| Appendix M.1 OMB Burden Table-EXCEL |
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Respondents |
Nonrespondents |
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| Affected public |
Respondent Type |
Instrument |
Appendix ID |
Sample
Size |
Estimated Number of Respondents |
Frequency of Response |
Total Responses |
Average Time per Response (Hours) |
Total Estimated Annual Burden (Hours) |
Estimated Number of Nonrespondents |
Frequency of Nonresponse |
Total Nonresponse |
Average Time per Nonresponse (Hours) |
Total Estimated Annual Burden (Hours) |
Grand Total Estimated Annual Burden (Hours) |
Hourly Wage Rate** |
Estimated Total Annual Cost to Respondents |
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| State, Local, and Tribal Government |
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| State, local, and Tribal government |
Peer Advisory Panel |
Interview instrument review |
NA |
4 |
4 |
1 |
4 |
2 |
8.0 |
0 |
1 |
0 |
0 |
0 |
8.0 |
$55.30 |
$442 |
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| WIC Director |
Advance letter |
A.1 |
58 |
58 |
1 |
58 |
0.03 |
1.9 |
0 |
1 |
0 |
0 |
0 |
1.9 |
$55.30 |
$107 |
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| WIC Director |
Study information sheet |
A.2 |
58 |
58 |
1 |
58 |
0.08 |
4.8 |
0 |
1 |
0 |
0 |
0 |
4.8 |
$55.30 |
$267 |
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| WIC Director |
Prepopulated summary of cost-containment practices |
A.3 |
58 |
58 |
1 |
58 |
0.25 |
14.5 |
0 |
1 |
0 |
0 |
0 |
14.5 |
$55.30 |
$802 |
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| WIC Director |
Telephone interview |
A.4 |
58 |
58 |
1 |
58 |
0.75 |
43.5 |
0 |
1 |
0 |
0 |
0 |
43.5 |
$55.30 |
$2,406 |
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| EBT SA WIC Director |
Advance letter |
B.1 |
12 |
12 |
1 |
12 |
0.03 |
0.4 |
0 |
1 |
0 |
0 |
0 |
0.4 |
$55.30 |
$22 |
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| EBT SA WIC Director |
Study information sheet |
A.2 |
12 |
12 |
1 |
12 |
0.08 |
1.0 |
0 |
1 |
0 |
0 |
0 |
1.0 |
$55.30 |
$55 |
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| EBT SA WIC Director |
Follow-up conference call to discuss study and requested data |
B.2 |
12 |
12 |
1 |
12 |
0.75 |
9.0 |
0 |
1 |
0 |
0 |
0 |
9.0 |
$55.30 |
$498 |
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| EBT SA WIC Director |
Prepopulated summary of cost-containment practices |
A.3 |
12 |
12 |
1 |
12 |
0.25 |
3.0 |
0 |
1 |
0 |
0 |
0 |
3.0 |
$55.30 |
$166 |
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| EBT SA WIC Director |
Telephone interview |
A.4 |
12 |
12 |
1 |
12 |
0.83 |
10.0 |
0 |
1 |
0 |
0 |
0 |
10.0 |
$55.30 |
$553 |
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| Database administrator |
Administrative cost estimates |
C.1 |
12 |
12 |
1 |
12 |
1 |
12.0 |
0 |
1 |
0 |
0 |
0 |
12.0 |
$40.51 |
$486 |
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| Database administrator |
Certification data-WIC participants |
D.1 |
12 |
12 |
2 |
24 |
1 |
24.0 |
0 |
1 |
0 |
0 |
0 |
24.0 |
$40.51 |
$972 |
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| Database administrator |
Reminder email for certification data-participants |
D.2 |
4 |
4 |
2 |
8 |
0.05 |
0.4 |
0 |
0 |
0 |
0 |
0 |
0.4 |
$40.51 |
$16 |
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| Database administrator |
Follow-up email and phone call to discuss certification data issues and answer questions-participants |
D.3 |
12 |
12 |
2 |
24 |
0.5 |
12.0 |
0 |
0 |
0 |
0 |
0 |
12.0 |
$40.51 |
$486 |
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| Database administrator |
FTP Site Instructions for State Agencies Submitting Data Files |
D.4*** |
12 |
12 |
1 |
12 |
0.05 |
0.6 |
0 |
0 |
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0 |
0 |
0.6 |
$40.51 |
$24 |
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| Database administrator |
Certification data: former WIC participants |
E.1 |
3 |
3 |
2 |
6 |
1 |
6.0 |
0 |
0 |
0 |
0 |
0 |
6.0 |
$40.51 |
$243 |
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| Database administrator |
Reminder email for certification data on former participants |
E.2 |
1 |
1 |
2 |
2 |
0.05 |
0.1 |
0 |
0 |
0 |
0 |
0 |
0.1 |
$40.51 |
$4 |
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| Database administrator |
Follow-up email and phone call to discuss certification data issues and answer questions-former participants |
E.3 |
3 |
3 |
2 |
6 |
0.5 |
3.0 |
0 |
0 |
0 |
0 |
0 |
3.0 |
$40.51 |
$122 |
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| Database administrator |
EBT data |
F.1 |
12 |
12 |
2 |
24 |
2 |
48.0 |
0 |
0 |
0 |
0 |
0 |
48.0 |
$40.51 |
$1,944 |
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| Database administrator |
Reminder email for EBT data |
F.2 |
4 |
4 |
2 |
8 |
0.05 |
0.4 |
0 |
0 |
0 |
0 |
0 |
0.4 |
$40.51 |
$16 |
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| Database administrator |
Follow-up email and phone call to discuss EBT data issues and answer questions |
F.3 |
12 |
12 |
2 |
24 |
0.5 |
12.0 |
0 |
0 |
0 |
0 |
0 |
12.0 |
$40.51 |
$486 |
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| Subtotal unique State, local, and Tribal government |
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86 |
86 |
5.19 |
446 |
0.48 |
214.7 |
0 |
- |
0 |
- |
0 |
214.7 |
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$10,118 |
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| Individuals/Households |
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| Indiviuals |
WIC Participant |
Pretest |
L.1 |
10 |
5 |
1 |
5 |
0.76 |
3.8 |
5 |
1 |
5 |
0.05 |
0.25 |
4.0 |
$7.25 |
$29 |
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| WIC Participant |
Survey advance letter |
G.1 |
4,284 |
4,284 |
1 |
4,284 |
0.05 |
214.2 |
0 |
1 |
0 |
0 |
0 |
214.2 |
$7.25 |
$1,553 |
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| WIC Participant |
Telephone survey |
G.2 |
4,284 |
3,000 |
1 |
3,000 |
0.5 |
1500.0 |
1,284 |
1 |
1,284 |
0.05 |
64.2 |
1564.2 |
$7.25 |
$11,340 |
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| WIC Participant |
Survey reminder postcard |
G.3 |
2,570 |
2,570 |
1 |
2,570 |
0.02 |
42.9 |
0 |
1 |
0 |
0 |
0 |
42.9 |
$7.25 |
$311 |
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| WIC Participant |
Survey reminder letter |
G.4 |
2,142 |
2,142 |
1 |
2,142 |
0.03 |
71.5 |
0 |
1 |
0 |
0 |
0 |
71.5 |
$7.25 |
$519 |
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| WIC Participant |
Survey refusal letter |
G.5 |
1,071 |
1,071 |
1 |
1,071 |
0.03 |
35.8 |
0 |
1 |
0 |
0 |
0 |
35.8 |
$7.25 |
$259 |
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| Former WIC Participant |
Pretest |
L.1 |
6 |
4 |
1 |
4 |
0.67 |
2.7 |
2 |
1 |
2 |
0.05 |
0.1 |
2.8 |
$7.25 |
$20 |
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| Former WIC Participant |
Survey advance letter |
H.1 |
625 |
625 |
1 |
625 |
0.05 |
31.3 |
0 |
1 |
0 |
0 |
0 |
31.3 |
$7.25 |
$227 |
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| Former WIC Participant |
Telephone survey |
H.2 |
625 |
375 |
1 |
375 |
0.33 |
123.8 |
250 |
1 |
250 |
0.05 |
12.5 |
136.3 |
$7.25 |
$988 |
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| Former WIC Participant |
Survey reminder postcard |
G.3 |
375 |
375 |
1 |
375 |
0.02 |
6.3 |
0 |
1 |
0 |
0 |
0 |
6.3 |
$7.25 |
$45 |
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| Former WIC Participant |
Survey reminder letter |
G.4 |
313 |
313 |
1 |
313 |
0.03 |
10.4 |
0 |
1 |
0 |
0 |
0 |
10.4 |
$7.25 |
$76 |
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| Former WIC Participant |
Survey refusal letter |
G.5 |
156 |
156 |
1 |
156 |
0.03 |
5.2 |
0 |
1 |
0 |
0 |
0 |
5.2 |
$7.25 |
$38 |
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| Subtotal of unique individuals/households |
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4,925 |
4,918 |
3.03378 |
14,920 |
0.14 |
2,048 |
1,541 |
1 |
1,541 |
0.05 |
77 |
2,125 |
$7.25 |
$15,405 |
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Grand total |
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5,011 |
5,004 |
3.071 |
15,366 |
0.15 |
2,262 |
1,541 |
1 |
1,541 |
0.05 |
77 |
2,340 |
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$25,524 |
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| ** Sources: U.S. Department of Labor Wage and Hour Division (http://www.dol.gov/whd/minimumwage.htm). Bureau of Labor Statistics, Occupational Employment Statistics Survey, May 2015 (http://www.bls.gov/oes/current/oes_nat.htm) |
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| *** The Average Time Per Response for Appendix D.4 (0.05 hours) reflects the total time necessary to read two corresponding emails. It takes 2 minutes to read the e-mail containing the FTP site address and user name and 1 minute to read the e-mail containing |
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| Individuals/Participant: Federal minimum wage rate. State, local, or tribal agency director/manager: average hourly earnings of workers in management occupations (11-0000); State, local, or tribal agency database administrators: Average hourly earnings of workers in database administration occupations (15-1141). |
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