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

Appendix C QRS Burden Table 3 Year Total Revised Oct 17.xlsx

Special Nutrition Programs Quick Response Surveys

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

OMB: 0584-0613

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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	$47.49	$12,822.30
		Reminder 1	54	1	54	0.05	2.7	54	1	54	0.02	0.9	3.6	$47.49	$170.96
		Reminder 2	54	1	54	0.05	2.7	0	1	0	0.02	0.0	2.7	$47.49	$128.22
	WIC State Agency	QRS Survey	270	1	270	0.33	89.1	0	1	0	0.02	0.0	89.1	$47.49	$4,231.36
		Reminder 1	54	1	54	0.05	2.7	54	1	54	0.02	0.9	3.6	$47.49	$170.96
		Reminder 2	54	1	54	0.05	2.7	0	1	0	0.02	0.0	2.7	$47.49	$128.22
	NSLP/SBP State Agency	SFA Contacts Request	168	1	168	1	168.0	0	1	0	0.02	0.0	168.0	$47.49	$7,978.32
		Reminder 1	34	1	34	0.05	1.7	34	1	34	0.02	0.6	2.2	$47.49	$106.38
		Reminder 2	34	1	34	0.05	1.7	0	1	0	0.02	0.0	1.7	$47.49	$79.78
	NSLP/SBP State Agency	QRS Survey	168	1	168	0.33	55.4	0	1	0	0.02	0.0	55.4	$47.49	$2,632.85
		Reminder 1	34	1	34	0.05	1.7	34	1	34	0.02	0.6	2.2	$47.49	$106.38
		Reminder 2	34	1	34	0.05	1.7	0	1	0	0.02	0.0	1.7	$47.49	$79.78
	SFSP State Agency	Local SFSP Sponsor Contacts Request	162	1	162	1	162.0	0	1	0	0.02	0.0	162.0	$47.49	$7,693.38
		Reminder 1	32	1	32	0.05	1.6	32	1	32	0.02	0.5	2.2	$47.49	$102.58
		Reminder 2	32	1	32	0.05	1.6	0	1	0	0.02	0.0	1.6	$47.49	$76.93
	SFSP State Agency	QRS Survey	162	1	162	0.33	53.5	0	1	0	0.02	0.0	53.5	$47.49	$2,538.82
		Reminder 1	32	1	32	0.05	1.6	32	1	32	0.02	0.5	2.2	$47.49	$102.58
		Reminder 2	32	1	32	0.05	1.6	0	1	0	0.02	0.0	1.6	$47.49	$76.93
	CACFP State Agency	Local CACFP Sponsors/Sites Contacts Request	162	1	162	1	162.0	0	1	0	0.02	0.0	162.0	$47.49	$7,693.38
		Reminder 1	32	1	32	0.05	1.6	32	1	32	0.02	0.5	2.2	$47.49	$102.58
		Reminder 2	32	1	32	0.05	1.6	0	1	0	0.02	0.0	1.6	$47.49	$76.93
	CACFP State Agency	QRS Survey	162	1	162	0.33	53.5	0	1	0	0.02	0.0	53.5	$47.49	$2,538.82
		Reminder 1	32	1	32	0.05	1.6	32	1	32	0.02	0.5	2.2	$47.49	$102.58
		Reminder 2	32	1	32	0.05	1.6	0	1	0	0.02	0.0	1.6	$47.49	$76.93
	TEFAP State Agency	Local Agency Contacts Request	165	1	165	1	165.0	0	1	0	0.02	0.0	165.0	$47.49	$7,835.85
		Reminder 1	34	1	11	0.05	0.6	34	1	34	0.02	0.6	1.1	$47.49	$53.19
		Reminder 2	34	1	11	0.05	0.6	0	1	0	0.02	0.0	0.6	$47.49	$26.59
	TEFAP State Agency	QRS Survey	165	1	56	0.33	18.5	0	1	0	0.02	0.0	18.5	$47.49	$877.62
		Reminder 1	34	1	11	0.05	0.6	34	1	34	0.02	0.6	1.1	$47.49	$53.19
		Reminder 2	34	1	11	0.05	0.6	0	1	0	0.02	0.0	0.6	$47.49	$26.59
	FDPIR State Agency/ITO	ITO Contacts Request	315	1	315	1	315.0	0	1	0	0.02	0.0	315.0	$47.49	$14,959.35
		Reminder 1	63	1	21	0.05	1.1	63	1	63	0.02	1.1	2.1	$47.49	$99.73
		Reminder 2	63	1	21	0.05	1.1	0	1	0	0.02	0.0	1.1	$47.49	$49.86
	FDPIR State Agency/ITO	QRS Survey	315	1	105	0.33	34.7	0	1	0	0.02	0.0	34.7	$47.49	$1,645.53
		Reminder 1	63	1	21	0.05	1.1	63	1	63	0.02	1.1	2.1	$47.49	$99.73
		Reminder 2	63	1	21	0.05	1.1	0	1	0	0.02	0.0	1.1	$47.49	$49.86
	FFVP State Agency	Local FFVP Contacts Request	168	1	168	1	168.0	0	1	0	0.02	0.0	168.0	$47.49	$7,978.32
		Reminder 1	34	1	34	0.05	1.7	34	1	34	0.02	0.6	2.2	$47.49	$106.38
		Reminder 2	34	1	34	0.05	1.7	0	1	0	0.02	0.0	1.7	$47.49	$79.78
	FFVP State Agency	QRS Survey	168	1	168	0.33	55.4	0	1	0	0.02	0.0	55.4	$47.49	$2,632.85
		Reminder 1	34	1	34	0.05	1.7	34	1	34	0.02	0.6	2.2	$47.49	$106.38
		Reminder 2	34	1	34	0.05	1.7	0	1	0	0.02	0.0	1.7	$47.49	$79.78
	CSFP State Agency	Local CSFP Contacts Request	153	1	153	1	153.0	0	1	0	0.02	0.0	153.0	$47.49	$7,265.97
		Reminder 1	29	1	29	0.05	1.5	29	1	29	0.02	0.5	2.0	$47.49	$93.08
		Reminder 2	29	1	29	0.05	1.5	0	1	0	0.02	0.0	1.5	$47.49	$69.81
	CSFP State Agency	QRS Survey	153	1	153	0.33	50.5	0	1	0	0.02	0.0	50.5	$47.49	$2,397.77
		Reminder 1	29	1	29	0.05	1.5	29	1	29	0.02	0.5	2.0	$47.49	$93.08
		Reminder 2	29	1	29	0.05	1.5	0	1	0	0.02	0.0	1.5	$47.49	$69.81
State Agencies Sub-Total			1,077	3.53	3,797	0.533	2,023.04	214		624		10.40	2033.44	-	$96,568.07
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	$29.59	$38,199.21
		Reminder 1	861	1	861	0.05	43	2,008	1	2,008	0.02	33.47	76.51	$29.59	$2,263.99
		Reminder 2	603	1	603	0.05	30	1,406	1	1,406	0.02	23.43	53.56	$29.59	$1,584.79
		Reminder 3	449	1	449	0.05	22	957	1	957	0.02	15.95	38.40	$29.59	$1,136.12
	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	$29.59	$65,911.73
		Reminder 1	1,485	1	1,485	0.05	74	3,465	1	3,465	0.02	57.75	132.00	$29.59	$3,905.88
		Reminder 2	1,040	1	1,040	0.05	52	2,426	1	2,426	0.02	40.43	92.40	$29.59	$2,734.12
		Reminder 3	776	1	776	0.05	39	1,650	1	1,650	0.02	27.50	66.28	$29.59	$1,961.08
	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	$29.59	$59,919.75
		Reminder 1	1,350	1	1,350	0.05	68	3,150	1	3,150	0.02	52.50	120.00	$29.59	$3,550.80
		Reminder 2	945	1	945	0.05	47	2,205	1	2,205	0.02	36.75	84.00	$29.59	$2,485.56
		Reminder 3	705	1	705	0.05	35	1,500	1	1,500	0.02	25.00	60.25	$29.59	$1,782.80
	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	$29.59	$59,919.75
		Reminder 1	1,350	1	1,350	0.05	68	3,150	1	3,150	0.02	52.50	120.00	$29.59	$3,550.80
		Reminder 2	945	1	945	0.05	47	2,205	1	2,205	0.02	36.75	84.00	$29.59	$2,485.56
		Reminder 3	705	1	705	0.05	35	1,500	1	1,500	0.02	25.00	60.25	$29.59	$1,782.80
	SFSP Sponsor	QRS Survey	4,500	1	4,500	0.33	1,500	1,125	1	1,125	0.02	18.75	1518.75	$29.59	$44,939.81
		Reminder 1	1,013	1	1,013	0.05	51	2,363	1	2,363	0.02	39.38	90.00	$29.59	$2,663.10
		Reminder 2	709	1	709	0.05	35	1,654	1	1,654	0.02	27.56	63.00	$29.59	$1,864.17
		Reminder 3	529	1	529	0.05	26	1,125	1	1,125	0.02	18.75	45.19	$29.59	$1,337.10
	SFSP Site	QRS Survey	6,300	1	6,300	0.33	2,100	1,575	1	1,575	0.02	26.25	2126.25	$29.59	$62,915.74
		Reminder 1	1,418	1	1,418	0.05	71	3,308	1	3,308	0.02	55.13	126.00	$29.59	$3,728.34
		Reminder 2	992	1	992	0.05	50	2,315	1	2,315	0.02	38.59	88.20	$29.59	$2,609.84
		Reminder 3	740	1	740	0.05	37	1,575	1	1,575	0.02	26.25	63.26	$29.59	$1,871.94
	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	$29.59	$52,430.52
		Reminder 1	1,182	1	1,182	0.05	59	2,757	1	2,757	0.02	45.95	105.02	$29.59	$3,107.66
		Reminder 2	827	1	827	0.05	41	1,930	1	1,930	0.02	32.16	73.52	$29.59	$2,175.36
		Reminder 3	616	1	616	0.05	31	1,314	1	1,314	0.02	21.90	52.69	$29.59	$1,559.12
	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	$29.59	$56,923.76
		Reminder 1	1,283	1	1,283	0.05	64	2,993	1	2,993	0.02	49.88	114.00	$29.59	$3,373.26
		Reminder 2	898	1	898	0.05	45	2,095	1	2,095	0.02	34.91	79.80	$29.59	$2,361.28
		Reminder 3	670	1	670	0.05	33	1,425	1	1,425	0.02	23.75	57.24	$29.59	$1,693.66
	CACFP Head Start Center Sponsors	QRS Survey	2,925	1	2,925	0.33	975	732	1	732	0.02	12.20	987.20	$29.59	$29,211.25
		Reminder 1	658	1	658	0.05	33	1,536	1	1,536	0.02	25.60	58.51	$29.59	$1,731.37
		Reminder 2	461	1	461	0.05	23	1,075	1	1,075	0.02	17.92	40.96	$29.59	$1,211.96
		Reminder 3	343	1	343	0.05	17	732	1	732	0.02	12.20	29.36	$29.59	$868.70
	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	$29.59	$52,430.52
		Reminder 1	1,182	1	1,182	0.05	59	2,757	1	2,757	0.02	45.95	105.02	$29.59	$3,107.66
		Reminder 2	827	1	827	0.05	41	1,930	1	1,930	0.02	32.16	73.52	$29.59	$2,175.36
		Reminder 3	616	1	616	0.05	31	1,314	1	1,314	0.02	21.90	52.69	$29.59	$1,559.12
	CACFP FDCH Sponsors	QRS Survey	2,052	1	2,052	0.33	684	513	1	513	0.02	8.55	692.55	$29.59	$20,492.55
		Reminder 1	462	1	462	0.05	23	1,077	1	1,077	0.02	17.96	41.04	$29.59	$1,214.37
		Reminder 2	323	1	323	0.05	16	754	1	754	0.02	12.57	28.73	$29.59	$850.06
		Reminder 3	241	1	241	0.05	12	513	1	513	0.02	8.55	20.61	$29.59	$609.72
	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	$29.59	$58,422.50
		Reminder 1	1,317	1	1,317	0.05	66	3,072	1	3,072	0.02	51.20	117.02	$29.59	$3,462.74
		Reminder 2	922	1	922	0.05	46	2,150	1	2,150	0.02	35.84	81.92	$29.59	$2,423.92
		Reminder 3	686	1	686	0.05	34	1,464	1	1,464	0.02	24.40	58.72	$29.59	$1,737.40
	CACFP ADCC	QRS Survey	3,570	1	3,570	0.33	1,190	894	1	894	0.02	14.90	1204.90	$29.59	$35,652.99
		Reminder 1	804	1	804	0.05	40	1,875	1	1,875	0.02	31.25	71.42	$29.59	$2,113.44
		Reminder 2	562	1	562	0.05	28	1,312	1	1,312	0.02	21.87	50.00	$29.59	$1,479.41
		Reminder 3	418	1	418	0.05	21	894	1	894	0.02	14.90	35.82	$29.59	$1,059.94
	TEFAP ERA	QRS Survey	720	1	720	0.33	240	180	1	180	0.02	3.00	243.00	$29.59	$7,190.37
		Reminder 1	162	1	162	0.05	8	378	1	378	0.02	6.30	14.40	$29.59	$426.10
		Reminder 2	113	1	113	0.05	6	265	1	265	0.02	4.41	10.08	$29.59	$298.27
		Reminder 3	85	1	85	0.05	4	180	1	180	0.02	3.00	7.23	$29.59	$213.94
	TEFAP EFO	QRS Survey	6,300	1	6,300	0.33	2,100	1,575	1	1,575	0.02	26.25	2126.25	$29.59	$62,915.74
		Reminder 1	1,418	1	1,418	0.05	71	3,308	1	3,308	0.02	55.13	126.00	$29.59	$3,728.34
		Reminder 2	992	1	992	0.05	50	2,315	1	2,315	0.02	38.59	88.20	$29.59	$2,609.84
		Reminder 3	740	1	740	0.05	37	1,575	1	1,575	0.02	26.25	63.26	$29.59	$1,871.94
	FFVP SFA	QRS Survey	4,500	1	4,500	0.33	1,500	1,125	1	1,125	0.02	18.75	1518.75	$29.59	$44,939.81
		Reminder 1	1,013	1	1,013	0.05	51	2,363	1	2,363	0.02	39.38	90.00	$29.59	$2,663.10
		Reminder 2	709	1	709	0.05	35	1,654	1	1,654	0.02	27.56	63.00	$29.59	$1,864.17
		Reminder 3	529	1	529	0.05	26	1,125	1	1,125	0.02	18.75	45.19	$29.59	$1,337.10
FFVP School	QRS Survey	5,400	1	5,400	0.33	1,800	1,350	1	1,350	0.02	22.50	1822.50	$29.59	$53,927.78
	Reminder 1	1,215	1	1,215	0.05	61	2,835	1	2,835	0.02	47.25	108.00	$29.59	$3,195.72
	Reminder 2	851	1	851	0.05	43	1,985	1	1,985	0.02	33.08	75.60	$29.59	$2,237.00
	Reminder 3	635	1	635	0.05	32	1,350	1	1,350	0.02	22.50	54.23	$29.59	$1,604.52
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	$29.59	$44,041.76
	Reminder 1	993	1	993	0.05	50	2,316	1	2,316	0.02	38.60	88.22	$29.59	$2,610.55
	Reminder 2	695	1	695	0.05	35	1,621	1	1,621	0.02	27.02	61.76	$29.59	$1,827.38
	Reminder 3	517	1	517	0.05	26	1,104	1	1,104	0.02	18.40	44.26	$29.59	$1,309.53
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	-	$961,357.30
	TOTAL*		86,229	1.525	131,522	0.247	32,536	21,511	15	119,223	0.02	1,987	34,523		$1,057,925.36
*Totals may not add up due to rounding.

	TEFAP state agencies were updated to 55 to match the SF OMB package. Highlighted box reflects update.
	CFSP state agencies were updated to 51. Highlighted box reflects update.
	The hourly wage rates were updated to 2016 rates. Highlighted box reflects update.

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