| Attachment A. Burden Chart for OMB Control Number 0584-00xx, final rule, Child Nutrition Programs:  Community Eligibility Provision - Increasing Options for Schools | 
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		| Reporting | 
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 | A | B | C = (A*B) | D | E= (C*D) | F | G | H | 
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		| Program Rule | CFR Citation | Title | Form Number | Estimated # Respondents | Responses per Respondents | Total Annual Records | Estimated Avg. # of Hours Per Response | Estimated Total Annual Burden Hours for OMB# 0584-00xx Due to Final Rulemaking | Hours Currently Approved Under OMB# 0584-0026 | Estimated Future Burden Hours for OMB# 0584-0026 After the Merge with  OMB# 0584-00xx | Future Estimated Change in Burden Hours Due to Rulemaking | 
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		| State Agency (SA) Level | 
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		| Community Eligibility | 245.9(f)(6) | State agency to  notify LEAs of their community eligibility status as applicable | 
 | 55 | 93.29 | 5,131 | 0.050 | 257 | 437 | 694 | 257 | 
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 | State Agency Level Total | 
 | 55 | 93.29 | 5,131 | 0.050 | 257 | 437 | 694 | 257 | 
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		| Local Educational Agency (LEA) / School Food Authority Level (SFA) | 
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		| Community Eligibility | 245.9(f)(4)(i) | LEAs submit to  State agency documentation of acceptable identified student percentage of LEA/school electing the provision | 
 | 471 | 1.00 | 471 | 0.250 | 118 | 125 | 243 | 118 | 
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		| F/R Eligibility | 245.6(c)(6)(i) | LEAs notify households of approval of meal benefit applications. | 
 | 14,869 | 219.00 | 3,256,311 | 0.017 | 54,380 | 56,290 | 54,380 | -1,910 | 
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		| Direct Certification | 245.6(c)(6)(ii) | LEAs must notify households in writing that children are eligible for free meals based on direct certification and that no application is required. | 
 | 14,869 | 332.00 | 4,936,508 | 0.017 | 82,440 | 85,099 | 82,440 | -2,660 | 
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		| F/R Eligibility | 245.6 (c)(7) | LEAs provide written notice to each household of denied free or reduced price benefits. | 
 | 14,869 | 11.56 | 171,886 | 0.017 | 2,870 | 2,963 | 2,870 | -92 | 
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		| F/R Eligibility | 245.6a (f) | LEAs notify households of selection for verification. | 
 | 14,869 | 6.50 | 96,649 | 0.250 | 24,162 | 25,092 | 24,162 | -930 | 
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		| F/R Eligibility | 245.6a (j) | LEAs must provide households that failed to confirm eligibility with 10 days notice for receiving a reduction or termination of free or reduced price meal benefits. | 
 | 14,869 | 2.65 | 39,403 | 0.100 | 3,948 | 4,078 | 3,948 | -130 | 
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		| Community Eligibility | 245.9(f)(5) | LEA to submit to the State agency for publication a list of eligible and potentially eligible schools and their eligibility status; unless otherwise exempted by State agency | 
 | 5,131 | 1.00 | 5,131 | 0.084 | 428 | 698 | 1,126 | 428 | 
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		| Community Eligibility | 245.9(g) | LEAs to amend free and reduced policy statement and certify that schools meet eligibility criteria | 
 | 471 | 1.00 | 471 | 0.100 | 47 | 50 | 97 | 47 | 
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 | Local Educational Agency / School Food Authority Level Total | 
 | 14,869 | 572.12 | 8,506,829 | 0.020 | 168,394 | 174,395 | 169,267 | -5,128 | 
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 | State and Local Agency Level Total | 
 | 14,924 | 665.41 | 8,511,960 | 0.070 | 168,651 | 174,832 | 169,961 | -4,871 | 
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		| Household Level | 
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		| F/R Eligibility | 245.6 (a)(1) | Households complete application form for free or reduced price meal benefits. | 
 | 3,439,137 | 1.00 | 3,439,137 | 0.117 | 402,035 | 414,770 | 402,035 | -12,735 | 
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		| F/R Eligibility | 245.6a (a)(7)(i) | Households assemble written evidence for verification of eligibility for free and reduced price meals and send to LEA. | 
 | 97,287 | 1.00 | 97,287 | 0.500 | 48,644 | 50,185 | 48,644 | -1,542 | 
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 | Household Level Total | 
 | 3,439,137 | 1.03 | 3,536,424 | 0.127 | 450,679 | 464,955 | 450,679 | -14,277 | 
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 | Total Reporting Burden | 
 | 3,454,061 | 3.49 | 12,048,384 | 0.051 | 619,330 | 639,788 | 620,640 | -19,148 | 
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		| Recordkeeping | 
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 | A | B | C = (A*B) | D | E= (C*D) | F | G | H | 
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		| Program Rule | CFR Citation | Title | Form Number | Estimated # Record-keepers | Records Per Recordkeeper | Total Annual Records | Estimated Avg. # of Hours Per Record | Estimated Total Annual Burden Hours for OMB# 0584-00xx Due to Proposed Rulemaking | Hours Currently Approved Under OMB# 0584-0026 | Estimated Future Burden Hours for OMB# 0584-0026 After the Merge with  OMB# 0584-00xx | Estimated Change in Burden Hours Due to Rulemaking | 
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		| State Agency Level | 
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		| Community eligibility | 245.9(f)(4)(ii) | State Agency to review and confirm LEAs eligibility to participate in Provisions 1, 2, or 3 or the Community Eligiblity Provision | 
 | 55 | 8.56 | 471 | 0.084 | 39 | 40 | 79 | 39 | 
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 | State Agency Level Total | 
 | 55 | 8.56 | 471 | 0.084 | 39 | 40 | 79 | 39 | 
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		| Local Educational Agency / School Food Authority Level | 
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		| F/R Eligibility | 245.6(e) | LEAs must maintain documentation substantiating eligibility determinations for 3 years after the end of the fiscal year. | 
 | 14,869 | 1 | 14,869 | 0.084 | 1,242 | 1,281 | 1,242 | -39 | 
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		| Community eligibility | 245.9(h)(3) | LEA to maintain documentation  related to methodology used to calculate the identified student percentage and determine eligibility | 
 | 471 | 1 | 471 | 0.902 | 425 | 451 | 876 | 425 | 
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 | Local Educational Agency / School Food Authority Level Total | 
 | 14,869 | 1.03 | 15,340 | 0.109 | 1666 | 1,732 | 2,117 | 385 | 
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 | Total Recordkeeping Burden | 
 | 14,924 | 1.06 | 15,811 | 0.108 | 1,706 | 1,772 | 2,197 | 425 | 
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