88,765.60
88,765.60

Page 5 of 13

Previously
Omitted

-

Adjustment

-

Net Change

-

Notes

-

Appendix W - FNS Food Distribution
Burden Hour Estimates
Private NOT forPrograms
Profit (PNP)

#0584-0293

AFFECTED PUBLIC: PRIVATE - NOT FOR PROFIT
Sec. of
Regs/Authority

Prior Citation

Title

Form No.

Est. No. of
Respondents

Unique No. of
Respondents

Est. No. of Responses per
Respondent

Total Annual Responses
[(d) X (e)]

Est. Total Hours per
Response

Est. Total Burden
[(f) X (g)]

Currently Approved
Burden

Program Change due
to rulemaking

Previously
Omitted

Adjustment

Net Change

Notes

250.4(b)

250.4(b)

Subdistributing Agency Agreements

4

1.00

4.00

2.00

8.00

8.00

-

-

-

-

250.4(c)

250.4(c)

Household Recipient Agency Agreements

20

1.00

20.00

2.00

40.00

40.00

-

-

-

-

250.10(a) &
250.58(a)
250.14(b) &
250.15(b)
250.14(d)

250.10(a) &
250.58(a)
250.14(b) &
250.15(b)
250.14(d)

285

250.15(c)

250.15(c)

250.69(a)-(b) &
250.70(a)-(b)

250.69(c) &
250.70(c)

Removed

250.69(d) &
250.70(d)
251.2(c)(2)

Household Recipient Agency Input for
Availability of Donated Foods
Recipient Agency in Household Programs
Reporting of Donated Food Losses
Recipient Agency Request for Approval to
Transfer Donated Foods
Household Recipient Agency Recall Response
Reporting
Emergency Feeding Organization Application
to State for Disasters and Situations of
Distress
Disaster Agency Reporting of Household
Information
TEFAP Eligible Recipient Agency Agreements

50

50

TOTAL REPORTING

740

335

251.2(c)(2)

Sec. of
Regs/Authority

Title

247.28(b)

247.28(b)

247.30(d)(3)

247.30(d)(3)

250.14(b)

250.14(b)

250.19(a)

250.19(a)

251.10(a)(1)

251.10(a)(1)

251.10(a)(2)

251.10(a)(2)

251.10(a)(4)

251.10(a)(3)

1.00

285.00

0.25

71.25

71.25

-

-

-

-

70

285

1.00

70.00

0.25

17.50

17.50

-

-

-

-

211

1.00

211.00

0.25

52.75

52.75

-

-

-

-

75

1.00

75.00

4.00

300.00

300.00

-

-

-

-

25

1.00

25.00

1.00

25.00

25.00

-

-

-

- Citation updated due to final
rule.

0.00

0.00

0.00

0.00

50.00

(50.00)

1.00

50.00

1.00

50.00

50.00

-

-

-

1.00

740.00

0.76

564.50

614.50

-50.00

0.00

0.00

0

Form No.

Est. No. of
Recordkeepers

Est. No. of Records per
Recordkeeper

Records of Receipt, Disposal & Inventory of
Donated Foods (CSFP)
Records of Participant Claims

177

Subdistributing and Recipient Agency
Maintenance of Inventory Record of
Donated Foods
Recordkeeping of Agreements, Reports, and
Other Records
Commercial Entity Agreements

310

Recipient/Subdistributing Agency
Agreements (Households)
Records Related to the Receipt,
Distribution, and Inventory of
Donated Foods (Households)
Receipt, Disposal, and Inventory of
Commodities - Subdistributing Agencies and
ERAs
Funds Paid to ERAs for Storage and
Distribution - ERAs
Eligibility Determination and Collection of
Participating Household Information

177

Est. Total Burden
[(f)X(g)]

Currently Approved
Burden

Program Change due
to rulemaking

Previously
Omitted

Adjustment

-50.00
Net Change

Notes

2,124.00

0.05

106.20

106.20

-

-

-

-

8.00

448.00

0.08

35.84

35.84

-

-

-

-

1.00

310.00

0.08

24.80

24.80

-

-

-

-

-

-

125

1.00

125.00

0.08

10.00

10.00

-

-

-

-

285

1.00

285.00

0.05

14.25

14.25

-

-

-

-

285

15.00

4,275.00

0.08

342.00

342.00

-

-

-

-

133

15.00

1,995.00

0.08

159.60

159.60

-

-

-

-

-

310

108

Reporting
Recordkeeping
TOTAL

Est. Total Hours per
Record

(50.00) Decrease in burden due to
final rule.
-

12.00

56

TOTAL RECORDKEEPING

Total Annual Records
[(d)X(e)]

-

-

15.00

1,620.00

0.08

129.60

129.60

-

-

1,600

1,600

1.00

1,600.00

210.50

336,800.00

671,840.00

(335,040.00)

-

3,079

2,087

4.15

12,782.00

52.63

337,622.29

672,662.29

-335,040.00

0.00

Est. No. of
Respondents
740
3,079
3,079

Currently Approved
Program Change due Previously
Adjustment
No. of Responses per
Est. Total Hours per
to rulemaking
Omitted
Total Annual Responses
Est. Total Burden Burden
Respondent
Response
1.00
740.00
0.76
564.50
614.50
(50.00)
4.15
12,782.00
52.63
337,622.29
672,662.29
(335,040.00)
4.39
13,522.00
25.01
338,186.79
673,276.79
(335,090.00)
-

Page 6 of 13

0.00

(335,040.00) Decrease in burden due to
final rule.

-335,040.00

Net Change

-

(50.00)
(335,040.00)
(335,090.00)

Notes

#0584-0293

Individuals

Appendix W - FNS Food Distribution Programs Burden Hour Estimates
AFFECTED PUBLIC: INDIVIDUALS
Sec. of Regs/
Authority

Prior Citation Respondent Type

247.8 & 247.16(a) 247.8 &
247.16(a)
247.8 & 247.16(a) 247.8 &
247.16(a)
250.69(d) &
Removed
250.70(d)
253.7 & 254.3(a)

253.7 &
254.3(a)

Elderly

Title
Applications/Recertifications

Women, infants and Applications/Recertifications
children
Household Information Reporting for
Households
Disasters and Situations of Distress
Households

Certification of Household to
Participate

TOTAL REPORTING

Form No.

Est. No. of
Respondents

Est. No. of
Responses per
Respondent

Program
Currently
Previously
Total Annual Responses Est. Total Hours Est. Total Burden Approved Burden Change due Omitted
[(d) X (e)]
per Response
[(f) X (g)]
to
rulemaking

Adjustment

Net Change

702,500

2.00

1,405,000

0.25

351,250

351,250

-

-

-

0

0.00

0

0

0

0

-

-

-

0.00

0.00

0.00

0.00

50

(50.00)

-

-

-

Notes

(50.00) Final rule removed this
requirement.

20,700

1.00

20,700.00

0.50

10,350.00

10,350

-

-

-

-

723,200

1.97

1,425,700.00

0.25

361,600.00

361,650.00

(50.00)

-

-

(50.00)

Page 7 of 13

Annualized Costs to Respondent

Appendix W - FNS Food Distribution Programs Burden Hour Estimates
OMB #0584-0293 ANNUALIZED COST TO RESPONDENTS

Affected Public
State, Local, and Tribal Governments
Private For Profit
Private Not for Profit
Individual
TOTAL

Est. No. of Respondents
26,403
3,443
740
723,200.00
753,786

Total Annual Responses
704,965.70
1,896,110.33
13,522.00
1,425,700.00
4,040,298.03

Est. Total Burden
102,190.27
88,765.60
338,186.79
361,600.00
890,742.66

Hourly Wage Rate
$33.54
$33.54
$33.54
$7.25
Fully Loaded Wages
Total

Page 8 of 13

Respondent Cost
$3,427,461.76
$2,977,198.22
$11,342,784.94
$2,621,600.00
$20,369,044.92
$6,721,784.82
$27,090,829.74

#0584-0293

Appendix W - FNS FOOD DISTRIBUTION PROGRAMS BURDEN HOUR ESTIMATES
Reporting
Affected Public

State, Local, and Tribal
Governments
Private For Profit
Private Not for Profit
Individual
Total Burden Estimates

Est. No. of
Respondents

26,403
3,443
740
723,200.00
753,786.00

No. of Responses
per Respondent

1,709.01
202.45
1.00
1.97
3.34

Total Annual Responses

Est. total Hours per
Est. total Burden
Response

233,283.24
861,681.33
740.00
1,425,700.00
2,521,404.57

231.51
0.03
0.76
0.25
0.18

60,415.75
26,093.88
564.50
361,600.00
448,674.13

Record Keeping
Affected Public

State, Local, and Tribal
Governments
Private For Profit
Private Not for Profit
Individual
Total Burden Estimates

Est. No. of
Respondents

51,611.00
6,886
3,079
0
61,576.00

No. of Responses
per Respondent

9.14
150.22
4.15
0.00
24.67

Total Annual Responses

Est. total Hours per
Response

471,682.46
1,034,429.00
12,782.00
0.00
1,518,893.46

0.09
0.06
52.63
0.00
0.29

Est. total Burden

41,774.52
62,671.72
337,622.29
0.00
442,068.53

Summary
Burden Type

Reporting
Recordkeeping
TOTAL

Current OMB Inventory
Burden Revision
Requested
Difference

Est. No. of
Respondents

753,786.00
61,576.00
815,362.00

No. of Responses
per Respondent

3.34
24.67
4.96

Total Annual Responses

Est. total Hours per
Response

2,521,404.57
1,518,893.46
4,040,298.03

0.18
0.29
0.22

Est. total Burden

448,674.13
442,068.53
890,742.66

Responses
Time Burden
4,044,745.03
1,218,437.86
4,040,298.03
(4,447)

890,742.66
(327,695)

Program Change Previously Omitted
due to rulemaking
Reporting
Recordkeeping
TOTAL

1,031.00
(334,986.00)
(333,955.00)

Adjustment

-

6,259.80
6,259.80

Net Change

1,031.00
(328,726.20)
(327,695.20)

APPENDIX W: Burden Table
Regulatory
Section

Information
Collected

Annual
Responses
per
Respondent

Estimated
Number of
Respondents

Number Estimated Previous
Total
of Burden Total
Submission:
Annual
Hours per Burden
Total Hours
Responses
Request Hours
per Person

REPORTING BURDEN ESTIMATES
Affected Public: State and Local Agencies (including Indian Tribal Organizations and U.S. Territories)
Disaster
250.69(d)(3) & Household
250.70(d)(3)
Distribution
Weekly Report

7

15

105

1

105.00

0

247.5(b)(16)

Public Posting of
Availability of
USDA Foods
(CSFP)

59

1

59

4

236.00

0

251.4(l)

Public Posting of
Availability of
TEFAP Foods

54

1

54

4

216.00

0

54

1

54

1

54.00

0

54

4

216

2

432.00

0

11

1

11

8

88.00

0

239

23

499

20

1,131

0

Disaster Agency
250.69(d) and Reporting of
250.70(d)
Household
Information

0

0

0

0

0

50

Subtotal Record Keeping: Private
Not for Profit

0

0

0

0

0

50

Household
Information
250.69(d) and Reporting for
250.70(d)
Disasters and
Situations of
Distress

0

0

0

0

0

50

Subtotal Record Keeping:
Individuals

0

0

0

0

0

50

251.10(b)(3)

251.10(b)(4)

253.12

Report of Eligible
Recipient Agency
List to FNS
(TEFAP)
Recipients of
USDA Foods for
Home
Consumption
(TEFAP)
Administrative
Waivers (FDPIR)

Subtotal Record Keeping: State
and Local Agencies
Affected Public: Private Not for Profit

Affected Public: Individuals

GRAND SUBTOTAL:
REPORTING

239

23

499

20

1,131

100

RECORDKEEPING BURDEN ESTIMATES
Affected Public: State and Local Agencies (including Indian Tribal Organizations and U.S. Territories)

250.19(a)

Recordkeeping of
Agreements,
Reports, and
Other Records
(Records Related
to the Receipt,
Distribution, and
Inventory of
Donated Foods –
Child Nutrition
Programs
Recipient
Agencies)

20,866

15

312,990

251.10(a)(3)

Eligible Recipient
Agency List
(TEFAP)

54

1

54

1

54.00

0

20,920

16

313,044

1

31,353

25,039

1,600

1

1,600

211

336,800

671,840

Subtotal Reporting: Private Not
for Profit

1,600

1

1,600

211

336,800

671,840

GRAND SUBTOTAL:
RECORDKEEPING

22,520

17

314,644

212

368,153

696,879

GRAND TOTAL: REPORTING
AND RECORDKEEPING

22,759

40

315,143

232

369,284

696,979

Subtotal Record Keeping: State
and Local Agencies
Affected Public: Private Not for Profit
Eligibility
Determination and
Collection of
251.10(a)(4)
Participating
Household
Information
(TEFAP)

0.1 31,299.00

25039.2

Difference
Due to
Program
Changes

ries)

105.00

236.00

216.00

54.00

432.00

88.00
1,131

-50

-50

-50

-50

1,031

ries)

6,259.80

54.00

6,314

-335,040

-335,040

-328,726

-327,695