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Responsive |
Non-Responsive |
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| Respondent Category |
Type of respondents |
Instruments |
Appendix |
Sample Sizea |
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) |
Grand Total Annual Burden Estimate (hours) |
Hourly Wage Rate |
Total Annualized Cost of Respondent Burdenb |
| Individualsc / Household |
Program Non-participants |
Cognitive Tests |
- |
8 |
8 |
1 |
8 |
1.000 |
8.0 |
0 |
1 |
0 |
0.000 |
0.0 |
8.0 |
$7.25 |
$58.00 |
| Methods Test |
- |
9 |
9 |
1 |
9 |
1.000 |
9.0 |
0 |
1 |
0 |
0.000 |
0.0 |
9.0 |
$7.25 |
$65.25 |
| Program Participants |
NAMES Introductory Letter |
B16 B17 |
6,750 |
6,750 |
1 |
6,750 |
0.033 |
225.0 |
0 |
1 |
0 |
0.000 |
0.0 |
225.0 |
$7.25 |
$1,631.25 |
| NAMES Brochure |
B18 B19 |
6,750 |
6,750 |
1 |
6,750 |
0.050 |
337.5 |
0 |
1 |
0 |
0.000 |
0.0 |
337.5 |
$7.25 |
$2,446.88 |
| NAMES Recruitment Call Script |
B20 B21 |
6,750 |
6,075 |
1 |
6,075 |
0.167 |
1,012.5 |
675 |
1 |
675 |
0.050 |
33.8 |
1,046.3 |
$7.25 |
$7,585.31 |
| NAMES Appointment Reminder Letter |
C21 C22 |
6,075 |
5,400 |
1 |
5,400 |
0.083 |
450.0 |
675 |
1 |
675 |
0.033 |
22.5 |
472.5 |
$7.25 |
$3,425.63 |
| NAMES Survey Income Worksheet |
C23 C24 |
6,075 |
5,400 |
1 |
5,400 |
0.417 |
2,250.0 |
675 |
1 |
675 |
0.017 |
11.3 |
2,261.3 |
$7.25 |
$16,394.06 |
| NAMES Survey Consent Form |
C19 C20 |
6,075 |
5,400 |
1 |
5,400 |
0.083 |
450.0 |
675 |
1 |
675 |
0.000 |
0.0 |
450.0 |
$7.25 |
$3,262.50 |
| NAMES Survey |
C25 C26 |
6,075 |
5,400 |
1 |
5,400 |
0.750 |
4,050.0 |
675 |
1 |
675 |
0.000 |
0.0 |
4,050.0 |
$7.25 |
$29,362.50 |
| NAMES Survey Income Show Card |
C27 C28 |
6,075 |
5,400 |
1 |
5,400 |
0.033 |
180.0 |
675 |
1 |
675 |
0.000 |
0.0 |
180.0 |
$7.25 |
$1,305.00 |
| NAMES Survey Incentive Received Form |
C29 C30 |
6,767 |
5,400 |
1 |
5,400 |
0.033 |
180.0 |
675 |
1 |
675 |
0.000 |
0.0 |
180.0 |
$7.25 |
$1,305.00 |
| Individuals/ Household Sub-Total |
|
6,767 |
6,767 |
7.68 |
51,992 |
0.176 |
9,152 |
675 |
7.00 |
4,725 |
0.014 |
67.5 |
9,219.50 |
|
$66,841.38 |
| State CN Agency |
State Directord |
Study Notification Letter & Administrative Data Request |
B1 |
25 |
25 |
1 |
25 |
1.000 |
25.0 |
0 |
0 |
0 |
0.000 |
0.0 |
25.0 |
$43.61 |
$1,090.25 |
| State Instructions for Submission of Administrative Data |
B2 |
25 |
25 |
1 |
25 |
0.167 |
25.0 |
0 |
0 |
0 |
0.000 |
0.0 |
25.0 |
$43.61 |
$1,090.25 |
| State User Account Sheet |
B3 |
25 |
25 |
1 |
25 |
0.033 |
25.0 |
0 |
0 |
0 |
0.000 |
0.0 |
25.0 |
$43.61 |
$1,090.25 |
| Guidelines for Administrative Data Request |
B4 |
25 |
25 |
1 |
25 |
0.167 |
25.0 |
0 |
0 |
0 |
0.000 |
0.0 |
25.0 |
$43.61 |
$1,090.25 |
| Confirmation Email |
B5 |
25 |
25 |
1 |
25 |
0.083 |
25.0 |
0 |
0 |
0 |
0.000 |
0.0 |
25.0 |
$43.61 |
$1,090.25 |
| State Sample Selection Notification Letter |
B6 |
25 |
25 |
1 |
25 |
0.083 |
25.0 |
0 |
0 |
0 |
0.000 |
0.0 |
25.0 |
$43.61 |
$1,090.25 |
| Template letter from State to Sponsor |
B7 |
25 |
25 |
1 |
25 |
0.083 |
25.0 |
0 |
0 |
0 |
0.000 |
0.0 |
25.0 |
$43.61 |
$1,090.25 |
| Data Managere |
State Meal Claim Request |
C18 |
25 |
25 |
1 |
25 |
4.000 |
100.0 |
0 |
0 |
0 |
0.000 |
0.0 |
100.0 |
$39.56 |
$3,956.00 |
| State Government Sub-Total |
|
50 |
50 |
4.00 |
200 |
1.375 |
275.0 |
0 |
0.00 |
0 |
0.000 |
0.0 |
275.00 |
|
$11,587.75 |
|
Program Non-participants |
Sponsor/Center Consultation |
- |
4 |
4 |
1 |
4 |
1.000 |
4.0 |
0 |
1 |
0 |
0.000 |
0.0 |
4.0 |
$22.57 |
$90.28 |
|
|
Study Letter of Endorsement |
B8 |
474 |
474 |
1 |
474 |
0.083 |
39.5 |
0 |
1 |
0 |
0.000 |
0.0 |
39.50 |
$25.09 |
$991.06 |
|
|
Sponsor Notification Letter |
B9, B10 |
474 |
474 |
1 |
474 |
0.083 |
39.5 |
0 |
1 |
0 |
0.000 |
0.0 |
39.50 |
$25.09 |
$991.06 |
|
|
Fact Sheet |
B13 |
474 |
474 |
1 |
474 |
0.167 |
79 |
0 |
1 |
0 |
0.000 |
0.0 |
79.00 |
$25.09 |
$1,982.11 |
|
|
Call Guide and Worksheet for Sponsors |
B14 |
474 |
450 |
1 |
450 |
0.250 |
112.5 |
24 |
1 |
24 |
0.000 |
0.0 |
112.50 |
$25.09 |
$2,822.63 |
|
|
Template letter from Sponsor to Sampled Center |
B11 |
474 |
450 |
1 |
450 |
0.167 |
75 |
24 |
1 |
24 |
0.000 |
0.0 |
75.00 |
$25.09 |
$1,881.75 |
| Sponsoring Organization |
Sponsor Director f |
Sponsor/Center Pre-visit Interview |
C2 |
450 |
450 |
1 |
450 |
0.500 |
225.0 |
0 |
1 |
0 |
0.083 |
0.0 |
225.0 |
$25.09 |
$5,645.25 |
| Interact with Data Collector - Access to Income Eligiblity Application Records - Round 1 |
C4 |
450 |
450 |
1 |
450 |
0.250 |
112.5 |
0 |
0 |
0 |
0.000 |
0.0 |
112.5 |
$25.09 |
$2,822.63 |
| Interact with Data Collector - Access to Income Eligiblity Application Records - Round 2 |
C4 |
450 |
450 |
1 |
450 |
0.250 |
112.5 |
0 |
0 |
0 |
0.000 |
0.0 |
112.5 |
$25.09 |
$2,822.63 |
| Interact with Data Collector - Access to Income Eligiblity Application Records- Round 3 |
C4 |
450 |
450 |
1 |
450 |
0.250 |
112.5 |
0 |
0 |
0 |
0.000 |
0.0 |
112.5 |
$25.09 |
$2,822.63 |
| Sponsor Survey Cover Letter |
C13 |
450 |
450 |
1 |
450 |
0.083 |
37.5 |
0 |
0 |
0 |
0.000 |
0.0 |
37.5 |
$25.09 |
$940.88 |
| Sponsor Survey |
C14 C15 |
450 |
450 |
1 |
450 |
0.500 |
225.0 |
0 |
0 |
0 |
0.000 |
0.0 |
225.0 |
$25.09 |
$5,645.25 |
| Data Managere |
Sponsor/Independent Center Meal Claim to State |
C11 C12 |
450 |
450 |
1 |
450 |
2.000 |
900.0 |
0 |
0 |
0 |
0.000 |
0.0 |
900.0 |
$39.56 |
$35,604.00 |
| Child Care Center |
Center Director / Manager g |
Center Study Notification Letter |
B12 |
474 |
474 |
1 |
474 |
0.250 |
118.5 |
0 |
1 |
0 |
0.000 |
0.0 |
118.5 |
$22.57 |
$2,674.55 |
| Fact Sheet |
B13 |
474 |
474 |
1 |
474 |
0.250 |
118.5 |
0 |
1 |
0 |
0.000 |
0.0 |
118.5 |
$22.57 |
$2,674.55 |
| Call Guide and Worksheet for Centers |
B15 |
474 |
450 |
1 |
450 |
0.500 |
225.0 |
24 |
1 |
24 |
0.000 |
0.0 |
225.0 |
$22.57 |
$5,078.25 |
| Sponsor/Center Pre-visit Interview |
C2 |
450 |
450 |
1 |
450 |
0.500 |
225.0 |
0 |
1 |
0 |
0.083 |
0.0 |
225.0 |
$22.57 |
$5,078.25 |
| Interact with Data Collector - Access to Income Eligiblity Application Records - Round 1 |
C4 |
450 |
450 |
1 |
450 |
0.250 |
112.5 |
0 |
0 |
0 |
0.000 |
0.0 |
112.5 |
$22.57 |
$2,539.13 |
| Interact with Data Collector - Access to Center Enrollment Records |
C3 |
450 |
450 |
1 |
450 |
0.083 |
37.5 |
0 |
0 |
0 |
0.000 |
0.0 |
37.5 |
$22.57 |
$846.38 |
| Interact with Data Collector - Access to Center Attendance Records |
C8 |
450 |
450 |
1 |
450 |
0.083 |
37.5 |
0 |
0 |
0 |
0.000 |
0.0 |
37.5 |
$22.57 |
$846.38 |
| Interact with Data Collector - Access to Center Meal Count Records |
C9 |
450 |
450 |
1 |
450 |
0.083 |
37.5 |
0 |
0 |
0 |
0.000 |
0.0 |
37.5 |
$22.57 |
$846.38 |
| Interact with Data Collector - Access to Center Meal Claims Records |
C10 |
450 |
450 |
1 |
450 |
0.083 |
37.5 |
0 |
0 |
0 |
0.000 |
0.0 |
37.5 |
$22.57 |
$846.38 |
| Interact with Data Collector for Meals Observation |
C5 C6 |
450 |
450 |
1 |
450 |
0.250 |
112.5 |
0 |
0 |
0 |
0.000 |
0.0 |
112.5 |
$22.57 |
$2,539.13 |
| Round 2 Scheduling Call Guide |
C4a |
450 |
450 |
1 |
450 |
0.167 |
75.0 |
0 |
0 |
0 |
0.000 |
0.0 |
75.0 |
$22.57 |
$1,692.75 |
| Interact with Data Collector - Access to Income Eligiblity Application Records - Round 2 |
C4 |
450 |
450 |
1 |
450 |
0.250 |
112.5 |
0 |
0 |
0 |
0.000 |
0.0 |
112.5 |
$22.57 |
$2,539.13 |
| Round 3 Scheduling Call Guide |
C4a |
450 |
450 |
1 |
450 |
0.167 |
75.0 |
0 |
0 |
0 |
0.000 |
0.0 |
75.0 |
$22.57 |
$1,692.75 |
| Interact with Data Collector - Access to Income Eligiblity Application Records - Round 3 |
C4 |
450 |
450 |
1 |
450 |
0.250 |
112.5 |
0 |
0 |
0 |
0.000 |
0.0 |
112.5 |
$22.57 |
$2,539.13 |
| Compile Requested Data File on Extended Attendance Data |
C16 |
450 |
450 |
1 |
450 |
1.000 |
450.0 |
0 |
0 |
0 |
0.000 |
0.0 |
450.0 |
$22.57 |
$10,156.50 |
| Compile Requested Data File on Meal Counts for Observation Month |
C17 |
450 |
450 |
1 |
450 |
1.00 |
450.0 |
0 |
0 |
0 |
0.000 |
0.0 |
450.0 |
$22.57 |
$10,156.50 |
| Profit/ Non-profit Business Subtotal |
|
1,402 |
1,402 |
9.08 |
12,724 |
0.347 |
4,411.5 |
48 |
1.50 |
72 |
0.000 |
0.0 |
4,411.50 |
|
$117,808.22 |
|
TOTAL |
|
|
8,219 |
8,219 |
7.90 |
64,916 |
0.213 |
13,838.5 |
723 |
6.63 |
4,797 |
0.014 |
67.5 |
13,906 |
|
$196,237.34 |
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| Footnotes: |
| a Sample numbers are always rounded up to the next whole number (for example, 473.68 becomes 474). |
| b Costs are rounded up to the next whole cent. |
| c Federal minimum wage for household level: http://www.dol.gov/whd/minimumwage.htm |
| d Job category "Management Occupations;" code #11-9031 "Education Administrators, Preschool and Childcare Center/Program;" industry "State Government" for State Director, mean hourly wage $43.61 |
| e Job category "Computer and Mathematical Occupations;" code #15-1141 "Database Administrators" for Data Manager at the State and Sponsor levels, mean hourly wage $39.56 |
| f Job category "Management Occupations;" code #11-9031 "Education Administrators, Preschool and Childcare Center/Program;" industry "Civic and Social Organizations" for Sponsor Director, mean hourly wage $25.09 |
| g Job category "Management Occupations;" code #11-9031 "Education Administrators, Preschool and Childcare Center/Program;" industry "Child Day Care Services" for Child Care Center Director/Manager, mean hourly wage $22.57 |