IC Burden table

IC Title	Affected Public	Reporting Requirement	Available Electronically	Can be Submitted Electronically	Percent Reporting Electronically	Electronic Capability	Obligation to Respond	# of Respondents	# of Responses	Hrs/Resp	Total Hours
Program Manager Phone Screen	Individuals or Households	Reporting	No	No	0%	Paper Only	Voluntary	50	50	0.75	37.5
Program Manager Site Visit Interview Protocol	Individuals or Households	Reporting	No	No	0%	Paper Only	Voluntary	15	15	5	75
Principal/Assistant-Other School Administrator Site Visit Interview Protocol	Individuals or Households	Reporting	No	No	0%	Paper Only	Voluntary	30	30	1	30
Teacher/Program Staff Site Visit Interview Protocol	Individuals or Households	Reporting	No	No	0%	Paper Only	Voluntary	90	90	1	90
Counselor/Social Worker Site Visit Interview Protocol	Individuals or Households	Reporting	No	No	0%	Paper Only	Voluntary	30	30	1	30
District Administrator Site Visit Interview Protocol	Individuals or Households	Reporting	No	No	0%	Paper Only	Voluntary	45	45	1	45
Partner Organization Staff Site Visit Interview Protocol	Individuals or Households	Reporting	No	No	0%	Paper Only	Voluntary	60	60	1	60
Parent Focus Group Protocol	Individuals or Households	Reporting	No	No	0%	Paper Only	Voluntary	75	75	0.5	37.5
					0%						0
					0%						0
					0%						0
					0%						0
					0%						0
					0%						0
					0%						0
					0%						0
					0%						0
					0%						0
					0%						0
					0%						0
					0%						0
					0%						0
					0%						0
Subtotal								395	395		405
Annual Total (may not add up due to rounding)								132	132		135
CURRENT INVENTORY
Current # of Respondents								0
Current # of Responses									0
Current Inventory of Hours											0
Difference Between Annual Total and Current Inventory								132	132		135
IC Title			Instrument Filename				Frequency	Number of Respondents	Cost Per Respondent	Total Cost Per Respondent
Program Manager Phone Screen			Program Manager Phone Screen				Once	50	$34	$1,688
Program Manager Site Visit Interview Protocol			Program Manager Site Visit Interview Protocol				Once	15	$225	$3,375
Principal/Assistant/Other School Administrator Site Visit Interview Protocol			Principal-Assistant-Other School Administrator Site Visit Interview Protocol				Once	30	$45	$1,350
Teacher/Program Staff Site Visit Interview Protocol			Teacher-Program Staff Site Visit Interview Protocol				Once	90	$28	$2,520
Counselor/Social Worker Site Visit Interview Protocol			Counselor-Social Worker Site Visit Interview Protocol				Once	30	$28	$840
District Administrator Site Visit Interview Protocol			District Administrator Site Visit Interview Protocol				Once	45	$45	$2,025
Partner Organization Staff Site Visit Interview Protocol			Partner Organization Staff Site Visit Interview Protocol				Once	60	$31	$1,871
Parent Focus Group Protocol			Parent Focus Group Protocol				Once	75	$11	$801
										$0
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Total Costs										$14,469