QRS WIC Child Retention Burden Table

A.1 QRS WIC Child Retention Burden Table FINAL 11.13.19.xlsx

Special Nutrition Programs Quick Response Surveys

QRS WIC Child Retention Burden Table

OMB: 0584-0613

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Responsive Non-responsive
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
420 210 6 1202 0.21 256.52 210 6 1301 0.06 77.83 334.35


TOTALS
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.











b Of the WIC Clinic Staff who receive survey reminder emails, assume 70% will also need reminder phone calls.














c Assumes 80% response rate for the Survey of WIC Child Retention














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