IC Burden table

1875-NEW Copy of IC Burden Table 11-14-12_clean.xlsx

Strategies For Preparing At-Risk Youth For Postsecondary Success

IC Burden table

OMB: 1875-0269

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IC Title Affected Public Reporting Requirement Available Electronically Can be Submitted Electronically Percent Reporting Electronically Electronic Capability Obligation to Respond # of Respondents # of Responses Hrs/Resp Total Hours















Program Manager Phone Screen Individuals or Households Reporting No No 0% Paper Only Voluntary 50 50 0.75 37.5















Program Manager Site Visit Interview Protocol Individuals or Households Reporting No No 0% Paper Only Voluntary 15 15 5 75















Principal/Assistant-Other School Administrator Site Visit Interview Protocol Individuals or Households Reporting No No 0% Paper Only Voluntary 30 30 1 30















Teacher/Program Staff Site Visit Interview Protocol Individuals or Households Reporting No No 0% Paper Only Voluntary 90 90 1 90















Counselor/Social Worker Site Visit Interview Protocol Individuals or Households Reporting No No 0% Paper Only Voluntary 30 30 1 30















District Administrator Site Visit Interview Protocol Individuals or Households Reporting No No 0% Paper Only Voluntary 45 45 1 45















Partner Organization Staff Site Visit Interview Protocol Individuals or Households Reporting No No 0% Paper Only Voluntary 60 60 1 60















Parent Focus Group Protocol Individuals or Households Reporting No No 0% Paper Only Voluntary 75 75 0.5 37.5




















0%




0




















0%




0




















0%




0




















0%




0




















0%




0




















0%




0




















0%




0




















0%




0




















0%




0




















0%




0




















0%




0




















0%




0




















0%




0




















0%




0




















0%




0















Subtotal






395 395
405















Annual Total (may not add up due to rounding)






132 132
135











































CURRENT INVENTORY


























Current # of Respondents






0


















Current # of Responses







0

















Current Inventory of Hours









0







































































Difference Between Annual Total and Current Inventory






132 132
135







































































IC Title

Instrument Filename


Frequency Number of Respondents Cost Per Respondent Total Cost Per Respondent
















Program Manager Phone Screen Program Manager Phone Screen Once 50 $34 $1,688
















Program Manager Site Visit Interview Protocol Program Manager Site Visit Interview Protocol Once 15 $225 $3,375
















Principal/Assistant/Other School Administrator Site Visit Interview Protocol Principal-Assistant-Other School Administrator Site Visit Interview Protocol Once 30 $45 $1,350
















Teacher/Program Staff Site Visit Interview Protocol Teacher-Program Staff Site Visit Interview Protocol Once 90 $28 $2,520
















Counselor/Social Worker Site Visit Interview Protocol Counselor-Social Worker Site Visit Interview Protocol Once 30 $28 $840
















District Administrator Site Visit Interview Protocol District Administrator Site Visit Interview Protocol Once 45 $45 $2,025
















Partner Organization Staff Site Visit Interview Protocol Partner Organization Staff Site Visit Interview Protocol Once 60 $31 $1,871
















Parent Focus Group Protocol Parent Focus Group Protocol Once 75 $11 $801





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0





















$0
















Total Costs








$14,469
















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