Appendix 5 Burden Table Final

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Overview

#0492 Burden
#0492 Burden (2)
Sheet1

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Sheet 1: #0492 Burden

Title	CFR Section of Regulations	Estimated # Respondents	Responses Per Respondent	Total Annual Responses	Estimated Avg. # of Hours Per Response	Estimated Total Hours	Previously Approved	Due to Program Change	Due to an Adjustment	Total Difference
STATE AGENCY
Reporting Burden
Demand Letter for Overissuance	273.18(a)(2)	53	16,688.98	884,516.00	0.1336	118,171.34	122,339.08	0.000	-4,167.74	-4,167.74	884515.94
Notice for Hearing or Prosecution	273.16(e)(3)	53	825.34	40,230.00	0.1336	5,374.73	5,832.54	0.000	-457.81	-457.81	43743.02
Action Taken on Hearing or Court Decision: For IPV Findings	273.16(e)(9)	53	759.05	46,514.00	0.1667	7,752.49	7,072.98	0.000	679.51	679.51
Action Taken on Hearing or Court Decision: For No IPV Findings	273.16(e)(9)	53	24.64	1,541.00	0.0835	128.67	108.83	0.000	19.84	19.84
Electronic Disqualified Recipient System Breakout: For eDRS Reporting	273.16(i)(2)(i)	53	877.62	57,461.00	0.0835	4,797.99	3,536.28	0.000	1,261.72	1,261.72
Electronic Disqualified Recipient System Breakout: For Editing and Resubmission	272.1(f)(3)	53	96.08	6,895.32	0.1667	1,149.24	848.68	0.000	300.56	300.56
Electronic Disqualified Recipient System Breakout: For Penalty Checks using Mainframe	273.16(i)(4)	53	800.70	46,514.00	0.0417	1,938.10	1,768.22	0.000	169.88	169.88
Total State Agency Reporting Burden		53	20,072.41	1,083,671.32	0.1286	139,312.56	19,167,239.00	0.000	-2,194.04	-2,194.04
Recordkeeping
Title		Estimated # Recordkeepers	Records Per Recordkeeper	Annual Records	Estimated Avg. # of Hours Per Records	Estimated Total Annual Records	Previously Approved	Due to Program Change	Due to an Adjustment	Total Difference
Recordkeeping Breakout: For initiating Collection Action	272.1(f)	53	16,688.98	884,516.00	0.0334	29,542.83	22,930.50	0.000	6,612.33	6,612.33
Recordkeeping Breakout: For IPVs	272.1(f)	53	1,626.04	86,744.00	0.0334	2,897.25	3,395.70	0.000	-498.45	-498.45
Total State Agency Recordkeeping Burden		53	18,315.02	971,260.00	0.0334	32,440.08	26,326.20	0.000	6,113.88	6,113.88
Title	CFR Section of Regulations	Estimated # Respondents	Responses Per Respondent	Total Annual Responses	Estimated Avg. # of Hours Per Response	Estimated Total Hours	Previously Approved	Due to Program Change	Due to an Adjustment	Total Difference
TOTAL STATE AGENCY BURDEN		53	38,772.29	2,054,931.32	0.0836	171,752.65	19,193,565.20	0.000	3,919.84	3,919.84
Title	CFR Section of Regulations	Estimated # Respondents	Responses Per Respondent	Total Annual Responses	Estimated Avg. # of Hours Per Response	Estimated Total Hours	Previously Approved	Due to Program Change	Due to an Adjustment	Total Difference
HOUSEHOLD
Reporting Burden
Demand Letter for Overissuance	273.18(a)(2)	884,516.00	1.00	884,516.00	0.0334	29,542.83	22930.50	0.0000	6612.33	6,612.33
Notice for Hearing or Prosecution	273.16(e)(3)	43,743.00	1.00	43,743.00	0.0167	729.06	861.53	0.0000	-132.47	-132.47
Administrative Disqualification Hearing Waiver	273.16(i)(2)	18,112.00	1.00	18,112.00	0.0334	604.94	711.06	0.0000	-106.12	-106.12
Disqualification Consent Agreement	273.16(i)(2)	6,849.00	1.00	6,849.00	0.0334	228.76	275.71	0.0000	-46.95	-46.95
Action Taken on Hearing or Court Decision: For IPV Findings	273.16(e)(9)	42,437.00	1.00	42,437.00	0.0167	707.28	836.30	0.0000	-129.02	-129.02
Action Taken on Hearing or Court Decision: For No IPV Findings	273.16(e)(9)	1,306.00	1.00	1,306.00	0.0167	21.77	25.27	0.0000	-3.50	-3.50
Total Household Reporting Burden		884,516	1.12713	996,963.00	0.0319	31,834.64	25640.37	0.0000	6194.28	6,194.28
SUMMARY OF BURDEN
State Agency Level		53	38,772.29	2,054,931.32		171,752.65	19193565.20	0.000	3919.84	3,919.84
Household		884,516		996,963.00		31,834.64	25640.37	0.000	6194.28	6,194.28
TOTAL BURDEN THIS COLLECTION		884,569	3.45015	3,051,894.32	0.06671	203,587.29	19219205.57	0.000	10114.12	10,114.12

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Sheet 2: #0492 Burden (2)

Title	CFR Section of Regulations	Estimated # Respondents	Responses Per Respondent	Total Annual Responses	Estimated Avg. # of Hours Per Response	Estimated Total Hours
STATE AGENCY
Reporting Burden
Demand Letter for Overissuance	273.18(a)(2)	53	16,688.98	884,516.00	0.1336	118,171.34
Notice for Hearing or Prosecution	273.16(e)(3)	53	825.34	40,230.00	0.1336	5,374.73
Action Taken on Hearing or Court Decision: For IPV Findings	273.16(e)(9)	53	759.05	46,514.00	0.1667	7,752.49
Action Taken on Hearing or Court Decision: For No IPV Findings	273.16(e)(9)	53	24.64	1,541.00	0.0835	128.67
Electronic Disqualified Recipient System Breakout: For eDRS Reporting	273.16(i)(2)(i)	53	877.62	57,461.00	0.0835	4,797.99
Electronic Disqualified Recipient System Breakout: For Editing and Resubmission	272.1(f)(3)	53	96.08	6,895.32	0.1667	1,149.24
Electronic Disqualified Recipient System Breakout: For Penalty Checks using Mainframe	273.16(i)(4)	53	800.70	46,514.00	0.0417	1,938.10
Total State Agency Reporting Burden		53	20,072.41	1,083,671.32	0.1286	139,312.56
Recordkeeping
Title		Estimated # Recordkeepers	Records Per Recordkeeper	Annual Records	Estimated Avg. # of Hours Per Records	Estimated Total Annual Records
Recordkeeping Breakout: For initiating Collection Action	272.1(f)	53	16,688.98	884,516.00	0.0334	29,542.83
Recordkeeping Breakout: For IPVs	272.1(f)	53	1,626.04	86,744.00	0.0334	2,897.25
Total State Agency Recordkeeping Burden		53	18,315.02	971,260.00	0.0334	32,440.08
Title	CFR Section of Regulations	Estimated # Respondents	Responses Per Respondent	Total Annual Responses	Estimated Avg. # of Hours Per Response	Estimated Total Hours
TOTAL STATE AGENCY BURDEN		53	38,772.29	2,054,931.32	0.0836	171,752.65
Title	CFR Section of Regulations	Estimated # Respondents	Responses Per Respondent	Total Annual Responses	Estimated Avg. # of Hours Per Response	Estimated Total Hours
HOUSEHOLD
Reporting Burden
Demand Letter for Overissuance	273.18(a)(2)	884,516.00	1.00	884,516.00	0.0334	29,542.83
Notice for Hearing or Prosecution	273.16(e)(3)	43,743.00	1.00	43,743.00	0.0167	729.06
Administrative Disqualification Hearing Waiver	273.16(i)(2)	18,112.00	1.00	18,112.00	0.0334	604.94
Disqualification Consent Agreement	273.16(i)(2)	6,849.00	1.00	6,849.00	0.0334	228.76
Action Taken on Hearing or Court Decision: For IPV Findings	273.16(e)(9)	42,437.00	1.00	42,437.00	0.0167	707.28
Action Taken on Hearing or Court Decision: For No IPV Findings	273.16(e)(9)	1,306.00	1.00	1,306.00	0.0167	21.77
Total Household Reporting Burden		884,516	1.12713	996,963.00	0.0319	31,834.64
SUMMARY OF BURDEN
State Agency Level		53	38,772.29	2,054,931.32		171,752.65
Household		884,516		996,963.00		31,834.64
TOTAL BURDEN THIS COLLECTION		884,569	3.45015	3,051,894.32	0.06671	203,587.29

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Sheet 3: Sheet1

Remove	Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
	Other: eDRS Screen Shot			eDRS front page.docx	www.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
	Instruction			AdminGuide.pdf	www.fns.usda.gov	Yes	Yes	Fillable Fileable
	Instruction			AdminQuickGuide.pdf	www.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
	Other: eDRS Screen Shots			eDRS Screen Shots.docx	www.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
	Instruction			UserGuide.pdf	www.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
	Instruction			UserQuickGuide.pdf