Appendix D Burden Table

Respondent Category (Affected Public)	Type of respondents	Burden Activity	CFR Section of Regulations	Estimated # Respondents	Responses Per Respondent	Total Annual Responses (Col. ExF)	Estimated Avg. # of Hours Per Response	Estimated Total Hours (Col. GxH)	Hourly Cost to Respondent	Estimated Cost to Respondent	Fully Loaded Wages	Previously Approved	Due to Program Change	Due to an Adjustment	Total Difference
REPORTING
State Government	State Agency	Demand Letter for Overissuance	273.18(a)(2)	53	7,339.2642	388,981.0000	0.1336	51,967.8616	$11.33	$588,795.87	$783,098.51	74,787.276	0.000	-22,819.414	-22,819.414
		Notice for Hearing or Prosecution	273.16(e)(3)	53	745.3333	39,502.6667	0.1336	5,277.5563	$11.33	$59,794.71	$79,526.97	5,716.610	0.000	-439.054	-439.054
		Action Taken on Hearing or Court Decision: For IPV Findings	273.16(e)(9)	53	690.2516	36,583.3333	0.1670	6,109.4167	$11.33	$69,219.69	$92,062.19	6,529.199	0.000	-419.782	-419.782
		Action Taken on Hearing or Court Decision: For No IPV Findings	273.16(e)(9)	53	83.1258	4,405.6667	0.0835	367.8732	$11.33	$4,168.00	$5,543.44	308.282	0.000	59.591	59.591
		Electronic Disqualified Recipient System Breakout: For eDRS Reporting	273.16(i)(2)(i)	53	690.2516	36,583.3333	0.0835	3,054.7083	$11.33	$34,609.85	$46,031.09	3,264.600	0.000	-209.891	-209.891
		Electronic Disqualified Recipient System Breakout: For Editing and Resubmission	272.1(f)(3)	53	82.8302	4,390.0000	0.1670	733.1300	$11.33	$8,306.36	$11,047.46	783.504	0.000	-50.374	-50.374
		Electronic Disqualified Recipient System Breakout: For Penalty Checks using Mainframe	273.16(i)(4)	53	690.2516	36,583.3333	0.0501	1,832.8250	$11.33	$20,765.91	$27,618.66	1,958.760	0.000	-125.935	-125.935
State Agency Reporting Sub-Total				53	10,321.3082	547,029.3333	0.1268	69,343.3710	$11.33	$785,660.39	$1,044,928.32	93,348.230	0.000	-24,004.859	-24,004.859
Individuals/Household Reporting
Individuals/ Household	SNAP Households	Demand Letter for Overissuance	273.18(a)(2)	388,981.0000	1	388,981.0000	0.0334	12,991.9654	$7.25	$94,191.75		18,696.819	0.000	-5,704.854	-5,704.8536
		Notice for Hearing or Prosecution	273.16(e)(3)	39,502.6667	1	39,502.6667	0.0167	659.6945	$7.25	$4,782.79		714.576	0.000	-54.882	-54.8818
		Administrative Disqualification Hearing Waiver	273.16(i)(2)	14,542.6667	1	14,542.6667	0.0334	485.7251	$7.25	$3,521.51		523.178	0.000	-37.453	-37.4525
		Disqualification Consent Agreement	273.16(i)(2)	2,648.3333	1	2,648.3333	0.0334	88.4543	$7.25	$641.29		96.793	0.000	-8.339	-8.3389
		Action Taken on Hearing or Court Decision: For IPV Findings	273.16(e)(9)	36,583.3333	1	36,583.3333	0.0167	610.9417	$7.25	$4,429.33		652.920	0.000	-41.978	-41.9782
		Action Taken on Hearing or Court Decision: For No IPV Findings	273.16(e)(9)	4,405.6667	1	4,405.6667	0.0167	73.5746	$7.25	$533.42		61.656	0.000	11.918	11.9182
Individuals/Household Reporting Sub-Total				486,663.6667	1	486,663.6667	0.0306	14,910.3556	$7.25	$108,100.08	$143,773.10	20,745.942	0.000	-5,835.5868	-5,835.5868
Total Reporting				486,716.6667	10,322.3082	1,033,693.0000	0.0815	84,253.7267		$893,760.47	$1,188,701.43	114,094.17	0.000	-29,840.4462	-29,840.4462
RECORDKEEPING
State Government	State Agency	Recordkeeping Breakout: For initiating Collection Action	272.1(f)	53	7,339.2642	388,981.0000	0.0334	12,991.9654	$11.33	$147,198.97	$195,774.63	18,696.819	0.000	-5,704.8536	-5,704.8536
		Recordkeeping Breakout: For IPVs	272.1(f)	53	1,435.5848	76,085.9962	0.0334	2,541.2723	$11.33	$28,792.61	$38,294.18	2,734.992	0.000	-193.7201	-193.7201
Total Recordkeeping				53	8,774.8490	465,066.9962	0.0334	15,533.2377	$11.33	$175,991.58	$234,068.81	21,431.811	0.000	-5,898.5737	-5,898.5737
TOTAL BURDEN
Grand Total Reporting and Recordkeeping				486,769.6667	3.0790	1,498,759.9962	0.0666	99,786.9643		$1,069,752.05	$1,422,770.23	114,094.17	0.000	-35,739.0199	-35,739.0199
		Federal Staff Cost	Pay Rate	Hours	Total
		GS-12	47.53	20	950.6
		GS-14	66.79	40	2671.6
					3622.2