| 0584-NEW Appendix D: Burden Table | 
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 | Respondents | Non-Respondents | 
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		| Respondent Type | Burden Activity | Sample Size | Number of Respondents | Annual Frequency of Response | Total Annual Responses | Hours Per Response | Total Estimated Annual Burden | Estimated Number of Non-Respondents | Annual Frequency of Response | Total Annual Responses | Hours Per Response | Total Estimated Annual Burden | Grand Annual Burden Hours | Hourly Cost (Fully Loaded) | Total Annual Burden Cost | 
	
		| A | B | C | D | E | F = D x E | G | H = F x G | I | J | K = I x J | L | M = K x L | N = H + M | O | P = N x O | 
	
		| State SNAP Agencies | Request for Volunteers - Preparation and Submission of Application | N/A | 53 | 1 | 53 | 20.00 | 1,060 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 1,060 | $16.15 | $17,119.00 | 
	
		| Request for Volunteers - Stakeholder Coordination | N/A | 53 | 1 | 53 | 80.00 | 4,240 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 4,240 | $16.15 | $68,476.00 | 
	
		| Mobile Payment Pilot – Design & System Changes | N/A | 5 | 12 | 60 | 80.00 | 4,800 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 4,800 | $16.15 | $77,520.00 | 
	
		| Mobile Payment Pilot – System Testing | N/A | 5 | 12 | 60 | 80.00 | 4,800 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 4,800 | $16.15 | $77,520.00 | 
	
		| Mobile Payment Pilot – Issue Recruitment Notices | N/A | 5 | 5,000 | 25,000 | 0.08 | 2,075 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 2,075 | $16.15 | $33,511.25 | 
	
		| Mobile Payment Pilot – Implementation & Support | N/A | 5 | 12 | 60 | 120.00 | 7,200 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 7,200 | $16.15 | $116,280.00 | 
	
		| Mobile Payment Pilot – Stakeholder Coordination | N/A | 5 | 12 | 60 | 80.00 | 4,800 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 4,800.00 | $16.15 | $77,520.00 | 
	
		| State Agency Subtotal | 
 | 53 | 478.23 | 25,346 | 1.14 | 28,975.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 28,975.00 | 16.15 | $467,946.25 | 
	
		| EBT Processors | Request for Volunteers -Coordination | N/A | 53 | 1 | 53 | 80.00 | 4,240.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 4,240.00 | $77.37 | $328,048.80 | 
	
		| Mobile Payment Pilot -  Coordination | N/A | 5 | 12 | 60 | 120.00 | 7,200.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 7,200.00 | $77.37 | $557,064.00 | 
	
		| SNAP Retailers | Request for Volunteers - Coordination | N/A | 106 | 1 | 106 | 80.00 | 8,480.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 8,480.00 | $77.37 | $656,097.60 | 
	
		| Mobile Payment Pilot -Coordination | N/A | 10 | 12 | 120 | 120.00 | 14,400.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 14,400.00 | $77.37 | $1,114,128.00 | 
	
		| Mobile Payment Vendor | Request for Volunteers -  Coordination | N/A | 53 | 1 | 53 | 80.00 | 4,240.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 4,240.00 | $77.37 | $328,048.80 | 
	
		| Mobile Payment Pilot -Coordination | N/A | 5 | 12 | 60 | 120.00 | 7,200.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 7,200.00 | $77.37 | $557,064.00 | 
	
		| Business Subtotal | 
 | 212 | 2.13 | 452 | 101 | 45,760 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 45,760.00 | $77.37 | 3,540,451 | 
	
		| SNAP Recipients | Mobile Payment Pilot – Review Recruitment Notice | 25,000 | 15,000 | 1 | 15,000 | 0.05 | 750.00 | 10,000.00 | 1.00 | 10,000.00 | 0.0167 | 167.00 | 917.00 | $7.25 | $6,648.25 | 
	
		| Mobile Payment Pilot – Complete Enrollment | N/A | 5,000 | 1 | 5,000 | 0.25 | 1,250.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 1,250.00 | $7.25 | $9,062.50 | 
	
		| Individual/Household Subtotal | 
 | 15,000 | 1.33 | 20,000 | 0.10 | 2,000.00 | 10,000.00 | 1.00 | 10,000.00 | 0.0167 | 167.00 | 2,167.00 | $7.25 | $15,710.75 | 
	
		| Totals | 
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 | 15,265 | 3.00 | 45,798 | 1.68 | 76,735.00 | 10,000.00 | 1.00 | 10,000.00 | 0.0167 | 167.00 | 76,902.00 | $52.33 | $4,024,108.20 | 
	
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 | 55,798 | 
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