Description of Tables under 12.A

Table A.12-1.1 ESTIMATE OF RESPONDENT BURDEN, ORIGINAL COHORT 12/01/2013-11/30/2016, ANNUALIZED
Type of Respondents	Number of Respondents	Frequency of Responses		Average Time per Response	Annual Hour Burden		Maps to Attachment Number (e.g. A7=Attachment #7)
I. PARTICIPANT COMPONENTS
A. PRE-EXAM
a. Telephone contact to set up appointment	60	1		10/60	10		A7a
b. Exam Appointment, Scheduling, Reminder, and Instructions	55	1		35/60	32		A7b
B. EXAM – Cycle 32
a. Clinic exam	25	1		45/60	19		A2a
b. Home or nursing home visit	25	1		65/60	27		A2b
C. ANNUAL FOLLOW-UP
a. Records Request	60	1		15/60	15		A6a
b. Health Status Update	45	1		15/60	11		A4
SUB-TOTAL:PARTICIPANT COMPONENTS	60*	------------		-----------	114		-----------
II. NON- PARTICIPANT COMPONENTS
A. Informant Contact (Pre-exam and Annual Follow-up)	25	1		10/60	4		A6b
B. Records Request (Annual follow-up)	50	1		15/60	13		A6a
SUB-TOTAL:NON-PARTICIPANT COMPONENTS	75	------------		------------	17		-----------
TOTAL: PARTICIPANT AND NON-PARTICIPANT COMPONENTS	135				131
* Number of participants as reflected in Rows I.A.a and I.C.a. above
Table A.12-1.2 ESTIMATE OF RESPONDENT BURDEN, OFFSPRING COHORT and OMNI GROUP 1 COHORT 12/01/2013-11/30/2016, ANNUALIZED
Type of Respondents	Number of Respondents		Frequency of Response	Average Time per Response		Annual Hour Burden		Maps to Attachment Number (e.g. A7=Attachment #7)
I. PARTICIPANT COMPONENTS
A. PRE-EXAM
a. Telephone contact to set up apt or Health status update	300		1	10/60		50		A7a
b. Appt. or update Confirmation	250		1	10/60		42		A7a
c. Food Frequency Form	250		1	10/60		42		A3
B. EXAM
a. Clinic Exam	100		1	175/60		292		A1a
b. Home or nursing home visit	100		1	60/60		100		A1b
c. Consent Forms	200		1	20/60		67		A14
C. ANNUAL FOLLOW-UP
a. Records Request	2292		1	15/60		573		A6a
b. Health Status Update	1833		1	15/60		458		A4
SUB-TOTAL: PARTICIPANT COMPONENTS	2292*		------------	------------		1624		-----------
II. NON- PARTICIPANT COMPONENTS
A. Informant contact (Pre-exam and Annual Follow-up)	229		1	10/60		38		A6a
B. Records Request (Annual follow-up)	2292		1	15/60		573		A6b
SUB-TOTAL:NON-PARTICIPANT COMPONENTS	2521		------------	--------------		611		-----------
TOTAL: PARTICIPANT AND NON-PARTICIPANT COMPONENTS	4813					2235

* Number of participants as reflected in Rows I.C.a. above

Table A.12-1.3 ESTIMATE OF RESPONDENT BURDEN, GENERATION 3 COHORT and OMNI GROUP 2 COHORT 11/01/2013-11/30/2016, ANNUALIZED
Type of Respondents	Number of Respondents	Frequency of Response	Average Time per Response	Annual Hour Burden	Maps to Attachment Number (e.g. A7=Attachment #7)
I. PARTICIPANT COMPONENTS – ANNUAL FOLLOW-UP		1
A. Records Request	3212	1	15/60	803	A6a
B. Health Status Update	3212	1	15/60	803	A4
SUB-TOTAL: PARTICIPANT COMPONENTS	3212*	-----------	-----------	1606	-----------
II. NON- PARTICIPANT COMPONENTS – ANNUAL FOLLOW-UP
A. Informant contacts	160	1	10/60	27	A6b
B. Records Request	1060	1	15/60	265	A6a
SUB-TOTAL:NON-PARTICIPANT COMPONENTS	1220	-----------	-----------	292	-----------
TOTAL: PARTICIPANT AND NON-PARTICIPANT COMPONENTS	4432			1898

* Number of participants as reflected in Rows I.A. and I.B. above