Burden Table

Attachment B - Burden Table.docx

CDC and ATSDR Health Message Testing System

Burden Table

OMB: 0920-0572

Document [docx]
Download: docx | pdf








Attachment B

Burden Table







Type of Respondent

Form Name

Number of Respondents

No. Responses per Respondent

Average Burden (hours)

Total Burden Hours

Hourly Wage Rate

Total Respondent Costs


Parents

Screener (Attachment C)

33

1

10/60

6

$14.35

$86.10

Parents

Screener - Spanish Version (Attachment D)

33

1

10/60

6

$14.35

$86.10

Pediatricians

Screener (Attachment E)

33

1

10/60

6

$74.35

$446.10

Parents

Moderator Guide (Attachment F)

25

1

1.5

38

$14.35

$545.30

Parents

Moderator Guide - Spanish Version (Attachment G)

25

1

1.5

38

$14.35

$545.30

Pediatricians

Moderator Guide (Attachment H)

25

1

1.0

25

$74.35

$1858.75

Total





119


$3567.65



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorCDC User
File Modified0000-00-00
File Created2021-01-25

© 2024 OMB.report | Privacy Policy