Updated Burden Table

Non-substantive change to Partnerships for Success (OMB No. 0930-0348)--approved on 4/7/15 through 8/7/18).

SAMHSA was awarded grant funding for 31 additional grantees under the Partnerships for Success (PFS) program in FY 2015 (PFS 2015 cohort) and the Agency anticipates up to 5 grantees to be awarded in 2016 (PFS 2016 cohort). As with the other grantees, these new grantee sites and their community subrecipients are required by their RFA to participate in the evaluation. In addition, 10 PFS II cohort grantees (originally funded in 2012) received No Cost Extensions on their grants, resulting in their community subrecipients needing to continue to complete the Community Level Instrument (CLI) in FY 2016. NO changes have been made to the evaluation instruments or data collection protocol (as described in the supporting statement that received final OMB approval on April 7, 2015).

Tables 1a and 2a are the original burden tables that included the grantees that SAMHSA expected to be funded at that time the Agency submitted the original supporting statement. Tables 1b and 2b provides the updated burden estimates, including all grantees and community subrecipients that SAMHSA now expects to be part of the Partnerships for Success Program in FY 2016 and FY 2017. The yellow highlighted sections reflect the burden increase. Table 3a provides the original annualized burden estimates covering FY 2015 through FY 2017, while table 3b provides the updated annualized burden estimate that includes the additional funded grantees.

1a. Original Cost Estimates for FY 2016

Instrument	Number of Respondents	Responses per Respondent	Total Number of Responses	Hours per Response	Total Burden Hours	Average Hourly Wage	Total Respondent Costa
GLI-Rb	0	--	--	--	--	--	--
CLI-R	470	2	940	2.6	2,444	$21.27	$51,984
Grantee PD Interview	16	1	16	1.4	22.4	$39.54	$886
FY2016 TOTAL	486		956		2,466.4		$52,870

Note. CLI-R, Community-Level Instrument–Revised; GLI-R, Grantee-Level Instrument–Revised; PD, Project Director.

^a Total respondent cost is calculated as total burden hours x average hourly wage.

^b The GLI-R will not be collected in FY2016 unless PFS II grantees receive a no-cost extension.

1b. Updated Cost Estimates for FY2016

Instrument	Number of Respondents	Responses per Respondent	Total Number of Responses	Hours per Response	Total Burden Hours	Average Hourly Wage	Total Respondent Costa
GLI-R
PFS II cohortb	0	1	0	1	0	39.54	$0
PFS 2013 cohort	0	1	0	1	0	$39.54	$0
PFS 2014 cohort	0	1	0	1	0	$39.54	$0
PFS 2015 cohort	31	1	31	1	31	39.54	$1,226
PFS 2016 cohort	--	--	--	--	--	--	--
GLI-R total	31		31		31		$1,226
CLI-R
PFS II cohort b	94	2	188	2.6	489	$21.27	$10,401
PFS 2013 cohort	250	2	500	2.6	1,300	$21.27	$27,651
PFS 2014 cohort	220	2	440	2.6	1,144	$21.27	$24,333
PFS 2015 cohort	330	1	330	2.6	858	$21.27	$18,250
PFS 2016 cohort	--	--	--	--	--	--	--
CLI-R total	894		1,458		3,791		$80,635
Grantee PD Interview
PFS II cohort b	0	1	0	1.4	0	$39.54	$0
PFS 2013 cohort	16	1	16	1.4	22.4	$39.54	$886
PFS 2014 cohort	0	1	0	1.4	0	$39.54	$0
PFS 2015 cohort	31	1	31	1.4	43.4	$39.54	$1,716
PFS 2016 cohort	--	--	--	--	--	--	--
PD Interview	47		47		65.8		$2,602
FY2016 TOTAL	941c		1,536		3,887.8		$84,463

Note. CLI-R, Community-Level Instrument–Revised; GLI-R, Grantee-Level Instrument–Revised; PD, Project Director.

^a Total respondent cost is calculated as total burden hours x average hourly wage.

^b PFS II cohort grantees all received new grant funding as part of the PFS 2015 cohort and will complete their GLI-R and PD Interview only one time in FY 2016 (as baseline for the PFS 2015 cohort). For the 10 PFS II grantees who received no cost extensions, their community subrecipients will continue to complete their CLI-Rs through FY2016 (PFS II and PFS 2015 community subrecipients are expected to differ).

^c Respondents for the GLI-R and the Grantee PD Interview are the same individuals so are only counted once.

2a. Original Cost Estimates for FY2017

Instrument	Number of Respondents	Responses per Respondent	Total Number of Responses	Hours per Response	Total Burden Hours	Average Hourly Wage	Total Respondent Costa
GLI-Rb	0	--	--	--	--	--	--
CLI-R	470	2	940	2.6	2,444	$21.27	$51,984
Grantee PD Interview	21	1	21	1.4	29.4	$39.54	$1,162
FY2017 TOTAL	491		961		2,473.4		$53,146

Note. CLI-R, Community-Level Instrument–Revised; GLI-R, Grantee-Level Instrument–Revised; PD, Project Director.

^a Total respondent cost is calculated as total burden hours x average hourly wage.

^b The GLI-R will not be collected in FY2017.

2b. Updated Cost Estimates for FY2017.

Instrument	Number of Respondents	Responses per Respondent	Total Number of Responses	Hours per Response	Total Burden Hours	Average Hourly Wage	Total Respondent Costa
GLI-R
PFS II cohort	--	--	--	--	--	--	--
PFS 2013 cohort	0	1	0	1	0	$39.54	$0
PFS 2014 cohort	0	1	0	1	0	$39.54	$0
PFS 2015 cohort	0	1	0	1	0	$39.54	$0
PFS 2016 cohort	5	1	5	1	5	$39.54	$ 198
GLI-R Total	5		5		5		$ 198
CLI-R
PFS II cohort	--	--	--	--	--	--	--
PFS 2013 cohort	250	2	500	2.6	1,300	$21.27	$27,651
PFS 2014 cohort	220	2	440	2.6	1,144	$21.27	$24,333
PFS 2015 cohort	330	2	660	2.6	1,716	$21.27	$36,499
PFS 2016 cohort	35	1	35	2.6	91	$21.27	$1,936
CLI-R total	855		1,635		4,251		$90,419
Grantee PD Interview
PFS II cohort	--	--	--	--	--	--	--
PFS 2013 cohort	0	1	0	1.4	0	$39.54	$0
PFS 2014 cohort	21	1	21	1.4	29.4	$39.54	$1,162
PFS 2015 cohort	0	1	0	1.4	0	$39.54	$0
PFS 2016 cohort	5	1	5	1.4	7	$39.54	$277
PD Interview Total	26		26		36.4		$1,439
FY2017 TOTAL	881b		1,666		4292.4		$92,056

^a Respondent cost is calculated as total burden hours x average hourly wage.

^b Respondents for the GLI-R and the Grantee PD Interview are the same individuals so are only counted once.

Annualized Data Collection (FY 2015 through FY 2017)

3a. Original Annualized Data Collection Burden^a

Instrument	Number of Respondents	Number of Responses	Burden Hours	Average Hourly Wage	Respondent Costb
GLI-R	17	22	22	$39.54	$883
CLI-R	517	960	2,496	$21.27	$53,090
Grantee PD Interview	30	35	48.5	$39.54	$1,919
ANUALIZED TOTAL	564	1,017	2,566.5		$55,892

Note. CLI-R, Community-Level Instrument–Revised; GLI-R, Grantee-Level Instrument–Revised; PD, Project Director.

^a Annualized Data Collection Burden captures the average number of respondents and responses, burden hours, and respondent cost over the three years (FY2015 – 2017).

^b Respondent cost is calculated as total burden hours x average hourly wage.

3b. Updated Annualized Data Collection Burden^a

Instrument	Number of Respondents	Number of Responses	Burden Hours	Average Hourly Wage	Respondent Costb
GLI-R	29	34	34	$39.54	$1,344
CLI-R	786	1,364	3,547	$21.27	$75,445
Grantee PD Interview	42	47	65	$39.54	$2,570
ANUALIZED TOTAL	828c	1,445	3,646		$79,359

Note. CLI-R, Community-Level Instrument–Revised; GLI-R, Grantee-Level Instrument–Revised; PD, Project Director.

^a Annualized Data Collection Burden captures the average number of respondents and responses, burden hours, and respondent cost over the three years (FY2015 – 2017).

^b Respondent cost is calculated as total burden hours x average hourly wage.

^c Respondents for the GLI-R and the Grantee PD Interview are the same individuals so are only counted once.