X_Sample Respondent Burden Table 10 20 2015 final cleanWD rev 10-22RG

X_Sample Respondent Burden Table 11.6.2015.xlsx

Evaluation of Supplemental Nutrition Assistance Program (SNAP) Employment and Training Pilots”.

X_Sample Respondent Burden Table 10 20 2015 final cleanWD rev 10-22RG

OMB: 0584-0604

Document [xlsx]
Download: xlsx | pdf

Overview

Burden Table
Cost Assumptions
Implementation Assumptions


Sheet 1: Burden Table




RESPONDENTS NON-RESPONDENTS
Affected public Respondents type Instrument Sample size Estimated number of respondents Frequency of response Total responses Average time per response (hours) Total Estimated annual burden (hours) Estimated number of non-respondents Frequency of response Total responses Average time per response (hours) Total Estimated annual burden (hours) Grand Total burden estimate Hourly Wage rate** Estimate Total Annual Cost to Respondents
Individuals/households
Individuals Participant Registration Document 52,852 52,852 1 52,852 0.20 10,570.40 0 0 0 0 0.00 10,570.40 $7.25 $76,635.40
Participant Consent Document 52,852 52,852 1 52,852 0.05 2,642.60 0 0 0 0 0.00 2,642.60 $7.25 $19,158.85
Participant Pretest 18 9 1 9 0.66 5.94 9 1 9 0.05 0.45 6.39 $7.25 $46.33
Participant Welcome Packet and Study Brochure 25,000 25,000 1 25,000 0.05 1,250.00 0 1 0 0.05 0.00 1,250.00 $7.25 $9,062.50
Participant Seasonal Postcard 25,000 25,000 1 25,000 0.17 4,250.00 0 1 0 0.05 0.00 4,250.00 $7.25 $30,812.50
Participant Survey Advance Letter (12-mon follow-up) 25,000 18,240 1 18,240 0.03 601.92 0 1 0 0.05 0.00 601.92 $7.25 $4,363.92
Participant Survey Reminder Letter (12-mon follow-up) 12,500 12,500 1 12,500 0.03 412.50 0 1 0 0.05 0.00 412.50 $7.25 $2,990.63
Participant Survey Reminder Postcard (12-mon follow-up) 12,500 12,500 1 12,500 0.02 208.75 0 1 0 0.05 0.00 208.75 $7.25 $1,513.44
Participant Survey Refusal Letter (12-mon follow-up) 3,750 3,750 1 3,750 0.03 123.75 0 1 0 0.05 0.00 123.75 $7.25 $897.19
Participant Telephone survey (12-mon follow-up) 25,000 18,240 1 18,240 0.53 9,667.20 6,760 1 6,760 0.05 338.00 10,005.20 $7.25 $72,537.70
Participant Seasonal Postcard 18,240 18,240 1 18,240 0.02 304.61 0 1 0 0.05 0.00 304.61 $7.25 $2,208.41
Participant Survey Advance Letter (36-mon follow-up) 18,240 18,240 1 18,240 0.03 601.92 0 1 0 0.05 0.00 601.92 $7.25 $4,363.92
Participant Survey Reminder Letter (36-mon follow-up) 9,120 9,120 1 9,120 0.03 300.96 0 1 0 0.05 0.00 300.96 $7.25 $2,181.96
Participant Survey Reminder Postcard (36-mon follow-up) 9,120 9,120 1 9,120 0.02 152.30 0 1 0 0.05 0.00 152.30 $7.25 $1,104.20
Participant Survey Refusalr Letter (36-mon follow-up) 2,736 2,736 1 2,736 0.03 90.29 0 1 0 0.05 0.00 90.29 $7.25 $654.59
Participant Telephone survey (36-mon follow-up) 18,240 11,090 1 11,090 0.53 5,877.70 7,150 1 7,150 0.05 357.50 6,235.20 $7.25 $45,205.20
Participant Focus Group Recruitment Guide 1,200 240 1 240 0.17 40.08 960 1 960 0.08 80.00 120.08 $7.25 $870.58
Participant Focus Group Confirmation Letter 240 240 1 240 0.03 7.92 0 1 0 0.08 0.00 7.92 $7.25 $57.42
Participant Focus Group & Information Survey 1,200 240 1 240 1.67 400.00 960 1 960 0.08 80.00 480.00 $7.25 $3,480.00
Participant Case Study 200 40 1 40 1.67 66.67 160 1 160 0.08 13.33 80.00 $7.25 $580.00
Subtotal of unique individuals/households 52,870 52,861 5.49 290,249 0.13 37,576 -* - 15,999 - 869 38,445 - 278,725
State, local, and Tribal government
State, local, and Tribal government State, local, or Tribal agency director/manager In-person interview (round 1) and Cost/benefit interivews 170 170 1 170 1.00 170.00 0 0 0 0 0.00 170.00 $54.08 $9,193.60
State, local, or Tribal agency director/manager In-person interview (round 2) 150 150 1 150 1.00 150.00 0 0 0 0 0.00 150.00 $54.08 $8,112.00
State, local, or Tribal agency direct service staff In-person interview (round 3) 150 150 1 150 1.00 150.00 0 0 0 0 0.00 150.00 $21.79 $3,268.50
State, local, or Tribal agency direct service staff Case Study 10 10 1 10 1.00 10.00 0 0 0 0 0.00 10.00 $21.79 $217.90
State, local, or Tribal agency direct service staff Provide documents for review 10 10 4 40 0.25 10.00 0 0 0 0 0.00 10.00 $21.79 $217.90
State, local, or Tribal agency direct service staff Complete MOU 10 10 1 10 1.00 10.00 0 0 0 0 0.00 10.00 $21.79 $217.90
State, local, or Tribal agency director/manager Provide wage data 10 10 5 50 2.50 125.00 0 0 0 0 0.00 125.00 $54.08 $6,760.00
State, local, or Tribal agency director/manager Provide SNAP/Medicaid/TANF data 10 10 20 200 2.50 500.00 0 0 0 0 0.00 500.00 $54.08 $27,040.00
State, local, or Tribal agency director/manager Provide entry effects data 10 10 2 20 2.50 50.00 0 0 0 0 0.00 50.00 $54.08 $2,704.00
State, local, or Tribal agency director/manager Cost/benefit interviews (after visit 1) 10 10 19 190 1.00 190.00 0 0 0 0 0.00 190.00 $54.08 $10,275.20
State, local, or Tribal agency director/manager Provide cost data 10 10 11 110 2.00 220.00 0 0 0 0 0.00 220.00 $54.08 $11,897.60
Subtotal unique State, local, and Tribal government 190 190 5.79 1,100 1.44 1,585.00 0 - 0 - 0.00 1,585.00
79,905
Business for-not-for profit
Private sector Private sector for-profit business director/manager In-person interview (round 1) 75 75 1 75 1.00 75.00 0 0 0 0 0.00 75.00 $54.08 $4,056.00
Private sector for-profit business director/manager In-person interview (round 2) 75 75 1 75 1.00 75.00 0 0 0 0 0.00 75.00 $54.08 $4,056.00
Private sector for-profit business director/manager In-person interview (round 3) 75 75 1 75 1.00 75.00 0 0 0 0 0.00 75.00 $54.08 $4,056.00
Private sector for-profit business director/manager Case Study 55 55 1 55 1.00 55.00 0 0 0 0 0.00 55.00 $54.08 $2,974.40
Private sector for-profit business director/manager Provide administrative data 50 50 12 600 4.00 2,400.00 0 0 0 0 0.00 2,400.00 $54.08 $129,792.00
Private sector for-profit business director/manager Cost/benefit interviews 100 100 20 2,000 0.50 1,000.00 0 0 0 0 0.00 1,000.00 $54.08 $54,080.00
Private sector for-profit business director/manager Provide cost data 10 100 11 1,100 1.00 1,100.00 0 0 0 0 0.00 1,100.00 $54.08 $59,488.00
Private sector for-profit direct service staff Time Use Survey Initial Email 80 80 3 240 0.02 4.01 0 0 0 0 0.00 4.01 $21.03 $84.29
Private sector for-profit direct service staff Time Use Survey Reminder Letter 40 40 3 120 0.03 3.96 0 0 0 0 0.00 3.96 $21.03 $83.28
Private sector for-profit direct service staff Time Use Survey 80 80 3 240 0.33 79.20 0 0 0 0 0.00 79.20 $21.03 $1,665.58
Private sector not-for-profit agency director/manager In-person interview (round 1) 75 75 1 75 1.00 75.00 0 0 0 0 0.00 75.00 $32.56 $2,442.00
Private sector not-for-profit agency director/manager In-person interview (round 2) 75 75 1 75 1.00 75.00 0 0 0 0 0.00 75.00 $32.56 $2,442.00
Private sector not-for-profit agency director/manager In-person interview (round 3) 75 75 1 75 1.00 75.00 0 0 0 0 0.00 75.00 $32.56 $2,442.00
Private sector not-for-profit agency director/manager Case Study 55 55 1 55 1.00 55.00 0 0 0 0 0.00 55.00 $32.56 $1,790.80
Private sector not-for-profit agency director/manager Provide administrative data 50 50 12 600 4.00 2,400.00 0 0 0 0 0.00 2,400.00 $32.56 $78,144.00
Private sector not-for-profit agency director/manager Cost/benefit interviews 100 100 20 2,000 0.50 1,000.00 0 0 0 0 0.00 1,000.00 $32.56 $32,560.00
Private sector not-for-profit agency director/manager Provide cost data 100 100 11 1,100 1.00 1,100.00 0 0 0 0 0.00 1,100.00 $32.56 $35,816.00
Private sector for-profit direct service staff Time Use Survey Initial Email 80 80 3 240 0.02 4.01 0 0 0 0 0.00 4.01 $21.03 $84.29
Private sector for-profit direct service staff Time Use Survey Reminder Letter 40 40 3 120 0.03 3.96 0 0 0 0 0.00 3.96 $21.03 $83.28
Private sector not-for-profit agency director/manager Time Use Survey 80 80 3 240 0.33 79.20 0 0 0 0 0.00 79.20 $32.56 $2,578.75
Private sector not-for-profit employer training supervisor Focus Group Recruitment Email 200 120 1 120 0.02 2.00 80 1 80 0.05 4.00 6.00 $21.03 $126.26
Private sector not-for-profit employer training supervisor Focus Group Confirmation Letter 200 120 1 120 0.03 3.96 80 1 80 0.05 4.00 7.96 $21.03 $167.40
Private sector not-for-profit employer training supervisor Focus Group 200 120 1 120 1.58 190.00 80 1 80 0.05 4.00 194.00 $21.03 $4,079.82
Subtotal unique private/business sector 770 690 13.80 9,520 1.04 9,930 240 - 240 - 12 9,942.30 - $423,092.15

Grand total 53,830 53,741 5.60 300,869 0.16 49,090.81 - * 1.00 16,239 0.05 881.28 49,972.09
$781,721.47
* Nonrespondents are part of the total individuals who completed the registration document.









** Sources: Department of Labor Wage and Hour Division (http://www.dol.gov/whd/minimumwage.htm). Bureau of Labor Statistics, Occupational Employment Statistics Survey, May 2014. (http://www.bls.gov/oes/current/oes_nat.htm)
Individuals/Participant: Federal minimum wage. State, local, or Tribal agency director/manager: Average hourly earnings of workers in management occupations; State, local, or Tribal agency direct service staff: Average hourly earnings of workers in community and social services occupations; Private sector for-profit business director/manager: Average hourly earnings of workers in management occupations; Private sector not-for-profit agency director/manager: Average hourly earnings of social and community services managers; Private sector not-for-profit direct service staff : Average hourly earnings of community and social service specialists;






















































total # of respondents (including participants and non)



53741










total # of annual reponses (including participants and non)



317108










total annual burden estimates (including participants and non)



49972.09








Sheet 2: Cost Assumptions

Respondent Type Instrument Sample size
[# of pilots]
Estimated number of respondents
[per pilot]
Frequency of response Total responses Average time per response (minutes) Average time per response (hours) Total Estimated annual burden (hours)
Notes
A. Start-Up Interviews (Site Visit #1)









1. Pilot Director & Manager In-person interview 10 1 1 10 60 1 10
First site visit: conduct cost interviews with (a) grantee pilot lead ("Pilot Director"), grantee pilot manager who oversees day-to-day at grantee-level ("Pilot Manager"), designed liaison to the cost study (typically a finance/accounting person, "Grantee Cost Liaison"), and the managers of each partner/provider agency (assume an average of 20 / grantee (10 of each kind), "Partner Managers").
2. Pilot Manager In-person interview 10 1 1 10 60 1 10
3. Grantee Cost Liaison In-person interview 10 1 1 10 90 1.5 15
4a. Partner Managers [for-profit] In-person interview 10 10 1 100 45 0.75 75
4b. Partner Managers [not-for-profit] In-person interview 10 10 1 100 45 0.75 75











B. Data Worksheet Prep









1. Grantee Cost Liaison telephone discussion 10 1 6 60 30 0.5 30
Calls prior to sending worksheets for cost data collection (document important changes, review how to complete worksheets etc.); assume twice / year / respondent / grantee; first of these calls happens after site visit and before sending worksheets for the first time.
2a. Partner Managers [for-profit] telephone discussion 10 10 6 600 30 0.5 300
2b. Partner Managers [not-for-profit] telephone discussion 10 10 6 600 30 0.5 300











C. Data Worksheet Completion









1a. Grantee Cost Liaison (1st contact) provide cost data 10 1 1 10 180 3 30
Time to coordinate completion of worksheets for Grantee Cost Liaison and time to complete worksheets for Provider Managers. Assume that all will take longer the first time, then require less burden thereafter. Collect data quarterly (4 / year for 3 years), for a total of 12 times.
1b. Grantee Cost Liaison (subsequent contacts) provide cost data 10 1 11 110 120 2 220
2a1. Partner Managers (1st contact) [for-profit] provide cost data 10 10 1 100 90 1.5 150
2a2. Partner Managers (1st contact) [not-for-profit] provide cost data 10 10 1 100 90 1.5 150
2b1. Partner Managers (subsequent contacts) [for-profit] provide cost data 10 10 11 1100 60 1 1100
2b2. Partner Managers (subsequent contacts) [not-for-profit] provide cost data 10 10 11 1100 60 1 1100











D. Data Worksheet Follow-Up









1. Grantee Cost Liaison telephone discussion 10 1 12 120 60 1 120
Calls after receiving worksheets; follow-up for clarification, correct errors, etc.
2a. Partner Managers [for-profit] telephone discussion 10 10 12 1200 30 0.5 600
2b. Partner Managers [not-for-profit] telephone discussion 10 10 12 1200 30 0.5 600











E. Time Use Survey









1. [Government] Frontline Staff provide time-use data 10 10 3 300 20 0.333333333333333 100
Conduct time use surveys once / year for 3 years, for a total of 3 times. Collect time use data from a random sample of 10 SNAP line staff per grantee (responsible for recruitment, eligibility determination, intake, etc,; "[Government] Frontline Staff") and a random sample of 16 partner line staff per grantee (responsible for case management, etc.; "Parnter Frontline Staff").
2a. Partner Frontline Staff [for-profit] provide time-use data 10 8 3 240 20 0.333333333333333 80
2b. Partner Frontline Staff [not-for-profit] provide time-use data 10 8 3 240 20 0.333333333333333 80





























Total Burden by Respondent Type (Hours)









Pilot Director 10








Pilot Manager 10








Grantee Cost Liaison 415








Partner Managers [for-profit] 2225








Partner Managers [not-for-profit] 2225








[Government] Frontline Staff 100








Partner Frontline Staff [for-profit] 80








Partner Frontline Staff [not-for-profit] 80


Sheet 3: Implementation Assumptions

Implemenation Study Assumptions

Implementation Interviews:
Assume: 7 grantee staff (state) and 8 local office staff across 2-3 offices
Assume: 2-3 staff at 5 providers during each visit--15 per site or 150; split evenly between for profit and non profit

Admin Data:
Assume: quarterly collection over three year (12 times); one day per site for admin and a half day per site for providers--each period
Assume most data will be part of MIS, but will need to collect some from providers are few sites--estimate no more than 100 providers across the 10 sites will provide us data directly


Focus Group: Maximum hours for each type
Assume 2 client foucs group per site (12 people max per group); 240 particpants for 90 minutes plus 10 for recruiting; 5 minutes for nonparticipants (960)
Assume 1 employer focus group per site (12 people max per group); 120 particpants for 90 minutes plus 5 for recruiting; 3 minutes for nonparticipants (80)
Assume 4 case studies per site; 40 participants 120 minutes plus 10 minutes for recruiting; 3 local office staff or provider staff per participant (120) for 60 minutes ; 5 minutes for nonrespondents (160)
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy