Burden Table

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Overview

0584-0064
0584-0496
0584-0083

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Sheet 1: 0584-0064

SUMMARY OF BURDEN - #0584-0064
Affected Public	(a) Description of Collection Activity	(b) Form Number	(c ) No. Respondents	(d) No. Responses Per Respondent	(e) Total Annual Responses (cxd)	(f) Hours Per Response	(g) Total Burden (exf)
Reporting
Individuals	Application to participate in the FSP		10,967,909	1.00	10,967,909.00	0.320	3,509,730.88
Households	Application for Recertification		10,121,739	1.00	10,121,739.00	0.320	3,238,956.48
	Additional Application for Recertification affected by Final Rule 7 CFR 273.12(a)(5), formerly 7 CFR 273.12(a)(1)(vii)		3,940,307	1.00	3,940,307.00	0.1336	526,425.02
	Monthly Report		142,506	11.00	1,567,566.00	0.120	188,107.92
	Quarterly Report		799,469	3.00	2,398,407.00	0.130	311,792.91
	Semiannual or Simplified Reporting		10,788,683	1.00	10,788,683.00	0.130	1,402,528.79
	Change Report		1,664,843	1.00	1,664,843.00	0.080	133,187.44
	Notice of Missed Interviews		1,693,242	1.00	1,693,242.00	0.020	33,864.84
	Notice of Adverse Action (NOAA)		47,696	1.00	47,695.75	0.020	953.92
	Adequate Notice		8,430	1.00	8,430.00	0.020	168.60
	Request for Contact		763,132	1.00	763,132.00	0.030	22,893.96
	Total Individual/Household Burden		14,908,216	2.94884068	43,961,953.75000	0.21311	9,368,610.75020
Reporting
State Agencies	Application to participate in the FSP		53	206,941.68	10,967,909.00	0.32	3,509,730.88
	Application for Recertification		53	190,976.21	10,121,739.00	0.32	3,238,956.48
	Additional Application for Recertification affected by Final Rule 7 CFR 273.12(a)(5), formerly 7 CFR 273.12(a)(1)(vii)		50	78,809	3,940,323.00	0.1838	724,154.00
	Monthly Reports		53	29,576.72	1,567,566.00	0.18	282,161.88
	Quarterly Report		1	2,398,407.00	2,398,407.00	0.20	479,681.40
	Semiannual or Simplified Report		47	229,546.45	10,788,683.00	0.18	1,941,962.94
	Change Report		53	31,412.13	1,664,843.00	0.18	299,671.74
	Notice of Eligibility or Denial		53	397,918.08	21,089,658.00	0.03	632,689.74
	Notice of Late Incomplete Report		53	662.74	35,125.00	0.03	1,053.75
	Notice of Missed Interviews		53	35,497.74	1,881,380.00	0.020	37,627.60
	Notice of Expiration of Certification		53	190,976.21	10,121,739.00	0.030	303,652.17
	Notice of Adverse Action (NOAA)		53	17,998.40	953,915.00	0.030	28,617.45
	Adequate Notice		53	3,976.45	210,752.00	0.03	6,322.56
	Request for Contact		53	17,998.40	953,915.00	0.03	28,617.45
	Reporting		53	1,447,093.47169	76,695,954.00	0.15014	11,514,900.0401
Affected Public	(a) Description of Record keeping Activity		(b) No. of Recordkeeper			(c ) Annual hours per Recordkeeper	(d) Total Annual Recordkeeping hours (bxc)
Recordkeeping
local agencies	Case Files		2,724	46,693.210	127,192,304.040	0.03	3,815,769.12
	Monitoring Duplicate Participation		2,724	17,098.413	46,576,077.012	0.00416666	194,066.68
	Recordkeeping		2,724	63,791.623	173,768,381.052	0.023	4,009,835.7982
			Tota No. Respondents		Total Annual Responses		Total Burden
BURDEN FOR THIS COLLECTION 0064			14,910,993		294,426,288.80		24,893,346.59
			Tota No. Respondents		Total Annual Responses		Total Burden
BURDEN FOR THIS COLLECTION 0496			53		115.00		236.00
			Tota No. Respondents		Total Annual Responses		Total Burden
BURDEN FOR THIS COLLECTION 0083			53		159.00		40.00
			Tota No. Respondents		Total Annual Responses		Total Burden
BURDEN FOR THIS REQUEST			14,910,993		294,426,562.80		24,893,622.59

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Sheet 2: 0584-0496

Reporting Burden
Affected Public	Requirement	Estimated # Respondents	Response annually per respondent	Total Annual Responses	Hours Per Response	Annual Burden Hours
State agencies	Standard Utility Allowance	52.00	1.00	52.00	2.50	130.00
	Self-employment costs	10.00	1.00	10.00	10.00	100.00
Reporting Totals		52.00		62		230
Recordkeeping Burden
Affected Public	Maintain Records	53.00	1.00	53.00	0.12	6.00
Total Recordkeeping and Reporting Burden		53.00		115.00		236.00

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Sheet 3: 0584-0083

Affected Public	Activity	Estimated # respondents	Response annually per respondent	Total Annual Responses	Hours Per Response	Annual hours
State Agency	Amendment to the State Plan of Operation	53	3	159	0.25	39.75
Total Reporting Burden		53		159		40