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Responsive |
Non-responsive |
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| Respondent Category |
Type of respondents |
Instruments |
Appendix |
Sample Size |
Number of respondents |
Frequency of response (annual) |
Total Annual responses |
Hours per response |
Total Annual Burden (hours) |
Number of
Non-respondents |
Frequency of response (annual) |
Total Annual responses |
Hours per response |
Total Annual Burden (hours) |
Grand Total Burden Estimate (hours) |
| State, Local, or Tribal Government |
WIC State Agencies |
Email Notifications to WIC State Agency |
A.4 |
90 |
90 |
1 |
90 |
0.36 |
32.40 |
0 |
1 |
0 |
0.10 |
0.00 |
32.40 |
| WIC Local Agencies |
Pretest - Local Agency |
A.2 |
5 |
4 |
1 |
4 |
0.29 |
1.16 |
1 |
1 |
1 |
0.08 |
0.08 |
1.24 |
| Email Request to WIC Local Agency |
A.5 |
490 |
98 |
1 |
98 |
0.29 |
28.42 |
392 |
1 |
392 |
0.08 |
31.36 |
59.78 |
| Reminder Emails to WIC Local Agency |
A.6 |
392 |
211 |
4 |
844 |
0.20 |
168.80 |
181 |
4 |
724 |
0.08 |
57.92 |
226.72 |
| Reminder Phone Calls to WIC Local Agencya |
A.7 |
314 |
83 |
2 |
166 |
0.16 |
26.56 |
231 |
2 |
462 |
0.04 |
18.48 |
45.04 |
| WIC Clinic Staff |
Pretest - Clinic Staff |
A.3 |
2 |
2 |
1 |
2 |
3.34 |
6.68 |
0 |
1 |
0 |
0.10 |
0.00 |
6.68 |
| Initial Survey Notification Email to Clinic-Level Staff Member |
A.8 |
490 |
147 |
1 |
147 |
0.19 |
27.93 |
343 |
1 |
343 |
0.02 |
6.86 |
34.79 |
| Survey Reminder Emails to Clinic-Level Staff Member |
A.10 |
343 |
236 |
4 |
944 |
0.20 |
188.80 |
107 |
4 |
428 |
0.08 |
34.24 |
223.04 |
| Survey Reminder Phone Calls to Clinic-Level Staff Memberb |
A.11 |
240 |
86 |
2 |
172 |
0.16 |
27.52 |
154 |
2 |
308 |
0.04 |
12.32 |
39.84 |
| Survey - WIC Child Retention (web-based)c |
A.9, A.14 |
490 |
392 |
1 |
392 |
0.33 |
129.36 |
98 |
1 |
98 |
0.02 |
1.96 |
131.32 |
| Post-Survey Response Clarification Phone Call |
A.12 |
10 |
8 |
1 |
8 |
0.12 |
0.96 |
2 |
1 |
2 |
0.03 |
0.06 |
1.02 |
| Post-Survey Response Clarification Email |
A.13 |
49 |
39 |
1 |
39 |
0.08 |
3.12 |
10 |
1 |
10 |
0.02 |
0.20 |
3.32 |
| Total SLT |
|
1077 |
586 |
5 |
2906 |
0.22 |
641.71 |
491 |
6 |
2768 |
0.06 |
163.48 |
805.19 |
| Business or Other For-Profit and Nonprofit Institutions |
WIC Local Agencies |
Pretest - Clinic Staff |
A.2 |
0 |
0 |
1 |
0 |
0.29 |
0.00 |
0 |
1 |
0 |
0.08 |
0.00 |
0.00 |
| Email request to WIC Local Agency |
A.5 |
210 |
42 |
1 |
42 |
0.29 |
12.18 |
168 |
1 |
168 |
0.08 |
13.44 |
25.62 |
| Reminder emails to WIC Local Agency |
A.6 |
168 |
92 |
4 |
368 |
0.20 |
73.60 |
76 |
4 |
304 |
0.08 |
24.32 |
97.92 |
| Reminder phone calls to WIC Local Agencya |
A.7 |
134 |
36 |
2 |
72 |
0.16 |
11.52 |
98 |
2 |
196 |
0.04 |
7.84 |
19.36 |
| WIC Clinic Staff |
Pretest - Local Agency |
A.3 |
0 |
0 |
1 |
0 |
3.34 |
0.00 |
0 |
1 |
0 |
0.10 |
0.00 |
0.00 |
| Initial Survey Notification Email to Clinic-Level Staff Member |
A.8 |
210 |
42 |
1 |
42 |
0.19 |
7.98 |
168 |
1 |
168 |
0.02 |
3.36 |
11.34 |
| Survey Reminder Emails to Clinic-Level Staff Member |
A.10 |
168 |
98 |
4 |
392 |
0.20 |
78.40 |
70 |
4 |
280 |
0.08 |
22.40 |
100.80 |
| Survey Reminder Phone Calls to Clinic-Level Staff Memberb |
A.11 |
118 |
49 |
2 |
98 |
0.16 |
15.68 |
69 |
2 |
138 |
0.04 |
5.52 |
21.20 |
| Survey - WIC Child Retention (web-based)c |
A.9, A.14 |
210 |
168 |
1 |
168 |
0.33 |
55.44 |
42 |
1 |
42 |
0.02 |
0.84 |
56.28 |
| Post-Survey Response Clarification Phone Call |
A.12 |
4 |
3 |
1 |
3 |
0.12 |
0.36 |
1 |
1 |
1 |
0.03 |
0.03 |
0.39 |
| Post-Survey Response Clarification Email |
A.13 |
21 |
17 |
1 |
17 |
0.08 |
1.36 |
4 |
1 |
4 |
0.02 |
0.08 |
1.44 |
| Total Businesses |
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420 |
210 |
6 |
1202 |
0.21 |
256.52 |
210 |
6 |
1301 |
0.06 |
77.83 |
334.35 |
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TOTALS |
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1497 |
796 |
5.16 |
4108 |
0.22 |
898.23 |
701 |
5.80 |
4069 |
0.06 |
241.31 |
1139.54 |
a Of the WIC Local Agencies who need reminder emails, assume 80% will also need reminder phone calls.
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| b Of the WIC Clinic Staff who receive survey reminder emails, assume 70% will also need reminder phone calls. |
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| c Assumes 80% response rate for the Survey of WIC Child Retention |
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