Burden Table for Evaluation of the Food Insecurity Nutrition Incentives 2-23-16 PRAO2nd round recommendations applied to this 3rd round 3-2-16

Burden Table for Evaluation of the Food Insecurity Nutrition Incentives 2-23-16 PRAO2nd round recommendations applied to this 3rd round 3-2-16.xlsx

Evaluation of Food Insecurity Nutrition Incentives (FINI)

Burden Table for Evaluation of the Food Insecurity Nutrition Incentives 2-23-16 PRAO2nd round recommendations applied to this 3rd round 3-2-16

OMB: 0584-0616

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Affected Public Respondent Description Type of Survey Instrument Appendices Sample size Estimated Sample Size and Respondent Burden
Responses Non-Responses Grand Total
Number of Respondents Frequency of Response (annual) Total Annual Responses Average Hours per Response Sub-Total Annual Burden Number of non -respondents Frequency of Response (annual) Total Annual Responses Average Hours per response Sub-Total Annual Burden Est. Grand Total Burden hours for respondents and non respondents Hourly Rate Total Annualized Cost
Household and Individuals SNAP participants Pretest for 2 SPS questions AO 6 6 1 6 0.2500 1.5000 0 1 0 0.250 0 1.5000 7.25 10.88
Pre-SPS Invitation Letter (a) D 7,590 6,831 1 6,831 0.0501 342.2331 759 1 0 0.050 0 342.2331 7.25 2481.19
Pre-SPS - Web(c) E 6,831 1,025 1 1,025 0.3340 342.2331 5806 1 0 0.334 0 342.2331 7.25 2481.19
SPS Reminder Postcard - 1 (b) F 7,590 4,554 1 4,554 0.0167 76.0518 3036 1 0 0.017 0 76.0518 7.25 551.38
Pre-SPS Reminder Letter 1 (d) G 6,565 5,909 1 5,909 0.0167 98.6772 657 1 0 0.017 0 98.6772 7.25 715.41
Pre-SPS Teleform - 1 (e) E 5,909 2,068 1 2,068 0.3340 690.7405 3841 1 0 0.334 0 690.7405 7.25 5007.87
SPS Reminder Postcard -2 (b) H 6,565 3,939 1 3,939 0.0167 65.7848 2626 1 0 0.017 0 65.7848 7.25 476.94
Pre-SPS Reminder Letter 2 (d) I 4,497 4,048 1 4,048 0.0167 67.5939 450 1 0 0.017 0 67.5939 7.25 490.06
Pre-SPS Teleform -2 (f) E 4,048 1,012 1 1,012 0.3340 337.9694 3036 1 0 0.334 0 337.9694 7.25 2450.28
Pre-SPS - Telephone Survey (g) J 334 23 1 23 0.3340 7.8090 311 1 0 0.334 0 7.8090 7.25 56.62
Voicemail Reminder for Telephone Survey (h) K 334 200 1 200 0.0167 3.3467 134 1 0 0.017 0 3.3467 7.25 24.26
Pre-SPS Thank You Letter (i) L 4,128 4,128 1 4,128 0.0167 68.9376 0 1 0 0.017 0 68.9376 7.25 499.80
Post-SPS Web Invitation letter (j) M 4,128 3,715 1 3,715 0.0501 186.1315 413 1 0 0.050 0 186.1315 7.25 1349.45
Post-SPS - Web (c) N,O 3,715 669 1 669 0.3340 223.3578 3046 1 0 0.334 0 223.3578 7.25 1619.34
SPS Reminder Postcard - 1 (b) F 4,128 2,477 1 2,477 0.0167 41.3626 1651 1 0 0.017 0 41.3626 7.25 299.88
Post-SPS Reminder Letter 1 (d) P 3,459 3,113 1 3,113 0.0167 51.9927 346 1 0 0.017 0 51.9927 7.25 376.95
Post-SPS Teleform - 1 (e) N,O 3,113 1,090 1 1,090 0.3340 363.9492 2024 1 0 0.334 0 363.9492 7.25 2638.63
SPS Reminder Postcard - 2 (b) H 3,113 1,868 1 1,868 0.0167 31.1956 1245 1 0 0.017 0 31.1956 7.25 226.17
Post-SPS Reminder Letter 2 (d) Q 2,370 2,133 1 2,133 0.0167 35.6150 237 1 0 0.017 0 35.6150 7.25 258.21
Post-SPS Teleform - 2 (f) N,O 2,133 533 1 533 0.3340 178.0751 1599 1 0 0.334 0 178.0751 7.25 1291.04
Post-SPS - Telephone Survey (g) J 263 18 1 18 0.3340 6.1579 245 1 0 0.334 0 6.1579 7.25 44.64
Voicemail Reminder for Telephone Survey (h) K 263 158 1 158 0.0167 2.6391 105 1 105 0.017 1.75939519542857 4.3985 7.25 31.89
Post-SPS Thank You Letter (i) R 2,310 2,310 1 2,310 0.0167 38.5770 0 1 0 0.017 0 38.5770 7.25 279.68
SNAP Participant KII Invitation Letter (k) S 60 60 1 60 0.0167 1.0020 0 1 0 0.017 0 1.0020 7.25 7.26
SNAP Participant KII Recruitment Script (l) T 60 51 1 51 0.0835 4.2585 9 1 9 0.084 0.7515 5.0100 7.25 36.32
SNAP participant KII Confirmation Letter (k) U 51 51 1 51 0.0167 0.8517 0 1 0 0.017 0 0.8517 7.25 6.17
SNAP Participant KII Discussion Guide (m) V 51 41 1 41 1.0000 40.8000 10 1 10 1.000 10.2 51.0000 7.25 369.75
SNAP participant KII Thank you Letter (i) W 41 41 1 41 0.0167 0.6814 0 1 0 0.017 0 0.6814 7.25 4.94
Individuals and Households Subtotal

7,596 6,837 7.6160 52071
3309.5243 759 0.1641 125
12.7 3322.2351
24086.20


Submit SNAP administrative file - 51 51 1 51 0.0250 1.2750 0 1 0 0.025 0 1.2750 53.15 67.77
Request to complete Outlet Characteristics Form X 5 5 1 5 0.0501 0.2505 0 1 0 0.050 0 0.2505 53.15 13.31
Outlet Characteristics Form X 5 5 1 5 1.0000 5.0000 0 1 0 1.000 0 5.0000 53.15 265.75
Grantee Administrator Interview Scheduling (script), Year 1 (n) Y 2 2 1 2 0.0835 0.1670 0 1 0 0.084 0 0.1670 53.15 8.88
Grantee Administrator Interview Discussion Guide, Year 1 (o) Y 2 2 1 2 1.5000 3.0000 0 1 0 1.500 0 3.0000 53.15 159.45
Grantee Administrator Interview Thank you Postcard , Year 1(i) Z 2 2 1 2 0.0167 0.0334 0 1 0 0.017 0 0.0334 53.15 1.78
Quarterly Core Program Data Form Request Email, Year 1 (p) AB 2 2 4 8 0.0167 0.1336 0 4 0 0.017 0 0.1336 53.15 7.10
Annual Core Program Data Form Request Email , Year 1(p) AC 2 2 1 2 0.0167 0.0334 0 1 0 0.017 0 0.0334 53.15 1.78
Quarterly Core Program Data Form, Year 1 (q) AD 2 2 4 8 0.3340 2.6720 0 4 0 0.334 0 2.6720 53.15 142.02
Annual Core Program Data Form, Year 1 (q) AE 2 2 1 2 0.2500 0.5000 0 1 0 0.250 0 0.5000 53.15 26.58
Grantee Administrator Interview Scheduling (script), Year 2 (n) Y 5 5 1 5 0.0835 0.4175 0 1 0 0.084 0 0.4175 53.15 22.19
Grantee Administrator Interview Discussion Guide, Year 2 (o) Y 5 5 1 5 1.5000 7.5000 0 1 0 1.500 0 7.5000 53.15 398.63
Grantee Administrator Thank you Postcard, Year 2 (i) AA 5 5 1 5 0.0167 0.0835 0 1 0 0.017 0 0.0835 53.15 4.44
Quarterly Core Program Data Form Request Email, Year 2 (p) AB 5 5 4 20 0.0167 0.3340 0 4 0 0.017 0 0.3340 53.15 17.75
Annual Core Program Data Form Request Email, Year 2 (p) AC 5 5 1 5 0.0167 0.0835 0 1 0 0.017 0 0.0835 53.15 4.44
Quarterly Core Program Data Form, Year 2 (q) AD 5 5 4 20 0.3340 6.6800 0 4 0 0.334 0 6.6800 53.15 355.04
Annual Core Program Data Form, Year 2 (q) AE 5 5 1 5 0.2500 1.2500 0 1 0 0.250 0 1.2500 53.15 66.44
Quarterly Core Program Data Form Request Email, Year 3 (p) AB 5 5 4 20 0.0167 0.3340 0 4 0 0.017 0 0.3340 53.15 17.75
Annual Core Program Data Form Request Email, Year 3 (p) AC 5 5 1 5 0.0167 0.0835 0 1 0 0.017 0 0.0835 53.15 4.44
Quarterly Core Program Data Form, Year 3 (q) AD 5 5 4 20 0.3340 6.6800 0 4 0 0.334 0 6.6800 53.15 355.04
Annual Core Program Data Form, Year 3 (q) AE 5 5 1 5 0.2500 1.2500 0 1 0 0.250 0 1.2500 53.15 66.44
Email to Grantees for Followup with Nonresponding Outlets AI 5 5 1 5 0.0501 0.2505 0 1 0 0.050 0 0.2505 53.15 13.31
State/Local Government Subtotal (i)

56 56 3.70 207
38.0114 0 0 0
0 38.0114
2020.31
Profit/Non-Profit Business Subtotal Grantees and Administrators/ Retailers/Local Community Org. Staff Outlet Survey Cognitive Testing AP 4 4 1 4 0.2500 1.0000 0 1 0 0.250 0 1.0000 53.15 53.15
Email to accompany Outlet Characteristics Form X 30 30 1 30 0.0501 1.5030 0 1 0 0.050 0 1.5030 53.15 79.88
Outlet Characteristics Form X 30 30 1 30 1.0000 30.0000 0 1 0 1.000 0 30.0000 53.15 1594.50
Grantee Administrator Interview Scheduling (script), Year 1 (n) Y 30 30 1 30 0.0835 2.5050 0 1 0 0.084 0 2.5050 53.15 133.14
Grantee Administrator Interview Discussion Guide, Year 1 (o) Y 30 30 1 30 1.5000 45.0000 0 1 0 1.500 0 45.0000 53.15 2391.75
Grantee Administrator Interview Thank you Postcard , Year 1(i) Z 30 30 1 30 0.0167 0.5010 0 1 0 0.017 0 0.5010 53.15 26.63
Quarterly Core Program Data Form Request Email, Year 1 (p) AB 30 30 4 120 0.0167 2.0040 0 4 0 0.017 0 2.0040 53.15 106.51
Annual Core Program Data Form Request Email , Year 1(p) AC 30 30 1 30 0.0167 0.5010 0 1 0 0.017 0 0.5010 53.15 26.63
Quarterly Core Program Data Form, Year 1 (q) AD 30 30 4 120 0.3340 40.0800 0 4 0 0.334 0 40.0800 53.15 2130.25
Annual Core Program Data Form, Year 1 (q) AE 30 30 1 30 0.2500 7.5000 0 1 0 0.250 0 7.5000 53.15 398.63
Grantee Administrator Interview Scheduling (script), Year 2 (n) Y 30 30 1 30 0.0835 2.5050 0 1 0 0.084 0 2.5050 53.15 133.14
Grantee Administrator Interview Discussion Guide, Year 2 (o) Y 30 30 1 30 1.5000 45.0000 0 1 0 1.500 0 45.0000 53.15 2391.75
Grantee Administrator Thank you Postcard, Year 2 (i) AA 30 30 1 30 0.0167 0.5010 0 1 0 0.017 0 0.5010 53.15 26.63
Quarterly Core Program Data Form Request Email, Year 2 (p) AB 30 30 4 120 0.0167 2.0040 0 4 0 0.017 0 2.0040 53.15 106.51
Annual Core Program Data Form Request Email, Year 2 (p) AC 30 30 1 30 0.0167 0.5010 0 1 0 0.017 0 0.5010 53.15 26.63
Quarterly Core Program Data Form, Year 2 (q) AD 30 30 4 120 0.3340 40.0800 0 4 0 0.334 0 40.0800 53.15 2130.25
Annual Core Program Data Form, Year 2 (q) AE 30 30 1 30 0.2500 7.5000 0 1 0 0.250 0 7.5000 53.15 398.63
Quarterly Core Program Data Form Request Email, Year 3 (p) AB 30 30 4 120 0.0167 2.0040 0 4 0 0.017 0 2.0040 53.15 106.51
Annual Core Program Data Form Request Email, Year 3 (p) AC 30 30 1 30 0.0167 0.5010 0 1 0 0.017 0 0.5010 53.15 26.63
Quarterly Core Program Data Form, Year 3 (q) AD 30 30 4 120 0.3340 40.0800 0 4 0 0.334 0 40.0800 53.15 2130.25
Annual Core Program Data Form, Year 3 (q) AE 30 30 1 30 0.2500 7.5000 0 1 0 0.250 0 7.5000 53.15 398.63
Email to Grantees for Followup with Nonresponding Outlets AI 30 30 1 30 0.0501 1.5030 0 1 0 0.050 0 1.5030 53.15 79.88
Outlet Survey Invitation Letter (r) AF 3600 3600 1 3600 0.0501 180.3600 0 1 0 0.050 0 180.3600 13.61 2454.70
Outlet Survey Reminder Letter (s) AH 1800 1710 1 1710 0.0167 28.5570 90 1 90 0.017 2 30.0600 13.61 409.12
Outlet Survey (t) AG 3600 2880 1 2880 0.1670 480.9600 720 1 720 0.167 120 601.2000 13.61 8182.33
Outlet Survey Thank you Postcard (i) AJ 2880 2880 1 2880 0.0167 48.0960 0 1 0 0.017 0 48.0960 13.61 654.59
Profit/Non-Profit Business Subtotal

3,634 2,914 4.2018 12244
1018.2460 720 1.125 810
121.74 1139.9890
26597.24
GRAND TOTAL

11,286 9,807
64,522
4365.7817 1479
935
134.45 4500.2355
52703.76



















(a) Assume 90 percent of sampled participants will read the invitation letter - 5 percent postal nondeliverables and 5 percent not read

















(b) Assume 60 percent of sampled participants will receive a reminder postcard

















(c) Assume 15 percent of participants who read the invitation letter will complete the pre survey by web and 18 percent will complete the post survey by web

















(d) Reminder letters will be sent to all non-respondents; assume 90 percent will read the letter - 5 percent postal nondeliverables and 5 percent not read

















(e) Assume 35 percent of those who read the first reminder letter will complete the teleform survey

















(f) Assume 25 percent of those who read the second reminder letter will complete the teleform survey

















(g) Assume Non-respondents will be contacted by phone to achieve the targeted number of completes; assume 7 percent will complete the survey by phone

















(h) Non-respondents will be contacted by phone to achieve the targeted number of completes; messages will be left on voicemail for 60 percent with working phone numbers and voicemails

















(i) Thank you letters will be read by all respondents

















(j) Post-SPS invitation letters will be mailed to all those who completed the pre-SPS; 90 percent will read the invitation letter

















(k) Assume all SNAP participants will read the KII invitation letter and KII Confirmation Letter

















(l) Assume 85 percent of those contacted by phone will be scheduled for KII

















(m) Assume 80 percent of those who are scheduled for KII will participate in KII

















(n) Assume all grantees will be contacted to schedule KII

















(o) Assume all grantees will participate in KII

















(p) Assume all grantees will read the program data form request email

















(q) Assume all grantees will complete the program data forms. If grantees request to submit more than one respose on the annual form to accomdate subawardees or partner organizations, the agency will work with them on an individual basis.

















(r) Assume all outlet operators will read the invitation letter

















(s) Assume 50 percent of outlet operators will need a reminder letter and 95 percent of these will read it

















(t) Assume 80 percent of outlet operators will complete the outlet survey










































































Annual Number of Respondents Annual Number of Respondents
3762
NOTE: This is the sum of Number of respondents (H81 and M81) divided by 3












Total Annual Responses

21818.707919619
NOTE: This is the sum of total annual responses (J81 and O81) divided by 3












Number of responses collected electronically, respondents:

2748.39
NOTE: this includes respondent burden for pre-SPS, post-SPS, annual and quarterly CPD, and email to follow-up with outlets to complete outlet survey












Number of responses collected electronically, nonrespondents:

0.00
NOTE: this includes non- respondent burden for pre-SPS, post-SPS, annual and quarterly CPD, and email to follow-up with outlets to complete outlet survey












% of responses collected electronically

4.36
NOTE: this is the sum of respondent and non-respondent burden above












TOTAL ANNUAL BURDEN

1500.07851559097
NOTE: This is the total burden hours R81/3












% respondents that are small entities:

31.8979266347687
NOTE: Assume only outlets are small entities (H78+M78)/(H81+M81)*100.












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