Appendix C Estimated Burden for Data Collection and Nonresponse for Potential SNP QRS Studies

Appendix C QRS Burden Table 3 Year Total 6.21.16.xlsx

Special Nutrition Programs Quick Response Surveys

Appendix C Estimated Burden for Data Collection and Nonresponse for Potential SNP QRS Studies

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Respondent Category Type of respondents Instruments Number of respondents for 3 Years Frequency of response Total Responses (3 Years) Hours per response 3-Year burden (hours) Number of Non-respondents (3 Years) Frequency of response Total Responses (3 Years) Hours per response 3-Year burden (hours) Grand Total 3-Year Burden Estimate (hours) Hourly Wage Rate 3-Year Annualized Cost of Respondent Burden
State Agencies WIC State Agency Local WIC Agency Contacts Request 270 1 270 1 270.0 0 1 0 0.02 0.0 270.0 $45.60 $12,312.00

Reminder 1 54 1 54 0.05 2.7 54 1 54 0.02 0.9 3.6 $45.60 $164.16

Reminder 2 54 1 54 0.05 2.7 0 1 0 0.02 0.0 2.7 $45.60 $123.12
WIC State Agency QRS Survey 270 1 270 0.33 89.1 0 1 0 0.02 0.0 89.1 $45.60 $4,062.96

Reminder 1 54 1 54 0.05 2.7 54 1 54 0.02 0.9 3.6 $45.60 $164.16

Reminder 2 54 1 54 0.05 2.7 0 1 0 0.02 0.0 2.7 $45.60 $123.12
NSLP/SBP State Agency SFA Contacts Request 168 1 168 1 168.0 0 1 0 0.02 0.0 168.0 $45.60 $7,660.80

Reminder 1 34 1 34 0.05 1.7 34 1 34 0.02 0.6 2.2 $45.60 $102.14

Reminder 2 34 1 34 0.05 1.7 0 1 0 0.02 0.0 1.7 $45.60 $76.61
NSLP/SBP State Agency QRS Survey 168 1 168 0.33 55.4 0 1 0 0.02 0.0 55.4 $45.60 $2,528.06

Reminder 1 34 1 34 0.05 1.7 34 1 34 0.02 0.6 2.2 $45.60 $102.14

Reminder 2 34 1 34 0.05 1.7 0 1 0 0.02 0.0 1.7 $45.60 $76.61
SFSP State Agency Local SFSP Sponsor Contacts Request 162 1 162 1 162.0 0 1 0 0.02 0.0 162.0 $45.60 $7,387.20

Reminder 1 32 1 32 0.05 1.6 32 1 32 0.02 0.5 2.2 $45.60 $98.50

Reminder 2 32 1 32 0.05 1.6 0 1 0 0.02 0.0 1.6 $45.60 $73.87
SFSP State Agency QRS Survey 162 1 162 0.33 53.5 0 1 0 0.02 0.0 53.5 $45.60 $2,437.78

Reminder 1 32 1 32 0.05 1.6 32 1 32 0.02 0.5 2.2 $45.60 $98.50

Reminder 2 32 1 32 0.05 1.6 0 1 0 0.02 0.0 1.6 $45.60 $73.87
CACFP State Agency Local CACFP Sponsors/Sites Contacts Request 162 1 162 1 162.0 0 1 0 0.02 0.0 162.0 $45.60 $7,387.20

Reminder 1 32 1 32 0.05 1.6 32 1 32 0.02 0.5 2.2 $45.60 $98.50

Reminder 2 32 1 32 0.05 1.6 0 1 0 0.02 0.0 1.6 $45.60 $73.87
CACFP State Agency QRS Survey 162 1 162 0.33 53.5 0 1 0 0.02 0.0 53.5 $45.60 $2,437.78

Reminder 1 32 1 32 0.05 1.6 32 1 32 0.02 0.5 2.2 $45.60 $98.50

Reminder 2 32 1 32 0.05 1.6 0 1 0 0.02 0.0 1.6 $45.60 $73.87
TEFAP State Agency Local Agency Contacts Request 168 1 168 1 168.0 0 1 0 0.02 0.0 168.0 $45.60 $7,660.80

Reminder 1 34 1 11 0.05 0.6 34 1 34 0.02 0.6 1.1 $45.60 $51.07

Reminder 2 34 1 11 0.05 0.6 0 1 0 0.02 0.0 0.6 $45.60 $25.54
TEFAP State Agency QRS Survey 168 1 56 0.33 18.5 0 1 0 0.02 0.0 18.5 $45.60 $842.69

Reminder 1 34 1 11 0.05 0.6 34 1 34 0.02 0.6 1.1 $45.60 $51.07

Reminder 2 34 1 11 0.05 0.6 0 1 0 0.02 0.0 0.6 $45.60 $25.54
FDPIR State Agency/ITO ITO Contacts Request 315 1 315 1 315.0 0 1 0 0.02 0.0 315.0 $45.60 $14,364.00

Reminder 1 63 1 21 0.05 1.1 63 1 63 0.02 1.1 2.1 $45.60 $95.76

Reminder 2 63 1 21 0.05 1.1 0 1 0 0.02 0.0 1.1 $45.60 $47.88
FDPIR State Agency/ITO QRS Survey 315 1 105 0.33 34.7 0 1 0 0.02 0.0 34.7 $45.60 $1,580.04

Reminder 1 63 1 21 0.05 1.1 63 1 63 0.02 1.1 2.1 $45.60 $95.76

Reminder 2 63 1 21 0.05 1.1 0 1 0 0.02 0.0 1.1 $45.60 $47.88
FFVP State Agency Local FFVP Contacts Request 168 1 168 1 168.0 0 1 0 0.02 0.0 168.0 $45.60 $7,660.80

Reminder 1 34 1 34 0.05 1.7 34 1 34 0.02 0.6 2.2 $45.60 $102.14

Reminder 2 34 1 34 0.05 1.7 0 1 0 0.02 0.0 1.7 $45.60 $76.61
FFVP State Agency QRS Survey 168 1 168 0.33 55.4 0 1 0 0.02 0.0 55.4 $45.60 $2,528.06

Reminder 1 34 1 34 0.05 1.7 34 1 34 0.02 0.6 2.2 $45.60 $102.14

Reminder 2 34 1 34 0.05 1.7 0 1 0 0.02 0.0 1.7 $45.60 $76.61
CSFP State Agency Local CSFP Contacts Request 147 1 147 1 147.0 0 1 0 0.02 0.0 147.0 $45.60 $6,703.20

Reminder 1 29 1 29 0.05 1.5 29 1 29 0.02 0.5 2.0 $45.60 $89.38

Reminder 2 29 1 29 0.05 1.5 0 1 0 0.02 0.0 1.5 $45.60 $67.03
CSFP State Agency QRS Survey 147 1 147 0.33 48.5 0 1 0 0.02 0.0 48.5 $45.60 $2,212.06

Reminder 1 29 1 29 0.05 1.5 29 1 29 0.02 0.5 2.0 $45.60 $89.38

Reminder 2 29 1 29 0.05 1.5 0 1 0 0.02 0.0 1.5 $45.60 $67.03
State Agencies Sub-Total 1,080 3.51 3,788 0.533 2,018.06 214
624
10.40 2028.46 - $92,497.78
Local Agencies Local WIC Agency QRS Survey 3,825 1 3,825 0.33 1,275 957 1 957 0.02 15.95 1290.95 $27.26 $35,191.30

Reminder 1 861 1 861 0.05 43 2,008 1 2,008 0.02 33.47 76.51 $27.26 $2,085.72

Reminder 2 603 1 603 0.05 30 1,406 1 1,406 0.02 23.43 53.56 $27.26 $1,460.00

Reminder 3 449 1 449 0.05 22 957 1 957 0.02 15.95 38.40 $27.26 $1,046.66
Local WIC Site QRS Survey 6,600 1 6,600 0.33 2,200 1,650 1 1,650 0.02 27.50 2227.50 $27.26 $60,721.65

Reminder 1 1,485 1 1,485 0.05 74 3,465 1 3,465 0.02 57.75 132.00 $27.26 $3,598.32

Reminder 2 1,040 1 1,040 0.05 52 2,426 1 2,426 0.02 40.43 92.40 $27.26 $2,518.82

Reminder 3 776 1 776 0.05 39 1,650 1 1,650 0.02 27.50 66.28 $27.26 $1,806.66
NSLP/SBP SFA QRS Survey 6,000 1 6,000 0.33 2,000 1,500 1 1,500 0.02 25.00 2025.00 $27.26 $55,201.50

Reminder 1 1,350 1 1,350 0.05 68 3,150 1 3,150 0.02 52.50 120.00 $27.26 $3,271.20

Reminder 2 945 1 945 0.05 47 2,205 1 2,205 0.02 36.75 84.00 $27.26 $2,289.84

Reminder 3 705 1 705 0.05 35 1,500 1 1,500 0.02 25.00 60.25 $27.26 $1,642.42
NSLP/SBP School QRS Survey 6,000 1 6,000 0.33 2,000 1,500 1 1,500 0.02 25.00 2025.00 $27.26 $55,201.50

Reminder 1 1,350 1 1,350 0.05 68 3,150 1 3,150 0.02 52.50 120.00 $27.26 $3,271.20

Reminder 2 945 1 945 0.05 47 2,205 1 2,205 0.02 36.75 84.00 $27.26 $2,289.84

Reminder 3 705 1 705 0.05 35 1,500 1 1,500 0.02 25.00 60.25 $27.26 $1,642.42
SFSP Sponsor QRS Survey 4,500 1 4,500 0.33 1,500 1,125 1 1,125 0.02 18.75 1518.75 $27.26 $41,401.13

Reminder 1 1,013 1 1,013 0.05 51 2,363 1 2,363 0.02 39.38 90.00 $27.26 $2,453.40

Reminder 2 709 1 709 0.05 35 1,654 1 1,654 0.02 27.56 63.00 $27.26 $1,717.38

Reminder 3 529 1 529 0.05 26 1,125 1 1,125 0.02 18.75 45.19 $27.26 $1,231.81
SFSP Site QRS Survey 6,300 1 6,300 0.33 2,100 1,575 1 1,575 0.02 26.25 2126.25 $27.26 $57,961.58

Reminder 1 1,418 1 1,418 0.05 71 3,308 1 3,308 0.02 55.13 126.00 $27.26 $3,434.76

Reminder 2 992 1 992 0.05 50 2,315 1 2,315 0.02 38.59 88.20 $27.26 $2,404.33

Reminder 3 740 1 740 0.05 37 1,575 1 1,575 0.02 26.25 63.26 $27.26 $1,724.54
CACFP CCC Sponsors QRS Survey 5,250 1 5,250 0.33 1,750 1,314 1 1,314 0.02 21.90 1771.90 $27.26 $48,301.99

Reminder 1 1,182 1 1,182 0.05 59 2,757 1 2,757 0.02 45.95 105.02 $27.26 $2,862.95

Reminder 2 827 1 827 0.05 41 1,930 1 1,930 0.02 32.16 73.52 $27.26 $2,004.07

Reminder 3 616 1 616 0.05 31 1,314 1 1,314 0.02 21.90 52.69 $27.26 $1,436.35
CACFP Independent/Sponsored CCC QRS Survey 5,700 1 5,700 0.33 1,900 1,425 1 1,425 0.02 23.75 1923.75 $27.26 $52,441.43

Reminder 1 1,283 1 1,283 0.05 64 2,993 1 2,993 0.02 49.88 114.00 $27.26 $3,107.64

Reminder 2 898 1 898 0.05 45 2,095 1 2,095 0.02 34.91 79.80 $27.26 $2,175.35

Reminder 3 670 1 670 0.05 33 1,425 1 1,425 0.02 23.75 57.24 $27.26 $1,560.29
CACFP Head Start Center Sponsors QRS Survey 2,925 1 2,925 0.33 975 732 1 732 0.02 12.20 987.20 $27.26 $26,911.07

Reminder 1 658 1 658 0.05 33 1,536 1 1,536 0.02 25.60 58.51 $27.26 $1,595.04

Reminder 2 461 1 461 0.05 23 1,075 1 1,075 0.02 17.92 40.96 $27.26 $1,116.53

Reminder 3 343 1 343 0.05 17 732 1 732 0.02 12.20 29.36 $27.26 $800.30
CACFP Head Start Center Providers QRS Survey 5,250 1 5,250 0.33 1,750 1,314 1 1,314 0.02 21.90 1771.90 $27.26 $48,301.99

Reminder 1 1,182 1 1,182 0.05 59 2,757 1 2,757 0.02 45.95 105.02 $27.26 $2,862.95

Reminder 2 827 1 827 0.05 41 1,930 1 1,930 0.02 32.16 73.52 $27.26 $2,004.07

Reminder 3 616 1 616 0.05 31 1,314 1 1,314 0.02 21.90 52.69 $27.26 $1,436.35
CACFP FDCH Sponsors QRS Survey 2,052 1 2,052 0.33 684 513 1 513 0.02 8.55 692.55 $27.26 $18,878.91

Reminder 1 462 1 462 0.05 23 1,077 1 1,077 0.02 17.96 41.04 $27.26 $1,118.75

Reminder 2 323 1 323 0.05 16 754 1 754 0.02 12.57 28.73 $27.26 $783.13

Reminder 3 241 1 241 0.05 12 513 1 513 0.02 8.55 20.61 $27.26 $561.71
CACFP FDCH Providers QRS Survey 5,850 1 5,850 0.33 1,950 1,464 1 1,464 0.02 24.40 1974.40 $27.26 $53,822.14

Reminder 1 1,317 1 1,317 0.05 66 3,072 1 3,072 0.02 51.20 117.02 $27.26 $3,190.07

Reminder 2 922 1 922 0.05 46 2,150 1 2,150 0.02 35.84 81.92 $27.26 $2,233.05

Reminder 3 686 1 686 0.05 34 1,464 1 1,464 0.02 24.40 58.72 $27.26 $1,600.59
CACFP ADCC QRS Survey 3,570 1 3,570 0.33 1,190 894 1 894 0.02 14.90 1204.90 $27.26 $32,845.57

Reminder 1 804 1 804 0.05 40 1,875 1 1,875 0.02 31.25 71.42 $27.26 $1,947.02

Reminder 2 562 1 562 0.05 28 1,312 1 1,312 0.02 21.87 50.00 $27.26 $1,362.91

Reminder 3 418 1 418 0.05 21 894 1 894 0.02 14.90 35.82 $27.26 $976.48
TEFAP ERA QRS Survey 720 1 720 0.33 240 180 1 180 0.02 3.00 243.00 $27.26 $6,624.18

Reminder 1 162 1 162 0.05 8 378 1 378 0.02 6.30 14.40 $27.26 $392.54

Reminder 2 113 1 113 0.05 6 265 1 265 0.02 4.41 10.08 $27.26 $274.78

Reminder 3 85 1 85 0.05 4 180 1 180 0.02 3.00 7.23 $27.26 $197.09
TEFAP EFO QRS Survey 6,300 1 6,300 0.33 2,100 1,575 1 1,575 0.02 26.25 2126.25 $27.26 $57,961.58

Reminder 1 1,418 1 1,418 0.05 71 3,308 1 3,308 0.02 55.13 126.00 $27.26 $3,434.76

Reminder 2 992 1 992 0.05 50 2,315 1 2,315 0.02 38.59 88.20 $27.26 $2,404.33

Reminder 3 740 1 740 0.05 37 1,575 1 1,575 0.02 26.25 63.26 $27.26 $1,724.54
FFVP SFA QRS Survey 4,500 1 4,500 0.33 1,500 1,125 1 1,125 0.02 18.75 1518.75 $27.26 $41,401.13

Reminder 1 1,013 1 1,013 0.05 51 2,363 1 2,363 0.02 39.38 90.00 $27.26 $2,453.40

Reminder 2 709 1 709 0.05 35 1,654 1 1,654 0.02 27.56 63.00 $27.26 $1,717.38

Reminder 3 529 1 529 0.05 26 1,125 1 1,125 0.02 18.75 45.19 $27.26 $1,231.81
FFVP School QRS Survey 5,400 1 5,400 0.33 1,800 1,350 1 1,350 0.02 22.50 1822.50 $27.26 $49,681.35

Reminder 1 1,215 1 1,215 0.05 61 2,835 1 2,835 0.02 47.25 108.00 $27.26 $2,944.08

Reminder 2 851 1 851 0.05 43 1,985 1 1,985 0.02 33.08 75.60 $27.26 $2,060.86

Reminder 3 635 1 635 0.05 32 1,350 1 1,350 0.02 22.50 54.23 $27.26 $1,478.17
CSFP Local Agency QRS Survey 4,410 1 4,410 0.33 1,470 1,104 1 1,104 0.02 18.40 1488.40 $27.26 $40,573.78

Reminder 1 993 1 993 0.05 50 2,316 1 2,316 0.02 38.60 88.22 $27.26 $2,404.99

Reminder 2 695 1 695 0.05 35 1,621 1 1,621 0.02 27.02 61.76 $27.26 $1,683.49

Reminder 3 517 1 517 0.05 26 1,104 1 1,104 0.02 18.40 44.26 $27.26 $1,206.41
Local Agencies Sub-Total 85,152 1.50 127,724 0.239 30,513 21,297 5.569 118,599 0.02 1,976.6 32489.26 - $885,657.31

TOTAL
86,232 1.525 131,513 0.247 32,531 21,511 15 119,223 0.02 1,987 34,518
$978,155.09
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