Total Annualized Burden Chart by Affected Public

Table A.12-1a. Reporting Estimates of Hour Burden and Cost to Program Developers and Providers for INN’s Demonstration Project¹

Respondent (total)	Instrument Type	Estimated Number of Respondents	Frequency of Response	Total Annual Responses	Response Burden in Hours	Est. Total Hours Per Response	Estimated Hourly Wage	Estimated Cost to Respondents
Demonstration project staff	Key informant contact information*	1	1	1	0.33	0.33	$39.70	$13.10
	In-depth, open-ended discussions	5	2	10	0.75	7.50	$39.70	$297.75
	Demonstration project cost form*	1	1	1	0.75	0.75	$39.70	$29.78
School principals	Introductory meeting	33	1	33	0.5	16.50	$40.43	$667.10
	Coordinating activities*	33	1	33	1.5	49.50	$40.43	$2,001.29
	In-depth, open-ended discussions*	6	1	6	0.5	3.00	$40.43	$121.29
School food service directors	In-depth, open-ended discussions	3	1	3	0.33	0.99	$20.99	$20.78
Direct educators	In-depth, open-ended discussions	6	2	12	0.5	6.00	$35.00	$210.00
Classroom teachers	Coordinating activities	66	1	66	1	66.00	$35.00	$2,310.00
	Brief questionnaires*	50	2	100	0.25	25.00	$35.00	$875.00
	Brief interviews*	16	1	16	0.5	8.00	$35.00	$280.00
Retail store produce managers	In-depth, open-ended discussions	8	1	8	0.33	2.64	$23.65	$62.44
TOTAL for INN	N/A	121	N/A	289	N/A	186.21	N/A	$6,888.51

Table A.12-1b. Reporting Estimates of Hour Burden and Cost to Program Developers and Providers for MSUE’s Demonstration Project¹

Respondent (total)	Instrument Type	Estimated Number of Respondents	Frequency of Response	Total Annual Responses	Response Burden in Hours	Estimated Total Hours	Estimated Hourly Wage	Estimated Cost to Respondents
Demonstration project staff	Key informant contact information*	1	1	1	0.33	0.33	$37.40	$12.34
	In-depth, open-ended discussions	3	2	6	0.75	4.50	$37.40	$168.30
	Demonstration project cost form*	1	1	1	0.75	0.75	$37.40	$28.05
Regional/local extension staff	In-depth, open-ended discussions	5	2	10	0.75	7.50	$37.40	$280.50
Senior center program managers	In-depth, open-ended discussions	6	1	6	0.75	4.50	$28.00	$126.00
Direct educators	In-depth, open-ended discussions	19	2	38	0.5	19.00	$55.00	$1,045.00
TOTAL for MSUE	N/A	33	N/A	62	N/A	36.58	N/A	$1,660.19

Table A.12-1c. Reporting Estimates of Hour Burden and Cost to Program Developers and Providers for UKCES’ Demonstration Project²

Respondent (total)	Instrument Type	Estimated Number of Respondents	Frequency of Response	Total Annual Responses	Response Burden in Hours	Estimated Total Hours	Estimated Hourly Wage	Estimated Cost to Respondents
Demonstration project staff	Key informant contact information*	1	1	1	0.33	0.33	$30.50	$10.07
	In-depth, open-ended discussions	5	2	10	0.75	7.50	$30.50	$228.75
	Demonstration project cost form*	1	1	1	0.75	0.75	$30.50	$22.88
Family/consumer science agents	In-depth, open-ended discussions	4	2	8	0.75	6.00	$28.70	$172.20
School principals	Introductory meeting	16	1	16	0.5	8.00	$28.70	$229.60
	Coordinating activities*	16	1	16	1.5	24.00	$28.70	$688.80
	In-depth, open-ended discussions*	4	1	4	0.5	2.00	$37.40	$74.80
Classroom teachers	Coordinating activities	64	1	64	0.75	48.00	$22.54	$1,081.92
	Brief questionnaires*	50	1	50	0.25	12.50	$22.54	$281.75
	Brief interviews*	12	1	12	0.25	3.00	$22.54	$67.62
Direct educators	In-depth, open-ended discussions	4	2	8	0.5	4.00	$30.50	$122.00
TOTAL for UKCES	N/A	93	N/A	190	N/A	116.08	N/A	$2,980.38

Table A.12-2. Reporting Estimates of Hour Burden and Cost to Program Recipients³ (Revised)

Respondent (total)	Instrument Type	Estimated Number of Respondents*	Frequency of Response	Total Annual Responses	Response Burden Hours**	Estimated Total Hours	Estimated Hourly Wage	Est. Cost to Respondents
	Pretests conducted with English-speaking individuals in North Carolina	9	1	9	1	9.00	$7.25	$65.25
INN- Parents of nutrition education recipients	Pretest with Spanish-speaking individuals	3	1	3	1	3.00	$7.25	$21.75
	Mail/telephone questionnaire, nonrespondents	840	1	840	0.07	58.8	$7.25	$426.30
	Mail/telephone questionnaire, respondents	909	2	1,818	0.28	509.04	$7.25	$3,690.54
	Post card mailing, respondents	909	1	909	.02	18.18	$7.25	$131.81
	Structured group interview, nonrespondents*	223	1	223	0.07	15.61	$7.25	$113.17
	Structured group interview, respondents (3 interviews x 8 different participants)*	24	1	24	2	48.00	$7.25	$348.00
	INN SUBTOTAL	1,761	N/A	3,826	N/A	661.63	N/A	$4,796.82
UKCES- Parents of nutrition education recipients	Mail/telephone questionnaire, nonrespondents	740	1	740	0.07	51.8	$7.25	$375.55
	Mail/telephone questionnaire, respondents	800	2	1,600	0.28	448.00	$7.25	$3,248.00
	Post card mailing, respondents	800	1	800	.02	16.00	$7.25	$116.00
	Structured group interview, nonrespondents*	178	1	178	0.07	12.46	$7.25	$90.34
	Structured group interview, respondents (4 interviews x 8 participants)*	32	1	32	2	64.00	$7.25	$464.00
	UKCES SUBTOTAL	1,540	N/A	3,350	N/A	592.26	N/A	$4,293.89
	Pretests conducted with older adults in North Carolina	9	1	9	1	9.00	$7.25	$65.25
MSUE- senior nutrition education recipients	Self-administered questionnaire, nonrespondents	410	1	410	0.07	28.7	$7.40	$212.38
	Self-administered questionnaire & follow-up mail/telephone questionnaire, respondents	750	2	1,500	0.28	420.00	$7.40	$3,108.00
	Structured group interview, nonrespondents*	297	1	297	0.07	20.79	$7.40	$153.85
	Structured group interview, respondents (6 interviews x 8 participants)*	48	1	48	2	96	$7.40	$710.40
	MSUE SUBTOTAL	1,169	N/A	2,264	N/A	574.49	N/A	$4,249.88
	PROGRAM RECIPIENT GRAND TOTAL	4,470	N/A	9,440	N/A	1,828.38	N/A	$13,340.59

³These estimates are for the maximum number of respondents. For the impact data collection, this assumes that 65 percent will consent to providing contact information, an 80 percent response rate for the pre-intervention survey, and no attrition between pre- and post-data collection.

*Multiple instrument types for the same respondents; these respondents previously counted in row above.

**The estimates of response time are based on Wave I and experience using similar instruments in other studies as well as on pilot testing of the impact instruments in August 2010. The hourly wage rates for respondents (SNAP-Ed program recipients) were assumed equivalent to minimum wage. The minimum wage rates for each state were obtained from the U.S. Department of Labor, Employment Standards Administration Web site (http://www.dol.gov/esa/minwage/america.html

1

Estimates of response time are based on Wave I and experience using similar instruments in other studies. Hourly wage rates for respondents were obtained from (1) the application submitted by each demonstration project to FNS, which in some cases provides detail on salary or hourly wage rates for program staff members and (2) the Bureau of Labor Statistics’ estimates for occupational wages (http://www.bls.gov/oes/current/oessrcst.htm). FNS anticipates a 95–100 percent response rate from staff, education providers, and center and school administrators due to their high-level of engagement in the intervention efforts. *Multiple instrument types for same respondents; these respondents previously counted in other row.

2 The estimates of response time are based on Wave I and experience using similar instruments in other studies. The hourly wage rates for respondents were obtained from (1) the application submitted by each demonstration project to FNS, which in some cases provides detail on salary or hourly wage rates for program staff members and (2) the Bureau of Labor Statistics’ estimates for occupational wages (http://www.bls.gov/oes/current/oessrcst.htm). FNS anticipates a 95–100 percent response rate from program staff, nutrition education providers, and center and school administrators due to their high-level of engagement in the intervention efforts. *Multiple instrument types for the same respondents; these respondents previously counted in other row.

A 4