| Affected Public |
Respondent Type |
Instrument |
Appendix ID |
Total Sample Size |
Respondents |
Non-Respondents |
Grand Total Burden Estimate (Hours) |
| Estimated Number of Respondents |
Frequency of Response |
Total Annual Responses |
Average Time Per Response (Hours) |
Total Annual Burden Estimate (Hours) |
Estimated Number of Non-Respondents |
Frequency of Non-Response |
Total Annual Non-Responses |
Average Time Per Non- Response (Hours) |
Total Annual Burden Estimate (Hours) |
| State, Local, and Tribal Government |
| State, Local, and Tribal Government |
State Agency CN Directors |
Notification Email to State Agency CN Directorsa |
C1b |
49 |
49 |
1 |
49 |
0.02 |
0.98 |
0 |
0 |
0 |
0.00 |
0.00 |
0.98 |
| SFA Director |
Prescreening Web Survey Questionnaire-Web |
B1 |
625 |
500 |
1 |
500 |
0.25 |
125.00 |
125 |
0 |
0 |
0.00 |
0.00 |
125.00 |
| Attachment Notification Email to SFA Directors |
C1c |
625 |
500 |
1 |
500 |
0.02 |
10.00 |
125 |
0 |
0 |
0.00 |
0.00 |
10.00 |
| Prescreening Web Survey Invitation Email |
C2 |
625 |
156 |
1 |
156 |
0.05 |
7.81 |
469 |
1 |
469 |
0.02 |
9.38 |
17.19 |
| Prescreening Web Survey Reminder Email, 1 |
C3 |
469 |
59 |
1 |
59 |
0.05 |
2.93 |
410 |
1 |
410 |
0.02 |
8.20 |
11.13 |
| Prescreening Web Survey Reminder Email, 2 |
410 |
43 |
1 |
43 |
0.05 |
2.14 |
367 |
1 |
367 |
0.02 |
7.35 |
9.48 |
| Prescreening Web Survey Reminder Phone Script, Call 1 |
C4 |
625 |
125 |
1 |
125 |
0.07 |
8.75 |
500 |
1 |
500 |
0.02 |
10.00 |
18.75 |
| Prescreening Web Survey Reminder Phone Script, Call 2 |
500 |
50 |
1 |
50 |
0.07 |
3.50 |
450 |
1 |
450 |
0.02 |
9.00 |
12.50 |
| Prescreening Web Survey Reminder Phone Script, Call 3 |
450 |
40 |
1 |
40 |
0.07 |
2.80 |
410 |
1 |
410 |
0.02 |
8.20 |
11.00 |
| Prescreening Web Survey Reminder Phone Script, Call 4 |
410 |
27 |
1 |
27 |
0.07 |
1.91 |
383 |
0 |
0 |
0.02 |
0.00 |
1.91 |
| Brief Site Visit Selection Interview Guide-Telephone |
B2b |
56 |
45 |
1 |
45 |
0.33 |
14.78 |
11 |
0 |
0 |
0.02 |
0.00 |
14.78 |
| Brief Site Visit Selection Interview Invitation and Preparation Email |
C5 |
56 |
14 |
1 |
14 |
0.05 |
0.70 |
42 |
1 |
42 |
0.02 |
0.84 |
1.54 |
| Brief Site Visit Selection Interview Invitation/Reminder Phone Script, Call 1 |
B2a |
56 |
14 |
1 |
14 |
0.07 |
0.98 |
42 |
1 |
42 |
0.02 |
0.84 |
1.82 |
| Brief Site Visit Selection Interview Invitation/Reminder Phone Script, Call 2 |
42 |
11 |
1 |
11 |
0.07 |
0.74 |
32 |
1 |
32 |
0.02 |
0.63 |
1.37 |
| Brief Site Visit Selection Interview Invitation/Reminder Phone Script, Call 3 |
32 |
6 |
1 |
6 |
0.07 |
0.44 |
25 |
0 |
0 |
0.02 |
0.00 |
0.44 |
| Brief Site Visit Selection Interview Follow-Up Email |
C11 |
45 |
36 |
1 |
36 |
0.05 |
1.79 |
9 |
1 |
9 |
0.02 |
0.18 |
1.97 |
| In-Depth Interview Guide-Telephone or On-Site |
B3 |
45 |
36 |
1 |
36 |
1.08 |
38.83 |
9 |
1 |
9 |
0.02 |
0.18 |
39.01 |
| In-Depth Interview Observational Instrument-On-Site |
B7 |
10 |
8 |
1 |
8 |
0.33 |
2.60 |
2 |
1 |
2 |
0.02 |
0.04 |
2.64 |
| In-Depth Interview Reminder Phone Script |
C6a |
45 |
36 |
1 |
36 |
0.07 |
2.51 |
9 |
1 |
9 |
0.02 |
0.18 |
2.69 |
| In-Depth Interview Invitation Email |
C7a |
31.5 |
8 |
1 |
8 |
0.05 |
0.39 |
24 |
1 |
24 |
0.02 |
0.47 |
0.87 |
| In-Depth Interview Confirmation and Preparation Email |
C8a |
36 |
36 |
1 |
36 |
0.17 |
6.00 |
0 |
0 |
0 |
0.02 |
0.00 |
6.00 |
| In-Depth Interview Thank You Letter |
C9 |
36 |
36 |
1 |
36 |
0.02 |
0.72 |
0 |
0 |
0 |
0.02 |
0.00 |
0.72 |
| School Administrator |
In-Depth Interview Guide-Telephone or On-Site |
B4 |
45 |
36 |
1 |
36 |
1.00 |
36.00 |
9 |
1 |
9 |
0.02 |
0.18 |
36.18 |
| In-Depth Interview Observational Instrument-On-Site |
B8 |
10 |
8 |
1 |
8 |
0.60 |
4.80 |
2 |
1 |
2 |
0.02 |
0.04 |
4.84 |
| In-Depth Interview Invitation Phone Script, Call 1 |
C6b |
45 |
11 |
1 |
11 |
0.07 |
0.79 |
34 |
1 |
34 |
0.02 |
0.68 |
1.46 |
| In-Depth Interview Invitation Phone Script, Call 2 |
34 |
8 |
1 |
8 |
0.07 |
0.59 |
25 |
1 |
25 |
0.02 |
0.51 |
1.10 |
| In-Depth Interview Invitation Phone Script, Call 3 |
25 |
6 |
1 |
6 |
0.07 |
0.44 |
19 |
0 |
0 |
0.02 |
0.00 |
0.44 |
| In-Depth Interview Invitation Email |
C7b |
45 |
11 |
1 |
11 |
0.05 |
0.56 |
34 |
1 |
34 |
0.02 |
0.68 |
1.24 |
| In-Depth Interview Confirmation and Preparation Email |
C8b |
36 |
36 |
1 |
36 |
0.05 |
1.80 |
0 |
0 |
0 |
0.02 |
0.00 |
1.80 |
| In-Depth Interview Thank You Letter |
C9 |
36 |
36 |
1 |
36 |
0.02 |
0.72 |
0 |
0 |
0 |
0.02 |
0.00 |
0.72 |
| Subtotal of State, Local, and Tribal Government |
585 |
3 |
1987 |
0.14 |
282.01 |
134 |
21 |
2878 |
0.02 |
57.56 |
339.57 |
| Business or Other For-Profit |
| Business or Other For-Profit |
Food Supplier |
In-Depth Interview Guide-Telephone or On-Site |
B5 |
45 |
36 |
1 |
36 |
1.00 |
36.00 |
9 |
1 |
9 |
0.00 |
0.00 |
36.00 |
| In-Depth Interview Observational Instrument-On-Site |
B9 |
10 |
8 |
1 |
8 |
0.33 |
2.64 |
2 |
1 |
2 |
0.00 |
0.00 |
2.64 |
| In-Depth Interview Invitation Phone Script, Call 1 |
C6b |
45 |
12 |
1 |
12 |
0.07 |
0.87 |
33 |
1 |
33 |
0.02 |
0.65 |
1.52 |
| In-Depth Interview Invitation Phone Script, Call 2 |
33 |
9 |
1 |
9 |
0.07 |
0.63 |
24 |
1 |
24 |
0.02 |
0.47 |
1.10 |
| In-Depth Interview Invitation Phone Script, Call 3 |
24 |
6 |
1 |
6 |
0.07 |
0.41 |
18 |
0 |
0 |
0.02 |
0.00 |
0.41 |
| In-Depth Interview Invitation Email |
C7c |
46 |
9 |
1 |
9 |
0.05 |
0.46 |
37 |
1 |
37 |
0.02 |
0.74 |
1.20 |
| In-Depth Interview Confirmation and Preparation Email |
C8c |
36 |
36 |
1 |
36 |
0.05 |
1.80 |
0 |
0 |
0 |
0.02 |
0.00 |
1.80 |
| In-Depth Interview Thank You Letter |
C9 |
36 |
36 |
1 |
36 |
0.02 |
0.72 |
0 |
0 |
0 |
0.02 |
0.00 |
0.72 |
| Participant Consent Script |
C10 |
36 |
36 |
1 |
36 |
0.04 |
1.44 |
0 |
0 |
0 |
0.02 |
0.00 |
1.44 |
| Subtotal of Business or Other For-Profit |
36 |
5 |
188 |
0.24 |
44.97 |
9 |
12 |
104 |
0.02 |
1.86 |
46.83 |
| Individuals or Households |
| Individuals or Households |
Community-Based Stakeholder |
In-Depth Interview Guide-Telephone or On-Site |
B6 |
35 |
28 |
1 |
28 |
1.00 |
28.00 |
7 |
1 |
7 |
0.00 |
0.00 |
28.00 |
| In-Depth Interview Observational Instrument-On-Site |
B10 |
8 |
6 |
1 |
6 |
0.33 |
2.11 |
2 |
1 |
2 |
0.00 |
0.00 |
2.11 |
| In-Depth Interview Invitation Phone Script, Call 1 |
C6b |
35 |
11 |
1 |
11 |
0.07 |
0.74 |
25 |
1 |
25 |
0.02 |
0.49 |
1.23 |
| In-Depth Interview Invitation Phone Script, Call 2 |
25 |
7 |
1 |
7 |
0.07 |
0.51 |
17 |
1 |
17 |
0.02 |
0.34 |
0.86 |
| In-Depth Interview Invitation Phone Script, Call 3 |
17 |
4 |
1 |
4 |
0.07 |
0.30 |
13 |
0 |
0 |
0.02 |
0.00 |
0.30 |
| In-Depth Interview Invitation Email |
C7d |
32 |
6 |
1 |
6 |
0.05 |
0.32 |
26 |
1 |
26 |
0.02 |
0.51 |
0.83 |
| In-Depth Interview Confirmation and Preparation Email |
C8d |
28 |
28 |
1 |
28 |
0.05 |
1.40 |
0 |
0 |
0 |
0.02 |
0.00 |
1.40 |
| In-Depth Interview Thank You Letter |
C9 |
28 |
28 |
1 |
28 |
0.02 |
0.56 |
0 |
0 |
0 |
0.02 |
0.00 |
0.56 |
| Participant Consent Script |
C10 |
28 |
28 |
1 |
28 |
0.04 |
1.12 |
0 |
0 |
0 |
0.02 |
0.00 |
1.12 |
| Subtotal of Individuals or Households |
28 |
5 |
147 |
0.24 |
35.06 |
7 |
11 |
76 |
0.02 |
1.35 |
36.41 |
| Not-For-Profit Institutions |
| Not-for-Profit Institutions |
Community-Based Stakeholder |
In-Depth Interview-Telephone or On-Site |
B6 |
10 |
8 |
1 |
8 |
1.00 |
8.00 |
2 |
1 |
2 |
0.00 |
0.00 |
8.00 |
| In-Depth Interview Observational Instrument-On-Site |
B10 |
2 |
2 |
1 |
2 |
0.33 |
0.53 |
0 |
1 |
0 |
0.00 |
0.00 |
0.53 |
| In-Depth Interview Invitation Phone Script, Call 1 |
C6b |
10 |
3 |
1 |
3 |
0.07 |
0.18 |
8 |
1 |
8 |
0.02 |
0.15 |
0.33 |
| In-Depth Interview Invitation Phone Script, Call 2 |
8 |
2 |
1 |
2 |
0.07 |
0.13 |
6 |
1 |
6 |
0.02 |
0.11 |
0.24 |
| In-Depth Interview Invitation Phone Script, Call 3 |
6 |
1 |
1 |
1 |
0.07 |
0.10 |
4 |
0 |
0 |
0.02 |
0.00 |
0.10 |
| In-Depth Interview Invitation Email |
C7d |
10 |
2 |
1 |
2 |
0.05 |
0.10 |
8 |
1 |
8 |
0.02 |
0.16 |
0.26 |
| In-Depth Interview Confirmation and Preparation Email |
C8d |
8 |
8 |
1 |
8 |
0.05 |
0.40 |
0 |
0 |
0 |
0.02 |
0.00 |
0.40 |
| In-Depth Interview Thank You Letter |
C9 |
8 |
8 |
1 |
8 |
0.02 |
0.16 |
0 |
0 |
0 |
0.02 |
0.00 |
0.16 |
| Participant Consent Script |
C10 |
8 |
8 |
1 |
8 |
0.04 |
0.32 |
0 |
0 |
0 |
0.02 |
0.00 |
0.32 |
| Subtotal of Not-For Profit Institutions |
8 |
5 |
41 |
0.24 |
9.91 |
2 |
12 |
24 |
0.02 |
0.42 |
10.34 |
| Grand Total |
657 |
4 |
2364 |
0.16 |
371.95 |
152 |
20 |
3082 |
0.02 |
61.19 |
433.14 |
| a Select State agency CN directors in the 48 contiguous States and District of Columbia will be asked to notify SFA directors selected for participation in the Prescreening Web Survey of the study by email (Appendix C1a, C1b, and C1c). |
| Note: Appendices A1, A2, and C1a are not data collection instruments and do not add burden to potential respondents and therefore are not included in this table. |
|
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|
|
Total # of respondents (including participants and non-respondents) |
|
|
|
809 |
|
|
|
|
|
|
|
|
|
|
|
Estimated total # of annual responses (including participants and non-respondents) |
|
|
|
5445 |
|
|
|
|
|
|
|
|
|
|
|
Total annual burden estimates (including participants and non-respondents) |
|
|
|
433.14 |
|
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|
|
Estimated frequency of responses per respondent (including participants and non-respondents) |
|
|
|
6.73 |
|
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|
|
Estimated time per response (including participants and non-respondents) |
|
|
|
0.08 |
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KEY: |
email, read |
3 min |
0.05 |
|
|
|
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|
|
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|
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|
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|
|
email, don’t read |
1.2 min |
0.02 |
|
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|
call |
4 min |
0.07 |
|
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|
door knock |
1.2 min |
0.02 |
|
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mail, read |
1.2 min |
0.02 |
|
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|
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mail, don't read |
1.2 min |
0.02 |
|
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voicemail |
1.2 min |
0.02 |
|
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email back |
1.8 min |
0.03 |
|
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|
mail back |
3 min |
0.05 |
|
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consent form |
2.4 min |
0.04 |
|
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