Appendix A.1 Respondent Burden Table

Appendix A.1 - Respondent Burden Table Final.xlsx

Special Nutrition Programs Quick Response Surveys

Appendix A.1 Respondent Burden Table

OMB: 0584-0613

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Appendix A.1 - Respondent Burden Table
























Estimates of Respondent Burden









Affected Public Respondent Type Data Collection Activity Appendix Original Sample Size Responsive Non-Responsive Estimated Total Annual Hour Burden









Estimated Number of Respondents Frequency of Response Estimated Total Annual Responses Hours Per Response Estimated Annual Burden (Hours) Estimated Number of Non-Respondents Frequency of Response Estimated Total Annual Non-Responses Hours Per Non-Response Estimated Annual Burden (Hours)









State, local or tribal Government State Agencies Email Notification from Regional Offices to CACFP State Agencies A.2 51 51 1 51 0.13 6.63 0 1 0 0.02 0.00 6.63









Frequently Asked Questions (FAQs) A.19 51 51 1 51 0.08 4.08 0 1 0 0.02 0.00 4.08









Subtotal: State, local, or tribal Government


51 51 2 102 0.11 10.71 0 1 0 0.02 0.00 10.71









Business or other for-profit and non-profit institutions ADCC Sponsoring Organization Point of Contact Email Notification about the study for Pretest Recruitment A.1 in A.18 3 3 1 3 0.13 0.39 0 1 0 0.02 0.00 0.39









Email Notification about the study A.3 400 400 1 400 0.13 52.00 0 1 0 0.02 0.00 52.00









Frequently Asked Questions (FAQs) A.19 403 403 1 403 0.08 32.24 0 1 0 0.02 0.00 32.24









ADCC Program Directors Pretest - Recruitment Email A.2 in A.18 6 3 1 3 0.05 0.15 3 1 3 0.02 0.06 0.21









Pretest - Recruitment Phone Calls A.3 in A.18 3 2 1 2 0.08 0.16 1 1 1 0.04 0.04 0.20









Pretest - Survey Testing (Hard Copy) A.4 in A.18 6 5 1 5 1.00 5.00 1 1 1 0.02 0.02 5.02









Initial Survey Recruitment Email (Web Survey with Link) A.4 700 140 1 140 0.05 7.00 560 1 560 0.02 11.20 18.20









Initial Hard Copy Survey Recruitment (Hard Copy Survey) A.5 100 20 1 20 0.05 1.00 80 1 80 0.02 1.60 2.60









Survey Reminder Email 1 (Web Survey with Link) A.6 560 112 1 112 0.05 5.60 448 1 448 0.02 8.96 14.56









Survey Reminder Email 2 (Web Survey with Link) A.7 448 90 1 90 0.05 4.48 358 1 358 0.02 7.17 11.65









Survey Reminder Email 3 (Web Survey with Link) A.8 280 56 1 56 0.05 2.80 224 1 224 0.02 4.48 7.28









Hard Copy Survey Reminders (for those who never clicked the link) A.5 112 22 1 22 0.05 1.12 90 1 90 0.02 1.79 2.91









Hard Copy Survey Reminders (for those who received an initial hard copy) A.9 80 16 1 16 0.05 0.80 64 1 64 0.02 1.28 2.08









Survey Reminder Email 4 (Web Survey with Link) A.10 224 38 1 38 0.05 1.89 186 1 186 0.02 3.72 5.60









Telephone Reminder 1 (Web Survey) A.11 448 90 1 90 0.08 7.19 358 1 358 0.04 14.34 21.53









Telephone Reminder 2 (Web Survey) A.11 280 56 1 56 0.08 4.48 224 1 224 0.04 8.96 13.44









Post-Survey Response Clarification Email A.12 64 51 1 51 0.08 4.10 13 1 13 0.02 0.26 4.35









Post-Survey Response Clarification Phone Call A.13 13 10 1 10 0.12 1.23 3 1 3 0.03 0.08 1.31









Survey (completed by web) A.16, A.17 700 568 1 568 0.33 187.53 132 1 132 0.02 2.63 190.17









Survey (completed by paper hard copy) A.15 212 58 1 58 0.33 19.27 154 1 154 0.02 3.07 22.34









Survey (completed by phone) A.16, A.17 146 14 1 14 0.42 5.88 132 1 132 0.02 2.64 8.52









Frequently Asked Questions (FAQs) A.19 806 806 1 806 0.08 64.48 0 1 0 0.02 0.00 64.48









Subtotal: Business or other for-profit and non-profit institutions


1209 1049 1 2964 0.14 408.79 160 1 3030 0.02 72.29 481.08









Total Burden Total 1,260 1,100 2.79 3,066 0.14 419.50 160 18.92 3,030 0.02 72.29 491.79



































Note: For the total in the column labeled "Estimated Number of Non-Respondents," only those who will never respond are included in the total.
























Note: For the nine ADCC program operators selected for pretesting, four are sponsored ADCCs and five are independent.
























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