| Appendix B- OMB 0584-0299 | |||||||
| Reporting Burden for FNS 380-1, OMB 0584-0299 | |||||||
| Form Number | Reg. Section | Description of Activity | No. of Respondents | Est. No. of Responses per Respondent | Est. Total Annual Responses | No. Hours per Response | Est. Total Burden Hours |
| FNS-380-1 | 275.14(d) | Review Processing-Schedules- Update SA Discretionary Codes | 53 | 1.0000 | 53 | 3 | 159.00 |
| FNS-380-1 | 275.14(d) | Review Processing-Schedules- Report SA Discretionary code updates | 53 | 1.0000 | 53 | 0.25 | 13.25 |
| FNS-380-1 | 275.12(f) | Reporting of Review Findings on Form | 53 | 858.4340 | 45,497 | 1.0560 | 48,044.83 |
| Reporting Totals | 53.00 | 860.43396 | 45,603.00 | 4.3060 | 48,217.08 | ||
| Recordkeeping Burden for FNS 380-1, OMB 0584-0299 | |||||||
| Form Number | Reg. Section | Description of Activity | No. of Record keepers | Est. No. of Records per Record keeper | Est. Total Annual Responses | No. Hours per Record to be Maintained | Est. Total Burden Hours |
| FNS-380-1 | 275.4 | Record Retention | 53 | 858.433962 | 45,497 | 0.0236 | 1073.7292 |
| Grand Total Reporting and Recordkeeping Burden | 53.00 | 1,718.87 | 91,100.00 | 4.3296 | 49,290.81 | ||
| 49,291 | |||||||
| Total Burden per response | |||||||
| Description of Activity | No. of Record keepers | Est. No. of Records per Record keeper | Est. Total Annual Responses | No. Hours per Record to be Maintained | Est. Total Burden Hours | ||
| Grand Total Reporting and Recordkeeping Burden | 53.00 | 1,718.87 | 91,100.00 | 4.33 | 49,290.81 | ||
| Estimates of Annualized Cost to Respondents | ||||||||
| Financial Burden for State Agencies FNS 380-1, OMB 0584-0299 | ||||||||
| Type of Respondents | Reg Citation | Activity | Number of responses | Average Time Per Response | Hourly Wage Rate (50% for State Agency Staff – not Households) | Total without loaded wages | Fully loaded wages | Total Costs |
| Reporting Burden | ||||||||
| State Agencies | 275.14(d) | Review Processing-Schedules- Update SA Discretionary Codes | 53 | 3 | $14.29 | $2,272.11 | $749.80 | $3,021.91 |
| State Agencies | 275.14(d) | Review Processing-Schedules- Report SA Discretionary code updates | 53 | 0.25 | $14.29 | $189.34 | $62.48 | $251.83 |
| State Agencies | 275.12(f) | Reporting of Review Findings | 45,497 | 1.0560 | $14.29 | $686,560.65 | $226,565.01 | $913,125.66 |
| Total Reporting Burden | $689,022.10 | $227,377.29 | $916,399.40 | |||||
| Recordkeeping Burden | ||||||||
| State Agencies | 275.4 | Record Retention | 45,497 | 0.0236 | $14.29 | $12,772.01 | $4,214.76 | $16,986.77 |
| Grand Total Reporting and Recordkeeping Costs | $701,794.11 | $231,592.06 | $933,386.17 | |||||
| 28.58 | *mean social work salary | 21-1020 | ||||||
| https://www.bls.gov/oes/2022/may/oes_nat.htm | ||||||||
| Estimates of Annualized Cost to Federal Government | ||||||
| Reporting and Recordkeeping Cost for FNS 380-1, OMB 0584-0299 | ||||||
| Activities | Annual Responses | Hours Spent on Collection | Costs or Hourly Wage Rage | Total Cost | Fringe Benefits Cost for Staff (0.33) | Overall Cost w/ Fringe Benefits for Staff |
| 1. Printing Cost | $2,000.00 | $2,000.00 | N/A | $2,000.00 | ||
| 2. 50% Reimbursement Cost to States for reporting & recordkeeping administrative cost | $701,794.11 | $231,592.06 | $933,386.17 | |||
| 3. 60 Regional Federal Staff (GS 12 Step 5) review of 380-1 submissions | 17597 | 1.056 | $39.75 | $738,651.67 | $243,755.05 | $982,406.72 |
| 4a .Program Analyst GS 13 Step 1 Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR | 1 | 80 | $40.51 | $3,240.80 | $1,069.46 | $4,310.26 |
| 4b. Program Branch Chief Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR 14/1 | 1 | 10 | $47.87 | $478.70 | $157.97 | $636.67 |
| 4c. Program Division Director Estimates of Annualized Cost to Federal Government for drafting, reviewing & approving ICR 15/1 | 1 | 5 | $56.31 | $281.55 | $92.91 | $374.46 |
| 5. Automated System Cost (includes fringe benefits in fixed rate Contractor Monitoring) | 1 | N/A | $180,000.00 | $180,000.00 | N/A | $180,000.00 |
| Grand Total Cost to Government | $182,184.44 | $1,626,446.83 | $476,667.45 | $2,103,114.29 | ||
| hrly base | 12/6 | $39.75 | SALARY TABLE 2023-GS (opm.gov) | |||
| hrly base | 13/1 | $40.51 | https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2023/GS_h.pdf | |||
| hrly base | 14/1 | $47.87 | ||||
| hrly base | 15/1 | $56.31 | ||||
| 17597 | #fed cases reviewed 2019 | |||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |