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["                  ATTACHMENT A:  WIC PROGRAM REPORTING AND RECORDKEEPING REQUIREMENTS  (OMB #0584-0043)                                            "]
["Affected Public:  State and Local Agencies (including Indian Tribal Organizations and U.S. Territories)"]
[null,null,null,"Annual",null,"Number of","Estimated","Previous","Difference","Difference"]
["Regulation",null,"Estimated ","Report/","Total","Burden","Total","Submission","Due To","Due To"]
["Section","TITLE","Number of","Record","Annual","Hours Per","Burden","Total","Program","Adjust-"]
[null,null,"Respondents","Filed","Responses","Response","Hours","PersonHours","Changes","ments"]
["REPORTING BURDEN ESTIMATES"]
[246.4,"State Plan",90,1,90,119.33,10739.7,10442,180,118]
["246.5(b)","Local Agency (LA) applications",935,1,935,2,1870,1870,0,"-"]
[246.6,"LA Agreements",935,1,935,1.5,1402.5,1247,0,156]
["246.7(f)(2)(iii)(A)","LA requests for notice extension",312,1,312,0.25,78,78,0,"-"]
["246.7(i)","Cert. data for women & children ",1870,6353.57,11881175.9,0.17,2019799.9030000002,2019800,0,"-"]
["\"","Certification data for infants ",1870,1088.67,2035812.9000000001,0.17,346089.193,346089,0,"-"]
["246.7(j)(9)","SA notification re funding shortfall",4,1,4,0.09,0.36,0.36,0,0]
["246.7(k)","Verification of Certification cards",1870,89.14,166706.8,0.09,15003.612,15004,0,0]
["246.10(b)(1)","Identification of Acceptable Foods",90,1,90,40,3600,3560,0,40]
["246.10(d)(1) (formerly (10)(c)(1)(v))","1% of infants addl. documentation",1870,10.88,20357.600000000002,0.03,610.7280000000001,611,0,0]
["246.11(d)(2)","LA nutrition education plan",1870,1,1870,40,74800,74800,0,0]
["246.12(g)(4)(i)","Vendor food sales data",90,62.66,5640,2,11280,178,0,11102]
["246.12(g)(4)(ii)(B)","Vendor shelf prices",90,1044.44,93999.6,1,93999.6,178,0,93821.6]
["246.12(i)(1)","Vendor training development",90,1,90,8,720,712,0,8]
["\"","Vendor training",90,522.22,46999.8,2,93999.6,90000,0,4000]
["246.12(j)(4)","Vendor compliance investigations",90,26.11,2349.9,2,4699.8,4500,0,200]
["246.12(o)","Complaints",90,111.11,9999.9,1,9999.9,10000,0,0]
["246.12(q)","Disposition of food instruments",90,1,90,40,3600,3560,0,40]
["246.14(d)(1)","ADP proposals",15,1,15,160,2400,2400,0,0]
["246.16(d)","Distribution of funds to LAs",90,83.1111,7479.999,2,14959.998,14960,0,0]
["246.17(c)(1)","Termination of SAs & LAs",90,0.1111,9.999,8,79.992,80,0,0]
["246.19(a)","SA corrective action plans to FNS",23,1,23,40,920,880,0,40]
["246.19(b)(5)","Targeted LA reviews",90,2.5973,233.757,2,467.514,468,0,0]
["246.20(a)(2)","SA response to OIG audits",4,1,4,40,160,160,0,0]
["Subtotal - REPORTING",null,1960,9406.6195,14275226,511.63,2711284.4000000004,2601577.36,180,109525.6]
["RECORDKEEPING BURDEN ESTIMATES"]
["246.12(g)(11)","Vendor infant formula suppliers",90,1,90,50,4500,0,4500,0]
["246.12(h)(1)(i)","Vendor applications & agreements ",90,261.11,23499.9,1,23499.9,22500,0,1000]
["246.12(h)(8)","Vendor incentive items",16,53.1,849.6,1,850,0,850,0]
["246.12(i)(4)","Vendor training content",90,1,90,2,180,178,0,2]
["246.12(j)(6)","Routine vendor monitoring",90,522.22,2349.9900000000002,1,2349.9900000000002,2250,0,100]
["246.12(j)(6)","Vendor compliance investigations",90,522.22,2349.9900000000002,2,4699.9800000000005,4500,0,200]
["246.12(l)(3)","Vendor notice of violations",90,25.55,2299.5,1,2299.5,0,2300,0]
["246.23(c)(1)","Disposition of participant claims",90,1,90,5,450,445,0,5]
["246.25(a)","Financial ops. & food delivery sys.",1960,12,23520,2,47040,47016,0,24]
["246.25(a)","Nutrition ed. for women & children",1870,6353.57,11881175.9,0.017,201979.99030000003,201980,0,0]
["\"","Nutrition education for infants",1870,1088.67,2035812.9000000001,0.017,34608.8193,34609,0,0]
["246.25(a)","Fair hearings",1960,1,1960,0.25,490,490,0,0]
["Subtotal - RECORDKEEPING",null,1960,8842.439999999999,13974089,65.28399999999999,322948.17960000003,313968,7650,1331]
["GRAND SUBTOTAL   ",null,1960,18249.0595,28249315,576.914,3034232.5796000003,2915545.36,7830,110856.6]
["Affected Public:  Applicants for Program Benefits"]
["246.7(i)","Cert. data for women & children ",1949149,2,3898298,0.05,194914.90000000002,0,0,194914.90000000002]
["\"","Certification data for infants ",1949149,1,1949149,0.05,97457.45000000001,0,0,97457.45000000001]
["246.10(c)(1)","1% of infants addl. documentation",20354,1,20358,0.03,610.74,0,"-",610.74]
["Subtotal - ","Reporting Requirements",1949149,4,5867805,0.13,292983.09,0,0,292983.09]
["Affected Public:  Retail Vendors (Food Stores)"]
["246.12(g)(4)(i)","Vendor food sales data",5640,1,5640,1,5640,45000,0,-39360]
["246.12(g)(4)(ii)(B)","Vendor shelf prices",47000,2,94000,1,94000,90000,0,4000]
["246.12(h)","Vendor applications & agreements ",23500,1,23500,1,23500,0,0,23500]
["246.12(h)(8)","Vendor incentive items",850,1,850,1,850,0,850,0]
["Subtotal - ","Reporting Requirements",39348,5,123990,4,123990,135000,850,-11860]
["GRAND TOTAL   ",null,1990457,18258.0595,34241110,581.044,3451205.6696,3050545.36,8680,391980.69000000006]
[]
[]
["SUMMARY OF BURDEN (OMB #0584-0043)"]
["TOTAL NO. RESPONDENTS",null,1990457]
["AVERAGE NO. RESPONSES PER RESPONDENT",null,17.202637384279086]
["TOTAL ANNUAL RESPONSES",null,34241110]
["AVERAGE HOURS PER RESPONSE",null,0.10079129063280952]
["TOTAL ANNUAL BURDEN HOURS REQUESTED",null,3451205.6696]
["CURRENT OMB INVENTORY",null,3050545.36]
["DIFFERENCE",null,400660.69000000006]

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[]
["FNS:SFPD:SF222:Geraldine Tompkins:12/16/03"]
["FC:Reg-1-1"]
["DOC:I:PPDB:Geraldine:ICB Chart - Revised for Misc Rule.xls"]

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