Burden Table

FDPIR Farm Bill Rule v.1 9-2011.xlsx

Food Distribution Forms

Burden Table

OMB: 0584-0293

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Overview

State, Local, Tribal
Private For Profit
Private NOT For Profit
Individuals
Annualized Cost to Respondent
Burden Summary


Sheet 1: State, Local, Tribal


FNS Food Distribution Programs Burden Hour Estimates
















AFFECTED PUBLIC: STATE, LOCAL, AND TRIBAL GOVERNMENTS













Sec. of Regs./Authority Title Form No. Est. No. of Respondents No. of Responses per Respondent Total Annual Responses (exf) Est. total Hours per Response Est. total Burden (gxh) Change in Burden
240.4 Cash In Lieu of Donated Foods for Nonresidential Child and Adult Care Institutions FNS-44 Burden Contained in OMB #0584-0078
240.5 Cash In Lieu of Donated Foods for Commodity Schools FNS-10 Burden Contained in OMB #0584-0002
240.6 Funds for SAs That Have Phased Out Facilities FNS-10 Burden Contained in OMB #0584-0002
247.4(a)(1) & (b) Federal/State Agreements FNS-74 Burden Contained in OMB #0584-0067
247.4(a)(2) & (b) & (c) State/Local Agreements
50 1.00 50.00 2.00 100.00
247.6(a-c) State Plan
1 1.00 1.00 50.00 50.00
247.6(d) State Plan Amendments
35 1.00 35.00 5.00 175.00
247.7(a) Applications of Local Agencies
30 1.00 30.00 2.00 60.00
247.19(a) Agreement to Prevent Dual Participation
60 1.00 60.00 1.00 60.00
247.23(b) State Provision of Administrative Funds
20 0.25 5.00 150.00 750.00
247.26 Closeout Procedures
20 1.00 20.00 8.00 160.00
247.29(a) & (b)(2)(ii) Receipt, Disposal, and Inventory of Donated Foods FNS-153 20 12.00 240.00 6.30 1512.00
247.29(a)& (b)(3) Civil Rights Participation Data FNS-191 Burden Contained In OMB # 0584-0025
247.31(c) Audit Responses
20 4.00 80.00 40.00 3200.00
247.34 Management Reviews
35 2.06 72.00 8.00 575.96
250.13(a)(6) Destination Data for Delivery of Donated Foods FNS-7 180 7.00 1,260.00 0.50 630.00
250.13(f) Report of Shipment Received, Over, Short, and/or Damaged FNS-57 330 303.00 99,991.32 0.02 1999.83
250.17(a) & 251.10(d)(2) Commodity Inventory Report FNS-155 30 2.00 60.00 0.67 40.20
250.17(e) Other Reporting







Recall Response Reporting
15 4.00 60.00 24.00 1440.00

State Option Contract Program
2 3.00 6.00 2.00 12.00
250.58 Ordering Donated Food







Direct Delivery of Commodities FNS-52 110 642.00 70,620.00 0.10 7062.00

Multi-Commodity Food Requisition FNS-53 145 30.00 4,350.00 0.10 435.00
250.69(f) State Report of Commodities Distributed for Disaster Relief FNS-292 Burden Contained in OMB #0584-0067




253.5(a) & 254.3(a) Plans of Operation
24 1.01 24.26 3.00 72.79
253.3(c) Prime Vendor Pilot
23 1.00 23.00 1.00 23.00
253.8(b) & 254.3(a) Commodity Inventories FNS-152 97 12.00 1,164.00 2.50 2910.00
253.8(f) & 254.3(a) Damaged, or Out of Condition Commodities FNS-57 97 1.55 150.35 0.25 37.59
253.5(i) & 254.3(a) Monitoring and Review of Program Operations
97 1.00 97.00 2.00 194.00
ARRA FDPIR ARRA Related Financial Status Reports SF-425 97 6.00 582 0.75 436.50

TOTAL REPORTING
330 542.37 178,980.93 0.12 21935.87 0









Sec. of Regs. Title Form No. Est. No. of Recordkeepers Est. # of Records per Recordkeeper Total Annual Records Est. total Hours per Record Est. total Burden Change in Burden
240.4 Cash In Lieu of Donated Foods for Nonresidential Child Care Institutions
56 12.00 672.00 0.25 168.00
240.5 Cash In Lieu of Donated Foods for Commodity Schools
3 12.00 36.00 0.25 9.00
240.6 Funds for States That Have Phased Out Facilities
56 93.64 5,243.84 0.25 1310.96
247.22 Record of Use of Funds
20 12.00 240.00 0.05 12.00
247.28(b) Records of Receipt, Disposal & Inventory of Donated Foods
56 12.86 720.16 0.05 36.01
247.29(a) Records of Fair Hearing Proceedings
20 36.00 720.00 0.05 36.00
247.30(d)(3) Records of Participant Claims
56 8.93 500.08 0.08 40.01
253.5(h) & 254.4(a) Recordkeeping of Reports:






Plans of Operation
97 1.00 97.00 0.08 7.76
Household Applications
97 824.74 79,999.78 0.08 6399.98
Reporting Changes
97 46.39 4,499.83 0.08 359.99
Disposal of Out of Condition Commodities
25 1.00 25.00 0.08 2.00
ITO Applications
97 1.00 97.00 0.08 7.76
Commodity Inventories
97 12.00 1,164.00 0.08 93.12
Damaged or Out of Condition Commodities
97 1.55 150.00 0.08 12.00
Financial Status Reports
97 4.00 388.00 0.08 31.04
253.5(j) & 254.3(a) Investigations and Complaints
97 1.00 97.00 3.00 291.00
253.7(h) & 254.3(a) Fair Hearings
97 1.00 97.00 0.25 24.25
253.11(b) & 254.3(a) Management of Administration Funds
97 1.00 97.00 0.50 48.50

TOTAL RECORDKEEPING
56 1693.64 94,843.69 0.09 8889.37 0


















Est. No. of Respondents No. of Responses per Respondent Total Annual Responses Est. total Hours per Response Est. total Burden


Reporting 330 542.37 178,980.93 0.12 21935.87


Recordkeeping

8,132.08 0.09 8889.37


TOTAL 330 542.37 187,169.01 0.16 30825.24

Sheet 2: Private For Profit



FNS Food Distribution Programs Burden Hour Estimates



















AFFECTED PUBLIC: PRIVATE - FOR PROFIT




REPORTING









Sec. of Regs./Authority Description of Collection Activity Form No. Est. No. of Respondents No. of Responses per Respondent Total Annual Responses Est. total Hours per Response Est. total Burden Change in Burden
250.17(c) and 250.30(m) Processors' Performance Reports
500 9 4,500 1 4,500.00

250.18(c) Multi-State Processor’s Response to CPA Audit Deficiencies
30 2 60 4 240.00


TOTAL: Summary of Private For Profit Burden
500 9.120 4,560 1.039 4,740.00 0










RECORDKEEPING









Sec. of Regs. Description of Collection Activity Form No. Est. No. of Record keepers Est. # of Records per Record keeper Total Annual Records Est. total Hours per Record Est. total Burden Change in Burden

240.4 Cash In Lieu of Donated Foods for Nonresidential Child Care Institutions
500 363.978 181,989 0.25 45,497.25

250.18(b) Multi-State Processor CPA Audits
15 2 30 0.35 10.50

250.30(c) Recordkeeping Requirements for All Processors
57 1 57 0.5 28.50


TOTAL RECORDKEEPING
500 364.152 182,076 0.250 45,536.25 0










SUMMARY OF PRIVATE FOR PROFIT










Est. No. of Respondents No. of Responses per Respondent Total Annual Responses Est. total Hours per Response Est. total Burden



Reporting 500 9.120 4,560 1.039 4,740.00



Recordkeeping

182,076 0.250 45,536.25



TOTAL 500 9.120 187,136 0.269 50,276.25

Sheet 3: Private NOT For Profit


FNS Food Distribution Programs Burden Hour Estimates
















AFFECTED PUBLIC: PRIVATE - NOT FOR PROFIT





REPORTING






Sec. of Regs./Authority Title Form No. Est. No. of Respondents No. of Responses per Respondent Total Annual Responses Est. total Hours per Response Est. total Burden Change in Burden
250.10(b) & 250.12 (a) USDA Agreements with Private Agencies and Distributing Agencies FNS-74 Burden Contained in OMB #0584-0067
250.12(a) & 250.42(c ) Distributing Agency Agreements/Agreements for Cash in Lieu of Commodities FNS-74 Burden Contained in OMB #0584-0067




250.12(b) Distributing Agency/Recipient Agency Agreement
11,211 0.25 2,802.75 0.2 560.55
250.12(e) & 250.14(d) Storage Facility Agreements
250 0.25 62.50 0.33 20.63
250.12(f) & 250.30(c) Processor/Processing Agreements with Distributing Agencies/Recipient Agencies
30 5.4 162.00 2 324.00
250.13(i) Notification of Suspected Embezzlement, Misuse, Theft, etc.
57 1 57.00 0.33 18.81
250.13(k) & 250.17(d) Commodity Acceptability Reports FNS-663 252 1 252.00 50 12,600.00
250.14(a)(2) Noncommercial Warehouse Evaluation
6 1 6.00 30 180.00
250.14(a) (4)(iv) Cost Comparison of Existing Warehouse System with Commercial System
6 1 6.00 10 60.00
250.14(e) Distributing Agency's Physical Inventory Reporting
97 1 97.00 2 194.00
250.14(f) Recipient Agency Excessive Inventories
20 1 20.00 0.33 6.60
250.15(a) Distribution Charges
97 0.33 32.01 0.25 8.00
250.15(f)(4) Excess Funds Justification
5 1 5.00 0.33 1.65
250.17(b) & 250.30(o) Processing Inventory Reports
57 4 228 4 912
250.19(b) Distributing Agency's Management Evaluation System
97 1 97.00 0.33 32.01
250.22 Reporting Irregularities Found Through Complaints
78 8 624.00 0.1 62.40
250.30(k) Processing Refund Applications
2,350 3 7,050.00 0.57 4,018.50
250.30(l) Processing Contract Preparation Approval and Submission to FNS
19 12 228.00 2 456.00
250.30(m) Processor's Monthly Performance Reports and Processor's Inventory Reports FNS-519A & 519B 40 13 520 3 1,560
250.30(s) Processing Manual
57 1 57 0.33 18.81
250.53 Contract Provisions Between RAs and Food Service Management Companies
2,783 1 2,783.00 1 2,783.00
250.69(a) & 250.70(a) Emergency Organization Feeding Application to State for Disasters and Situations of Distress 500 1 500.00 0.02 10.00
250.69(g) State Written Request for Replacement of Donated Disaster Foods
10 1 10.00 1 10.00
251.2(c) & 251.5(a) Federal-State Agreements and State Agency Recipient Agency Agreements FNS-74 Burden Contained in OMB #0584-0067

251.4(g) Availability and Control of Commodities
56 1 56.00 2 112.00
251.4(j) Inter Agency Agreements
2 1 2.00 0.5 1.00
251.4(l) Commodity Losses and Claims Determinations
100 1 100.00 8 800.00
251.6(b) State Agency Distribution Plan
14 1 14.00 19 266.00
251.9(e) & 251.10(d) (1) Report of State Administrative Cost Matching Requirements FNS-667 55 5 275.00 3.5 962.50
ARRA TEFAP Report of State Administrative Cost Matching Requirements FNS-667 55 8 440.00 3.5 1,540.00
251.10(e) Monitoring Eligible Recipient Agencies
56 1 56.00 2 112.00

TOTAL REPORTING
11,211 1.476 16,542.26 1.670 27,630.46 0

RECORDKEEPING






Sec. of Regs. Title Form No. Est. No. of Recordkeepers Est. # of Records per Recordkeeper Total Annual Records Est. total Hours per Record Est. total Burden Change in Burden
250.10(b) & 250.12(a) USDA Agreements with Private Agencies/Distributing Agencies FNS-74 Burden Contained in OMB #0584-0067
250.12(b) Distributing Agency Agreements with Recipient Agencies
11,211 1 11,211.00 0.08 896.88
250.12(e) & 250.14(d) Storage Facility Agreement
250 1 250.00 0.08 20.00
250.12(f) & 250.30(c)(1) Processing Contracts
30 5.533 166.00 0.08 13.28
250.13(a)(1)(v) Distributing Agency Documentation for the Transfer of Donated Foods
97 1 97.00 0.08 7.76
250.13(a)(5) Distributing Agency Documentation of Method Used to Determine Commodity Value
68 1 68.00 0.08 5.44
250.14(c) Storage Facility Reviews
97 1 97.00 0.08 7.76
250.14(e) Physical Inventory Records
97 1 97.00 0.08 7.76
250.15(f) Segregating Operating Funds
11,211 9.365801445 105,000.00 0.08 8,400.00
250.16 & 250.30 Maintenance of Records (Including Processor Contracts)
11,211 10.257782535 115,000.00 0.08 9,200.00
250.19(b) Maintain Management Evaluation & Review Records
88 1 88.00 0.33 29.04
250.22 Distributing Agency Complaint Records
97 1 97.00 0.33 32.01
250.53 & 250.54 RA Recordkeeping and Reviews of Food Service Management Companies
2,783 1 2,783.00 0.25 695.75
250.64(f) Records and Reports in the Pacific Islands
88 1 88.00 2 176.00
250.67(a) (2)(ii) Correctional Institutions
300 1 300.00 0.08 24.00
250.69(a) & 250.70(a) Records for Disaster Organizations Maintain Applications
1,000 1 1,000.00 0.02 20.00
251.2(c )(1) Federal-State Agreements
56 1 56.00 0.08 4.48
251.2(c)(2) & 251.5(a) State Agency-Eligible Recipient Agency Agreements
1,600 1 1,600.00 0.08 128.00
251.4(g) Documentation of Transfer of Section 32 Commodities
56 1 56.00 0.33 18.48
251.4(j) Inter-Agency Agreements
2 1 2.00 0.08 0.16
251.4(l)(5) Claims and Adjustments
56 1 56.00 2 112.00
251.10(a)(1) Receipt, Disposal, and Inventory of Commodities
56 1 56.00 5.67 317.52
251.10(a) (2) Funds Paid to Eligible Recipient Agencies for Storage and Distribution
56 1 56.00 0.33 18.48
251.10(a)(3) Eligibility Determination and Collection of Participating Household Information
1,600 1 1,600.00 419.9 671,840.00

TOTAL RECORDKEEPING
11,211 21.392 239,824.00 2.885 691,974.80 0


















Est. No. of Respondents No. of Responses per Respondent Total Annual Responses Est. total Hours per Response Est. total Burden


Reporting 11,211 1.476 16,542.26 1.670 27,630.46


Recordkeeping

239,824.00 2.885 691,974.80


TOTAL 11,211 1.476 267,577.26 2.689 719,605.26

Sheet 4: Individuals




FNS Food Distribution Programs Burden Hour Estimates





















AFFECTED PUBLIC: INDIVIDUAL OR HOUSEHOLD




REPORTING










Sec. of Regs./Authority Respondent Type Title Form No. Est. No. of Respondents No. of Responses per Respondent Total Annual Responses Est. total Hours per Response Est. total Burden Change in Burden

247.8 & 247.16(a) Elderly Applications/Recertifications
457,000 2.000 914,000 0.25 228,500

247.8 & 247.16(a) Women, infants and children Applications/Recertifications
47,586 2.000 95,172 0.5 47,586

253.7 & 254.3(a) Certification of Household to Participate

4,667 1.00 4,667 0.51 2380.17 0.051



TOTAL
457,000 2.218 1,013,839 0.275 278,466 0.051

Sheet 5: Annualized Cost to Respondent

Type of Respondent Number of Respondents Frequency of Responses Hourly Wage Rate Average Time per Response Respondent Cost
State, Local, and Tribal Governments 330.00 542.37 $13.12 0.12 $287,798.56
Private For Profit 500.00 9.12 $13.12 1.04 $62,188.80
Private Not for Profit 11,211.00 1.48 $13.12 1.67 $362,511.60
Individual 457,000.00 2.22 $13.12 0.27 $3,653,476.15
Total Cost 469,041.00
$13.12
$4,365,975.11

Sheet 6: Burden Summary



FNS Food Distribution Programs Burden Hour Estimates












Reporting






Affected Public Est. No. of Respondents No. of Responses per Respondent Total Annual Responses Est. total Hours per Response Est. total Burden

State, Local, and Tribal Governments 330.00 542.37 178,980.93 0.12 21,935.87

Private For Profit 500.00 9.12 4,560.00 1.04 4,740.00

Private Not for Profit 11,211.00 1.48 16,542.26 1.67 27,630.46

Individual 457,000.00 2.22 1,013,839.00 0.27 278,466.17

Total Burden Estimates 469,041.00 2.59 1,213,922.19 0.27 332,772.49

















Record Keeping






Affected Public Est. No. of Respondents No. of Responses per Respondent Total Annual Responses Est. total Hours per Response Est. total Burden

State, Local, and Tribal Governments 0.00 0.00 8,188.05 0.16 8,889.37

Private For Profit 0.00 0.00 182,576.00 0.27 45,536.25

Private Not for Profit 0.00 0.00 251,035.00 2.89 691,974.80

Individual 0.00 0.00 0.00 0.00 0.00

Total Burden Estimates 11,211.00 39.41 441,799.05
746,400.42









Est. No. of Respondents No. of Responses per Respondent Total Annual Responses Est. total Hours per Response Est. total Burden


Reporting 469,041.00 2.59 1,213,922.19 0.27 332,772.49


Recordkeeping 0.00 0.00 441,799.05 0.00 746,400.42


TOTAL
2.59 1,655,721.24 0.27 1,079,172.92
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