| Table 1: Without Pre-test Burden |
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| Affected Public |
Type of Respondent |
Number of Respondents |
Number of responses annually per Respondent |
Total annual responses (c x d) |
Estimate of Burden Hours per response |
Total Annual Burden Hours (e x f) |
| Individual Household income less than 130% of poverty level |
non-Food Stamp-participants |
68 |
1 |
68 |
2.338 |
158.984 |
| Food Stamp-participants |
68 |
1 |
68 |
2.338 |
158.984 |
| Recruited (interview/confidentialy agreement only) |
24 |
1 |
24 |
0.334 |
8.016 |
| non-response |
Rgreene:
5% of total # of respondents
8 |
1 |
8 |
Rgreene:
usually 2 minutes = .0334
0.0334 |
0.2672 |
| Total |
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168 |
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326.2512 |
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| Table 2: Includes Pre-test Burden |
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| Affected Public |
Type of Respondent |
Number of Respondents |
Number of responses annually per Respondent |
Total annual responses (c x d) |
Rgreene:
Go at least 4 places past the decimal. Do not round up or down, ROCIS will do the rounding
Estimate of Burden Hours per response |
Total Annual Burden Hours (e x f) |
| Individual Household income less than 130% of poverty level |
General Market |
47 |
1 |
53 |
2.338 |
123.914 |
| Spanish-Speaking |
47 |
1 |
53 |
2.338 |
123.914 |
| African American |
19 |
1 |
25 |
2.338 |
58.45 |
| 60 years or older (elderly) |
19 |
1 |
25 |
2.338 |
58.45 |
| Recruited (interview/confidentialy agreement only) |
24 |
1 |
24 |
0.334 |
8.016 |
| Pre-test Interview |
4 |
1 |
4 |
0.75 |
3 |
| non-response |
8 |
1 |
8 |
0.0334 |
0.2672 |
| Total |
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168 |
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376.0112 |