Appendix A6. IRA OMB Burden Table

					Responsive					Non-Responsive
Respondent Category	Type of respondents	OMB Appendix Number	Instruments	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 Rate	Total Annualized Cost
State Child Nutrition (CN) Agency	State Director	B1	Recruitment Email for Cognitive Test of Survey	3	3	1	2	0.0501	0.1	0	0	0	0.000	0.0	0.1	44.89	4.50
		B3	Cognitive Test of the State Director Survey	3	3	1	3	1.5000	4.5	0	0	0	0.000	0.0	4.5	44.89	202.01
		C2	Study Notification Email from FNS to State CN Directors	51	51	1	51	0.0501	2.6	0	0	0	0.000	0.0	2.6	44.89	114.70
		D1	Email with Link to State Director Survey	51	51	1	51	0.0501	2.6	0	0	0	0.000	0.0	2.6	44.89	114.70
		D2	Reminder Email to Complete State Director Survey #1	40	40	1	40	0.0167	0.7	0	0	0	0.000	0.0	0.7	44.89	29.99
		D2	Reminder Email to Complete State Director Survey #2	30	30	1	30	0.0167	0.5	0	0	0	0.000	0.0	0.5	44.89	22.49
		D2	Reminder Email to Complete State Director Survey #3	20	20	1	20	0.0167	0.3	0	0	0	0.000	0.0	0.3	44.89	14.99
		D2	Reminder Email to Complete State Director Survey #4	10	10	1	10	0.0167	0.2	0	0	0	0.000	0.0	0.2	44.89	7.50
		D3	Telephone Script for Nonrespondent State Directors	5	5	1	5	0.0835	0.4	0	0	0	0.000	0.0	0.4	44.89	18.74
		D4	State Director Survey	51	51	1	51	1.0000	51.0	0	0	0	0.000	0.0	51.0	44.89	2,289.39
		D6	Thank You Email to State Directors	51	51	1	51	0.0167	0.9	0	0	0	0.000	0.0	0.9	44.89	38.23
		E1	Email to Notify State Agencies of Selected LEAs	25	25	1	25	0.0501	1.3	0	0	0	0.000	0.0	1.3	44.89	56.22
		N/A	State Agency Sends Email to Selected LEAs	35	35	1	35	0.1670	5.8	0	0	0	0.000	0.0	5.8	44.89	262.38
	State Key Staff	D4	State Director Survey	51	51	1	51	1.0000	51.0	0	0	0	0.000	0.0	51.0	44.89	2,289.39
State Government Sub-Total				105	105	4.05	425	0.2865	121.7	0	0.00	0	0.0000	0.0	121.7		5,465.23
Local Education Agency (LEA)	LEA Director	B2	Recruitment Email for Cognitive Test of Interview Guide	4	3	1	3	0.0501	0.2	1	1	1	0.1670	0.2	0.3	41.51	13.17
		B3	Cognitive Test of the LEA Interview Guide	3	3	1	3	1.5000	4.5	0	0	0	0.000	0.0	4.5	41.51	186.80
		E2 / E3	State Agency Email to Selected LEAs	35	35	1	35	0.0501	1.8	0	0	0	0.0000	0.0	1.8	41.51	72.79
		E4	Email to Schedule LEA Telephone Interviews and FAQs	35	30	1	30	0.1670	5.0	5	1	5	0.1670	0.8	5.8	41.51	242.63
		E5	Reminder Email to Schedule LEA Telephone Interviews	20	20	1	20	0.0501	1.0	0	0	0	0.000	0.0	1.0	41.51	41.59
		E6	Confirmation Email for LEA Telephone Interviews	30	30	1	30	0.0167	0.5	0	0	0	0.000	0.0	0.5	41.51	20.80
		E7	LEA Interview Guide (includes consent)	30	30	1	30	1.5000	45.0	0	0	0	0.0000	0.0	45.0	41.51	1,867.95
		E8	Thank You Email to LEAs for Interview (Interview-only LEAs)	10	10	1	10	0.0167	0.2	0	0	0	0.0000	0.0	0.2	41.51	6.93
		N/A	LEA Director to send relevant IRA policy/procedure documents	30	30	1	30	0.2500	7.5	0	0	0	0.0000	0.0	7.5	41.51	311.33
		E9	Email to Schedule LEA Calls on Household Applications (Interview and Application LEAs)	20	20	1	20	0.0835	1.7	0	0	0	0.0000	0.0	1.7	41.51	69.32
		E10	Reminder Email to Schedule LEA Calls on Household Applications	10	10	1	10	0.0501	0.5	0	0	0	0.000	0.0	0.5	41.51	20.80
		E11	Confirmation Email for LEA Calls on Household Applications	20	20	1	20	0.0167	0.3	0	0	0	0.000	0.0	0.3	41.51	13.86
		E12	Guide for Telephone Calls on Collection of Household Applications	20	20	2	40	0.5000	20.0	0	0	0	0.0000	0.0	20.0	41.51	830.20
		E13	Email to LEAs with Procedures to Submit Household Applications	20	20	1	20	0.0835	1.7	0	0	0	0.0000	0.0	1.7	41.51	69.32
		E14	Thank You Email to LEAs for Household Applications (Interview and Application LEAs)	20	20	1	20	0.0167	0.3	0	0	0	0.0000	0.0	0.3	41.51	13.86
	LEA Key Staff	E6	Confirmation Email for LEA Telephone Interviews	60	60	1	60	0.0167	1.0	0	0	0	0.000	0.0	1.0	41.51	41.59
		E7	LEA Interview (includes consent)	60	60	1	60	1.5000	90.0	0	0	0	0.0000	0.0	90.0	41.51	3,735.90
		E8	Thank You Email to LEAs for Interview (Interview-only LEAs)	20	20	1	20	0.0167	0.3	0	0	0	0.0000	0.0	0.3	41.51	13.86
		E9	Email to Schedule LEA Calls on Household Applications (Interview and Application LEAs)	40	40	1	40	0.0835	3.3	0	0	0	0.0000	0.0	3.3	41.51	138.64
		E10	Reminder Email to Schedule LEA Calls on Household Applications	20	20	1	20	0.0501	1.0	0	0	0	0.000	0.0	1.0	41.51	41.59
		E11	Confirmation Email for LEA Calls on Household Applications	40	40	1	40	0.0167	0.7	0	0	0	0.000	0.0	0.7	41.51	27.73
		E12	Guide for Telephone Calls on Collection of Household Applications	40	40	2	80	0.5000	40.0	0	0	0	0.0000	0.0	40.0	41.51	1,660.40
		E13	Email to LEAs with Procedures to Submit Household Applications	40	40	1	40	0.0835	3.3	0	0	0	0.0000	0.0	3.3	41.51	138.64
		N/A	Collection and Transmission of Sample of Household Applications	40	40	1	40	2.0000	80.0	0	0	0	0.0000	0.0	80.0	41.51	3,320.80
		E14	Thank You Email to LEAs for Household Applications (Interview and Application LEAs)	40	40	1	40	0.0167	0.7	0	0	0	0.0000	0.0	0.7	41.51	27.73
Local Government Sub-Total				99	93	8.18	761	0.4079	310.4	6	1.00	6	0.1670	1.0	311.4		12,928.2
	TOTAL			204	198	5.99	1,186	0.3644	432.2	6	1.00	6	0.1670	1.0	433.2		18,393.5
Footnotes:
Annual burden hours are rounded to the nearest tenth.