|
Responsive |
Non‐Responsive |
|
||||||||||||||
Data Collection Component |
Type of respondents |
Population |
Type of response |
Attachment |
Sample Size |
Response Rate |
Number of respondents |
Frequency of response |
Total Annual responses |
Hours per response |
Annual burden (hours) |
Number of Non‐respondents |
Frequency of response |
Total Annual responses |
Hours per response |
Annual burden (hours) |
Total Annual hour burden |
Case Record Reviews |
State / Local Government |
FDPIR Admin Staff |
Case Record Review Pretest Outreach Script |
B1c* |
2 |
100% |
2 |
1 |
2 |
0.083 |
0.167 |
0 |
1 |
0 |
0.000 |
0.000 |
0.167 |
State / Local Government |
Case Record Review Pretest |
B1a/B1b |
2 |
100% |
2 |
3 |
6 |
0.033 |
0.200 |
0 |
1 |
0 |
0.000 |
0.000 |
0.200 |
||
State / Local Government |
Case Record Review |
B1a/B1b |
25 |
100% |
25 |
42 |
1,040 |
0.033 |
34.667 |
0 |
40 |
0 |
0.000 |
0.000 |
34.667 |
||
|
Individuals / HH |
|
Household Survey Pretest Outreach Script |
B2b* |
6 |
100% |
6 |
1 |
6 |
0.050 |
0.300 |
0 |
1 |
0 |
0.000 |
0.000 |
0.300 |
Individuals / HH |
Household Survey Pretest |
B2a |
6 |
100% |
6 |
1 |
6 |
0.667 |
4.000 |
0 |
1 |
0 |
0.000 |
0.000 |
4.000 |
||
Individuals / HH |
Pretest Debriefing Guide |
B2d* |
6 |
100% |
6 |
1 |
6 |
0.133 |
0.800 |
0 |
1 |
0 |
0.000 |
0.000 |
0.800 |
||
Household Survey |
Individuals / HH |
FDPIR participants |
FDPIR Study Informational Brochure |
I6 |
1,040 |
80% |
832 |
1 |
832 |
0.050 |
41.600 |
208 |
1 |
208 |
0.017 |
3.467 |
45.067 |
Individuals / HH |
FDPIR Letter #4 – Household Survey Respondents from USDA |
I4 |
1,040 |
80% |
832 |
1 |
832 |
0.033 |
27.733 |
208 |
1 |
208 |
0.017 |
3.467 |
31.200 |
||
Individuals / HH |
Household Survey Outreach Script |
B2c |
1,040 |
60% |
624 |
1 |
624 |
0.050 |
31.200 |
416 |
1 |
416 |
0.050 |
20.800 |
52.000 |
||
Individuals / HH |
Household Survey Outreach Script (Follow‐up #1 |
B2c |
416 |
50% |
208 |
1 |
208 |
0.050 |
10.400 |
208 |
1 |
208 |
0.050 |
10.400 |
20.800 |
||
Individuals / HH |
Household Survey Outreach Script (Follow‐up #2) |
B2c |
208 |
40% |
83 |
1 |
83 |
0.050 |
4.160 |
125 |
1 |
125 |
0.050 |
6.240 |
10.400 |
||
Individuals / HH |
Household Survey Outreach Script (Follow‐up #3 |
B2c |
125 |
35% |
44 |
1 |
44 |
0.050 |
2.184 |
81 |
1 |
81 |
0.050 |
4.056 |
6.240 |
||
Individuals / HH |
Household Survey Outreach Script (Follow‐up #4) |
B2c |
81 |
25% |
20 |
1 |
20 |
0.050 |
1.014 |
61 |
1 |
61 |
0.050 |
3.042 |
4.056 |
||
Individuals / HH |
Household survey |
B2a |
979 |
85% |
832 |
1 |
832 |
0.667 |
554.857 |
147 |
1 |
147 |
0.050 |
7.344 |
562.201 |
||
Discussion Guide |
Individuals / HH |
FDPIR participants; eligible non‐ participants |
Discussion Group Pretest Outreach Script |
B5f* |
2 |
100% |
2 |
1 |
2 |
0.083 |
0.167 |
0 |
1 |
0 |
0.000 |
0.000 |
0.167 |
Individuals / HH |
Discussion Group Pretest |
B5a |
2 |
100% |
2 |
1 |
2 |
0.500 |
1.000 |
0 |
1 |
0 |
0.000 |
0.000 |
1.000 |
||
Individuals / HH |
Pretest Debriefing Guide |
B2d* |
2 |
100% |
2 |
1 |
2 |
0.133 |
0.267 |
0 |
1 |
0 |
0.000 |
0.000 |
0.267 |
||
Individuals / HH |
Discussion Group Outreach Script |
B5e |
304 |
75% |
228 |
1 |
228 |
0.083 |
19.000 |
76 |
1 |
76 |
0.017 |
1.267 |
20.267 |
||
|
Discussion Group Recruitment Flyer |
B5d |
304 |
50% |
152 |
1 |
152 |
0.033 |
5.067 |
152 |
1 |
152 |
0.000 |
0.000 |
5.067 |
||
Individuals / HH |
Discussion Group Guide |
B5a |
228 |
100% |
228 |
1 |
228 |
1.917 |
437.000 |
0 |
1 |
0 |
0.000 |
0.000 |
437.000 |
||
Individuals / HH |
Discussion Group Participant Information Questionnaire |
B5b |
228 |
100% |
228 |
1 |
228 |
0.067 |
15.200 |
0 |
1 |
0 |
0.000 |
0.000 |
15.200 |
||
Individuals / HH |
Discussion Group Participant Gift Confirmation |
B5c |
228 |
100% |
228 |
1 |
228 |
0.017 |
3.800 |
0 |
1 |
0 |
0.000 |
0.000 |
3.800 |
||
Site Visit Planning and Management Contacts |
State / Local Government |
Tribal leaders, FDPIR managers and staff, other service providers (email or telephone call) |
FDPIR Letter #1 –Tribal Leadership from USDA |
I1* |
25 |
100% |
25 |
1 |
25 |
0.050 |
1.250 |
0 |
1 |
0 |
0.000 |
0.000 |
1.250 |
State / Local Government |
FDPIR Letter #2 – FDPIR Director from USDA (Outreach) |
I2* |
25 |
100% |
25 |
1 |
25 |
0.050 |
1.250 |
0 |
1 |
0 |
0.000 |
0.000 |
1.250 |
||
State / Local Government |
Invitation to the Reservation Template |
J* |
25 |
100% |
25 |
1 |
25 |
0.050 |
1.250 |
0 |
1 |
0 |
0.000 |
0.000 |
1.250 |
||
State / Local Government |
FDPIR Letter #3 –FDPIR Director from USDA (Invitation Accepted) |
I3* |
25 |
100% |
25 |
1 |
25 |
0.050 |
1.250 |
0 |
1 |
0 |
0.000 |
0.000 |
1.250 |
||
State / Local Government |
FDPIR Letter #5 – Tribal leadership from Urban Institute |
I5* |
25 |
100% |
25 |
1 |
25 |
0.050 |
1.250 |
0 |
1 |
0 |
0.000 |
0.000 |
1.250 |
||
State / Local Government |
Call Script for Site Visit Planning with FDPIR Director |
B4c |
25 |
100% |
25 |
1 |
25 |
0.250 |
6.250 |
0 |
1 |
0 |
0.000 |
0.000 |
6.250 |
||
Onsite Interviews |
State / Local Government |
Tribal leaders, FDPIR managers and staff, other service providers (email or telephone call) |
Onsite Official Interview Pretest Outreach Email |
B4e* |
5 |
100% |
5 |
1 |
5 |
0.083 |
0.417 |
0 |
1 |
0 |
0.000 |
0.000 |
0.417 |
State / Local Government |
Onsite Official Interview Pretest |
B4a |
5 |
100% |
5 |
1 |
5 |
1.000 |
5.000 |
0 |
1 |
0 |
0.000 |
0.000 |
5.000 |
||
State / Local Government |
Pretest Debriefing Guide |
B2d* |
5 |
100% |
5 |
1 |
5 |
0.133 |
0.667 |
0 |
1 |
0 |
0.000 |
0.000 |
0.667 |
||
State / Local Government |
Onsite Official Interview Outreach Script |
B4d |
145 |
100% |
145 |
1 |
145 |
0.167 |
24.167 |
0 |
1 |
0 |
0.000 |
0.000 |
24.167 |
||
State / Local Government |
Onsite Official Interview Guide |
B4a |
170 |
100% |
170 |
1 |
170 |
1.000 |
170.000 |
0 |
1 |
0 |
0.000 |
0.000 |
170.000 |
||
Total |
|
|
|
|
1,554 |
|
1,270 |
|
6,091 |
|
1,408 |
284 |
|
1,682 |
|
60 |
1,468 |
*Pre‐test and Site Visit Planning and Management attachments that are described in Part B. |
|
||||||||||||||||
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | ATTACHMENT E - Burden Table.xlsx |
| Author | cnarducc |
| File Modified | 0000-00-00 |
| File Created | 2021-01-29 |