| Appendix E4. Estimates of Respondent Burden | ||||||||||||||||||
| Respondent Category | Respondent Type | Instrument | Appendix ID | Total Sample Size | Respondents | Non-Respondents | Grand Total Burden Estimate (Hours) | |||||||||||
| Estimated Number of Respondents | Frequency of Response | Total Annual Responses | Average Time Per Response (Hours) | Total Annual Burden Estimate (Hours) | Estimated Number of Non-Respondents | Frequency of Non-Response | Total Annual Non-Responses | Average Time Per Non- Response (Hours) | Total Annual Burden Estimate (Hours) | |||||||||
| REPORTING | ||||||||||||||||||
| Year 1 Data Collection | ||||||||||||||||||
| State, Local, and Tribal Government | ||||||||||||||||||
| State, Local, and Tribal Government | State WIC Agency Directors | State Agency Survey-Web | B1.a, B1.b | 90 | 90 | 1 | 90 | 1.10 | 99.00 | 0 | 0 | 0 | 0.00 | 0.00 | 99.00 | |||
| Letter to State Agencies from Regional Offices | C2 | 90 | 90 | 1 | 90 | 0.02 | 1.50 | 0 | 0 | 0 | 0.00 | 0.00 | 1.50 | |||||
| State Agency Survey Invitation Email | C3 | 90 | 34 | 1 | 34 | 0.02 | 0.57 | 56 | 1 | 56 | 0.02 | 1.12 | 1.69 | |||||
| State Agency Survey Invitation Letter with Instrument | C4 | 90 | 56 | 1 | 56 | 0.05 | 2.79 | 34 | 1 | 34 | 0.02 | 0.68 | 3.47 | |||||
| State Agency Survey Reminder Email, 1 | C5 | 34 | 13 | 1 | 13 | 0.02 | 0.22 | 21 | 1 | 21 | 0.02 | 0.42 | 0.64 | |||||
| State Agency Survey Reminder Email, 2 | 21 | 8 | 1 | 8 | 0.02 | 0.13 | 13 | 1 | 13 | 0.02 | 0.26 | 0.40 | ||||||
| State Agency Survey Reminder Email, 3 | 13 | 5 | 1 | 5 | 0.02 | 0.08 | 8 | 1 | 8 | 0.02 | 0.16 | 0.25 | ||||||
| State Agency Survey Reminder Email, 4 | 8 | 3 | 1 | 3 | 0.02 | 0.05 | 5 | 1 | 5 | 0.02 | 0.10 | 0.15 | ||||||
| State Agency Survey Reminder Email, 5 | 5 | 2 | 1 | 2 | 0.02 | 0.03 | 3 | 1 | 3 | 0.02 | 0.06 | 0.09 | ||||||
| State Agency Survey Reminder Email, 6 | 3 | 1 | 1 | 1 | 0.02 | 0.02 | 2 | 1 | 2 | 0.02 | 0.04 | 0.06 | ||||||
| State Agency Survey Reminder Email, 7 | 2 | 2 | 1 | 2 | 0.02 | 0.03 | 0 | 0 | 0 | 0.00 | 0.00 | 0.03 | ||||||
| State Agency Survey Reminder Telephone Script, Call 1a | C6 | 56 | 25 | 1 | 25 | 0.05 | 1.26 | 31 | 1 | 31 | 0.02 | 0.61 | 1.87 | |||||
| State Agency Survey Reminder Telephone Script, Call 2a | 31 | 14 | 1 | 14 | 0.05 | 0.69 | 17 | 1 | 17 | 0.02 | 0.34 | 1.03 | ||||||
| State Agency Survey Reminder Telephone Script, Call 3a | 17 | 8 | 1 | 8 | 0.05 | 0.38 | 9 | 1 | 9 | 0.02 | 0.19 | 0.57 | ||||||
| State Agency Survey Reminder Telephone Script, Call 4a | 9 | 4 | 1 | 4 | 0.05 | 0.21 | 5 | 1 | 5 | 0.02 | 0.10 | 0.31 | ||||||
| State Agency Survey Reminder Telephone Script, Call 5a | 5 | 2 | 1 | 2 | 0.05 | 0.11 | 3 | 1 | 3 | 0.02 | 0.06 | 0.17 | ||||||
| State Agency Survey Reminder Telephone Script, Call 6a | 3 | 1 | 1 | 1 | 0.05 | 0.06 | 2 | 1 | 2 | 0.02 | 0.03 | 0.09 | ||||||
| State Agency Survey Reminder Telephone Script, Call 7 | 2 | 2 | 1 | 2 | 0.05 | 0.08 | 0 | 0 | 0 | 0.00 | 0.00 | 0.08 | ||||||
| Study Description for State and Local WIC Agencies | D1 | 90 | 90 | 1 | 90 | 0.05 | 4.50 | 0 | 0 | 0 | 0.00 | 0.00 | 4.50 | |||||
| State Agency Survey Thank You Letter | D2 | 90 | 90 | 1 | 90 | 0.02 | 1.50 | 0 | 0 | 0 | 0.00 | 0.00 | 1.50 | |||||
| State Agency Administrative Data Request-Web | B8 | 20 | 20 | 1 | 20 | 1.00 | 20.00 | 0 | 0 | 0 | 0.00 | 0.00 | 20.00 | |||||
| Email to State Agencies from Regional Offices | C24 | 20 | 20 | 1 | 20 | 0.08 | 1.60 | 0 | 0 | 0 | 0.00 | 0.00 | 1.60 | |||||
| State Agency Reminder Email, 1 | C25 | 18 | 3 | 1 | 3 | 0.02 | 0.06 | 15 | 1 | 15 | 0.02 | 0.30 | 0.36 | |||||
| State Agency Reminder Email, 2 | 15 | 5 | 1 | 5 | 0.02 | 0.10 | 10 | 1 | 10 | 0.02 | 0.20 | 0.30 | ||||||
| State Agency Reminder Email, 3 | 10 | 4 | 1 | 4 | 0.02 | 0.08 | 6 | 1 | 6 | 0.02 | 0.12 | 0.20 | ||||||
| State Agency Reminder Email, 4 | 6 | 2 | 1 | 2 | 0.02 | 0.04 | 4 | 1 | 4 | 0.02 | 0.08 | 0.12 | ||||||
| State Agency Reminder Email, 5 | 4 | 2 | 1 | 2 | 0.02 | 0.04 | 2 | 1 | 2 | 0.02 | 0.04 | 0.08 | ||||||
| State Agency Reminder Email, 6 | 2 | 1 | 1 | 1 | 0.02 | 0.02 | 1 | 1 | 1 | 0.02 | 0.02 | 0.04 | ||||||
| State Agency Reminder Email, 7 | 1 | 1 | 1 | 1 | 0.02 | 0.02 | 0 | 0 | 0 | 0.00 | 0.00 | 0.02 | ||||||
| State Agency Reminder Telephone Script, Call 1a | C26 | 18 | 3 | 1 | 3 | 0.05 | 0.15 | 15 | 1 | 15 | 0.02 | 0.30 | 0.45 | |||||
| State Agency Reminder Telephone Script, Call 2a | 15 | 5 | 1 | 5 | 0.05 | 0.25 | 10 | 1 | 10 | 0.02 | 0.20 | 0.45 | ||||||
| State Agency Reminder Telephone Script, Call 3a | 10 | 4 | 1 | 4 | 0.05 | 0.20 | 6 | 1 | 6 | 0.02 | 0.12 | 0.32 | ||||||
| State Agency Reminder Telephone Script, Call 4a | 6 | 2 | 1 | 2 | 0.05 | 0.10 | 4 | 1 | 4 | 0.02 | 0.08 | 0.18 | ||||||
| State Agency Reminder Telephone Script, Call 5a | 4 | 2 | 1 | 2 | 0.05 | 0.10 | 2 | 1 | 2 | 0.02 | 0.04 | 0.14 | ||||||
| State Agency Reminder Telephone Script, Call 6a | 2 | 1 | 1 | 1 | 0.05 | 0.05 | 1 | 1 | 1 | 0.02 | 0.02 | 0.07 | ||||||
| State Agency Reminder Telephone Script, Call 7 | 1 | 1 | 1 | 1 | 0.05 | 0.05 | 0 | 0 | 0 | 0.00 | 0.00 | 0.05 | ||||||
| Local WIC Agency Directors | Local Agency Survey-Webb | B2.a, B2.b | 965 | 772 | 1 | 772 | 1.00 | 772.00 | 193 | 1 | 193 | 0.02 | 3.86 | 775.86 | ||||
| Local Agency Survey Invitation Email | C7 | 965 | 338 | 1 | 338 | 0.02 | 5.63 | 627 | 1 | 627 | 0.02 | 12.55 | 18.17 | |||||
| Local Agency Survey Invitation Letter with Instrument | C8 | 965 | 434 | 1 | 434 | 0.05 | 21.71 | 531 | 1 | 531 | 0.05 | 26.54 | 48.25 | |||||
| Local Agency Survey Reminder Email, 1 | C9 | 338 | 186 | 1 | 186 | 0.02 | 3.10 | 152 | 1 | 152 | 0.02 | 3.04 | 6.14 | |||||
| Local Agency Survey Reminder Email, 2 | 152 | 84 | 1 | 84 | 0.02 | 1.39 | 68 | 1 | 68 | 0.02 | 1.37 | 2.76 | ||||||
| Local Agency Survey Reminder Email, 3 | 68 | 38 | 1 | 38 | 0.02 | 0.63 | 30 | 1 | 30 | 0.02 | 0.61 | 1.24 | ||||||
| Local Agency Survey Reminder Email, 4 | 30 | 16 | 1 | 16 | 0.02 | 0.27 | 14 | 1 | 14 | 0.02 | 0.28 | 0.55 | ||||||
| Local Agency Survey Reminder Email, 5 | 14 | 8 | 1 | 8 | 0.02 | 0.14 | 6 | 1 | 6 | 0.02 | 0.12 | 0.25 | ||||||
| Local Agency Survey Reminder Email, 6 | 6 | 3 | 1 | 3 | 0.02 | 0.05 | 3 | 1 | 3 | 0.02 | 0.05 | 0.11 | ||||||
| Local Agency Survey Reminder Email, 7 | 3 | 3 | 1 | 3 | 0.02 | 0.05 | 0 | 0 | 0 | 0.00 | 0.00 | 0.05 | ||||||
| Local Agency Survey Reminder Telephone Script, Call 1a | C10 | 434 | 226 | 1 | 226 | 0.05 | 11.29 | 208 | 1 | 208 | 0.02 | 4.17 | 15.46 | |||||
| Local Agency Survey Reminder Telephone Script, Call 2a | 208 | 108 | 1 | 108 | 0.05 | 5.42 | 100 | 1 | 100 | 0.02 | 2.00 | 7.42 | ||||||
| Local Agency Survey Reminder Telephone Script, Call 3a | 100 | 50 | 1 | 50 | 0.05 | 2.50 | 50 | 1 | 50 | 0.02 | 1.00 | 3.50 | ||||||
| Local Agency Survey Reminder Telephone Script, Call 4a | 50 | 25 | 1 | 25 | 0.05 | 1.25 | 25 | 1 | 25 | 0.02 | 0.50 | 1.75 | ||||||
| Local Agency Survey Reminder Telephone Script, Call 5a | 25 | 12 | 1 | 12 | 0.05 | 0.61 | 13 | 1 | 13 | 0.02 | 0.26 | 0.87 | ||||||
| Local Agency Survey Reminder Telephone Script, Call 6a | 13 | 6 | 1 | 6 | 0.05 | 0.31 | 7 | 1 | 7 | 0.02 | 0.13 | 0.44 | ||||||
| Local Agency Survey Reminder Telephone Script, Call 7 | 7 | 7 | 1 | 7 | 0.05 | 0.33 | 0 | 0 | 0 | 0.00 | 0.00 | 0.33 | ||||||
| Study Description for State and Local WIC Agenciesc | D1 | 965 | 772 | 1 | 772 | 0.05 | 38.60 | 193 | 1 | 193 | 0.02 | 3.86 | 42.46 | |||||
| Certification End Date Verification Email, 1 | D3 | 60 | 30 | 1 | 30 | 0.05 | 1.50 | 30 | 1 | 30 | 0.02 | 0.60 | 2.10 | |||||
| Certification End Date Verification Reminder Telephone Script, Call 1a | D4 | 60 | 39 | 1 | 39 | 0.58 | 22.62 | 21 | 1 | 21 | 0.02 | 0.42 | 23.04 | |||||
| Certification End Date Verification Reminder Telephone Script, Call 2a | 21 | 14 | 1 | 14 | 0.58 | 7.92 | 7 | 1 | 7 | 0.02 | 0.15 | 8.06 | ||||||
| Certification End Date Verification Reminder Telephone Script, Call 3 | 7 | 7 | 1 | 7 | 0.58 | 4.26 | 0 | 0 | 0 | 0.00 | 0.00 | 4.26 | ||||||
| Local Agency Survey Thank You Letter | D5 | 772 | 772 | 1 | 772 | 0.02 | 15.44 | 0 | 0 | 0 | 0.00 | 0.00 | 15.44 | |||||
| Denied Applicant Log Request Email | B7.a | 20 | 20 | 1 | 20 | 0.02 | 0.40 | 0 | 0 | 0 | 0.00 | 0.00 | 0.40 | |||||
| Denied Applicants Log | B7.b | 20 | 15 | 5 | 75 | 0.58 | 43.50 | 5 | 1 | 5 | 0.02 | 0.10 | 43.60 | |||||
| Denied Applicants Log Request Reminder Email | B7.c | 20 | 20 | 5 | 100 | 0.02 | 2.00 | 0 | 0 | 0 | 0.00 | 0.00 | 2.00 | |||||
| Denied Applicants Log Request Reminder Telephone Script | B7.d | 5 | 5 | 5 | 25 | 0.58 | 14.50 | 0 | 0 | 0 | 0.00 | 0.00 | 14.50 | |||||
| Subtotal of State, Local, and Tribal Government (Year 1) | 882 | 5 | 4786 | 0.23 | 1113.51 | 264 | 10 | 2569 | 0.03 | 67.30 | 1180.80 | |||||||
| Individuals or Households | ||||||||||||||||||
| Individuals or Households | Current WIC Program Participants | Certification Survey-In Personc | B3.a, | B3.b, | B3.c, | B3.d | 2000 | 1600 | 1 | 1600 | 0.70 | 1120.00 | 400 | 0 | 0 | 0.00 | 0.00 | 1120.00 |
| Certification Survey Invitation Telephone Script, Call 1a | C11.a, | C11.b | 2000 | 362 | 1 | 362 | 0.18 | 65.12 | 1638 | 1 | 1638 | 0.02 | 32.76 | 97.89 | ||||
| Certification Survey Invitation Telephone Script, Call 2a | 1638 | 296 | 1 | 296 | 0.18 | 53.34 | 1342 | 1 | 1342 | 0.02 | 26.83 | 80.18 | ||||||
| Certification Survey Invitation Telephone Script, Call 3a | 1342 | 243 | 1 | 243 | 0.18 | 43.69 | 1099 | 1 | 1099 | 0.02 | 21.98 | 65.67 | ||||||
| Certification Survey Invitation Telephone Script, Call 4a | 1099 | 101 | 1 | 101 | 0.18 | 18.10 | 998 | 1 | 998 | 0.02 | 19.97 | 38.07 | ||||||
| Certification Survey Invitation Telephone Script, Call 5a | 998 | 91 | 1 | 91 | 0.18 | 16.44 | 907 | 1 | 907 | 0.02 | 18.14 | 34.59 | ||||||
| Certification Survey Invitation Telephone Script, Call 6a | 907 | 83 | 1 | 83 | 0.18 | 14.94 | 824 | 1 | 824 | 0.02 | 16.48 | 31.42 | ||||||
| Certification Survey Invitation Telephone Script, Call 7a | 824 | 124 | 1 | 124 | 0.18 | 22.40 | 700 | 1 | 700 | 0.02 | 13.99 | 36.39 | ||||||
| Certification Survey In-Person Invitation Script, Door Knock 1e | C12.a, | C12.b | 700 | 300 | 1 | 300 | 0.17 | 51.03 | 400 | 0 | 0 | 0.00 | 0.00 | 51.03 | ||||
| Text Message Reminder for Scheduled Certification Surveyf | C13.a, | C13.b | 1600 | 880 | 1 | 880 | 0.02 | 17.60 | 720 | 1 | 720 | 0.02 | 14.40 | 32.00 | ||||
| Telephone Reminder for Scheduled Certification Surveya | C14.a, | C14.b | 720 | 360 | 1 | 360 | 0.05 | 18.00 | 360 | 1 | 360 | 0.02 | 7.20 | 25.20 | ||||
| Certification Survey Information Letter from State Agenciesg | D6.a, | D6.b | 2000 | 1600 | 1 | 1600 | 0.05 | 80.00 | 400 | 1 | 400 | 0.02 | 8.00 | 88.00 | ||||
| Participant Consent Form-Certification Survey | D7.a, | D7.b | 1600 | 1600 | 1 | 1600 | 0.08 | 133.33 | 0 | 0 | 0 | 0.00 | 0.00 | 133.33 | ||||
| Program Experiences Survey (after complete Certification Survey)-In Personh | B5.a, | B5.b, | B5.c, | B5.d | 1000 | 800 | 1 | 800 | 0.50 | 400.00 | 200.00 | 1 | 200 | 0.02 | 4.00 | 404.00 | ||
| Individuals or Households | Current WIC Program Participants | Program Experiences Survey-Telephonea | B5.a, | B5.b, | B5.c, | B5.d | 1500 | 750 | 1 | 750 | 0.50 | 375.00 | 750 | 1 | 750 | 0.02 | 15.00 | 390.00 |
| Program Experiences Survey Invitation Telephone Script, Call 1a | C19.a, | C19.b | 1500 | 338 | 1 | 338 | 0.12 | 39.38 | 1162 | 1 | 1162 | 0.02 | 23.24 | 62.62 | ||||
| Program Experiences Survey Invitation Telephone Script, Call 2a | 1162 | 174 | 1 | 174 | 0.12 | 20.34 | 988 | 1 | 988 | 0.02 | 19.75 | 40.09 | ||||||
| Program Experiences Survey Invitation Telephone Script, Call 3a | 988 | 111 | 1 | 111 | 0.12 | 12.91 | 877 | 1 | 877 | 0.02 | 17.54 | 30.45 | ||||||
| Program Experiences Survey Invitation Telephone Script, Call 4a | 877 | 44 | 1 | 44 | 0.12 | 5.12 | 833 | 1 | 833 | 0.02 | 16.66 | 21.78 | ||||||
| Program Experiences Survey Invitation Telephone Script, Call 5a | 833 | 35 | 1 | 35 | 0.12 | 4.07 | 798 | 1 | 798 | 0.02 | 15.97 | 20.04 | ||||||
| Program Experiences Survey Invitation Telephone Script, Call 6a | 798 | 25 | 1 | 25 | 0.12 | 2.92 | 773 | 1 | 773 | 0.02 | 15.47 | 18.38 | ||||||
| Program Experiences Survey Invitation Telephone Script, Call 7a | 773 | 14 | 1 | 14 | 0.12 | 1.62 | 759 | 1 | 759 | 0.02 | 15.19 | 16.81 | ||||||
| Program Experiences Survey Invitation Telephone Script, Call 8a | 759 | 9 | 1 | 9 | 0.12 | 1.05 | 750 | 1 | 750 | 0.02 | 15.01 | 16.06 | ||||||
| Program Experiences Survey Invitation Letter | C20.a, | C20.b | 750 | 263 | 1 | 263 | 0.02 | 5.25 | 488 | 1 | 488 | 0.02 | 9.76 | 15.01 | ||||
| Program Experiences Survey Invitation Email | C21.a, | C21.b | 750 | 263 | 1 | 263 | 0.02 | 5.26 | 487 | 1 | 487 | 0.02 | 9.75 | 15.01 | ||||
| Program Experiences Survey Invitation Postcard | D10.a, | D10.b | 750 | 750 | 1 | 750 | 0.02 | 15.00 | 0 | 0 | 0 | 0.00 | 0.00 | 15.00 | ||||
| Program Experiences Survey Thank You Letter and Gift Card | D12.a, | D12.b | 750 | 750 | 1 | 750 | 0.02 | 15.00 | 0 | 0 | 0 | 0.00 | 0.00 | 15.00 | ||||
| Program Experiences Survey-In Persond | B5.a, | B5.b, | B5.c, | B5.d | 750 | 450 | 1 | 450 | 0.50 | 225.00 | 300 | 0 | 0 | 0.00 | 0.00 | 225.00 | ||
| Program Experiences Survey Invitation In-Person Script, Door Knock 1e | C22.a, | C22.b | 750 | 450 | 1 | 450 | 0.08 | 36.00 | 300 | 0 | 0 | 0.00 | 0.00 | 36.00 | ||||
| Participant Information Brochure | D11.a, | D11.b | 750 | 750 | 1 | 750 | 0.02 | 15.00 | 0 | 0 | 0 | 0.00 | 0.00 | 15.00 | ||||
| Recently Denied WIC Program Applicants | Denied Applicant Survey-In Persond | B4.a, | B4.b, | B4.c, | B4.d | 240 | 192 | 1 | 192 | 0.65 | 124.80 | 48 | 0 | 0 | 0.00 | 0.00 | 124.80 | |
| Denied Applicant Survey Invitation Telephone Script, Call 1a | C15.a, | C15.b | 240 | 28 | 1 | 28 | 0.13 | 3.67 | 212 | 1 | 212 | 0.02 | 4.24 | 7.91 | ||||
| Denied Applicant Survey Invitation Telephone Script, Call 2a | 212 | 25 | 1 | 25 | 0.13 | 3.24 | 187 | 1 | 187 | 0.02 | 3.74 | 6.98 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 3a | 187 | 22 | 1 | 22 | 0.13 | 2.86 | 165 | 1 | 165 | 0.02 | 3.30 | 6.16 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 4a | 165 | 7 | 1 | 7 | 0.13 | 0.96 | 158 | 1 | 158 | 0.02 | 3.16 | 4.12 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 5a | 158 | 6 | 1 | 6 | 0.13 | 0.82 | 152 | 1 | 152 | 0.02 | 3.03 | 3.86 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 6a | 152 | 6 | 1 | 6 | 0.13 | 0.79 | 146 | 1 | 146 | 0.02 | 2.91 | 3.70 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 7a | 146 | 5 | 1 | 5 | 0.13 | 0.70 | 141 | 1 | 141 | 0.02 | 2.82 | 3.52 | ||||||
| Denied Applicant Survey In-Person Invitation, Door Knock 1e | C16.a, | C16.b | 141 | 82 | 1 | 82 | 0.17 | 14.02 | 59 | 0 | 0 | 0.00 | 0.00 | 14.02 | ||||
| Denied Applicant Survey In-Person Invitation, Door Knock 2e | 59 | 11 | 1 | 11 | 0.17 | 1.88 | 48 | 0 | 0 | 0.00 | 0.00 | 1.88 | ||||||
| Text Message Reminder for Scheduled Denied Applicant Surveyf | C17.a, | C17.b | 192 | 106 | 1 | 106 | 0.02 | 2.11 | 86 | 1 | 86 | 0.02 | 1.73 | 3.84 | ||||
| Telephone Reminder for Scheduled Denied Applicant Surveya | C18.a, | C18.b | 86 | 43 | 1 | 43 | 0.10 | 4.32 | 43 | 1 | 43 | 0.02 | 0.86 | 5.18 | ||||
| Denied Applicant Survey Information Letter from State Agenciesg | D8.a, | D8.b | 240 | 192 | 1 | 192 | 0.02 | 3.84 | 48 | 1 | 48 | 0.02 | 0.96 | 4.80 | ||||
| Participant Consent Form-Denied Applicant Survey | D9.a, | D9.b | 192 | 192 | 1 | 192 | 0.10 | 19.20 | 0 | 0 | 0 | 0.00 | 0.00 | 19.20 | ||||
| Former WIC Program Participants | Former WIC Participant Case Study Interview Guide-Telephonea | B6.a, | B6.b | 520 | 125 | 1 | 125 | 0.50 | 62.50 | 395 | 1 | 395 | 0.02 | 7.90 | 70.40 | |||
| Former WIC Participant Case Study Interview Invitation Telephone Script, Call 1a | C23.a, | C23.b | 520 | 65 | 1 | 65 | 0.17 | 11.05 | 455 | 1 | 455 | 0.02 | 9.10 | 20.15 | ||||
| Former WIC Participant Case Study Interview Invitation Telephone Script, Call 2a | 455 | 34 | 1 | 34 | 0.17 | 5.80 | 421 | 1 | 421 | 0.02 | 8.42 | 14.22 | ||||||
| Former WIC Participant Case Study Interview Invitation Telephone Script, Call 3a | 421 | 16 | 1 | 16 | 0.17 | 2.72 | 405 | 1 | 405 | 0.02 | 8.10 | 10.82 | ||||||
| Former WIC Participant Case Study Interview Invitation Telephone Script, Call 4a | 405 | 6 | 1 | 6 | 0.17 | 1.03 | 399 | 1 | 399 | 0.02 | 7.98 | 9.01 | ||||||
| Former WIC Participant Case Study Interview Invitation Telephone Script, Call 5a | 399 | 4 | 1 | 4 | 0.17 | 0.68 | 395 | 1 | 395 | 0.02 | 7.90 | 8.57 | ||||||
| Former WIC Participant Case Study Interview Thank You Letter and Gift Card | D13.a, | D13.b | 125 | 125 | 1 | 125 | 0.02 | 2.50 | 0 | 0 | 0 | 0.00 | 0.00 | 2.50 | ||||
| Subtotal of Individuals or Households (Year 1) | 3117 | 5 | 14909 | 0.21 | 3102.40 | 1893 | 11 | 21661 | 0.02 | 433.23 | 3535.63 | |||||||
| Year 1 Total | 3999 | 5 | 19695 | 0.21 | 4215.90 | 2157 | 11 | 24230 | 0.02 | 500.52 | 4716.43 | |||||||
| Year 2 Data Collection | ||||||||||||||||||
| State, Local, and Tribal Government | ||||||||||||||||||
| State, Local, and Tribal Government | State WIC Agency Directors | Study Description for State and Local WIC Agencies | D1 | 3 | 3 | 1 | 3 | 0.05 | 0.15 | 0 | 0 | 0 | 0.00 | 0.00 | 0.15 | |||
| Local WIC Agency Directors | Certification End Date Verification Email, 1 | D3 | 6 | 6 | 1 | 6 | 0.05 | 0.30 | 0 | 0 | 0 | 0.00 | 0.00 | 0.30 | ||||
| Certification End Date Verification Reminder Telephone Script, Call 1a | D4 | 6 | 3 | 1 | 3 | 0.58 | 1.57 | 3 | 1 | 3 | 0.02 | 0.07 | 1.63 | |||||
| Certification End Date Verification Reminder Telephone Script, Call 2a | 3 | 2 | 1 | 2 | 0.58 | 0.96 | 1 | 1 | 1 | 0.02 | 0.02 | 0.98 | ||||||
| Certification End Date Verification Reminder Telephone Script, Call 3 | 1 | 1 | 1 | 1 | 0.58 | 0.58 | 0 | 0 | 0 | 0.00 | 0.00 | 0.58 | ||||||
| Subtotal of State, Local, and Tribal Government (Year 2) | 9 | 2 | 14 | 0.25 | 3.55 | 3 | 1 | 4 | 0.02 | 0.09 | 3.64 | |||||||
| Individuals or Households | ||||||||||||||||||
| Individuals or Households | Pilot of Alternative Methodology 2019 | Certification Survey-In Persond | B3.a, | B3.b, | B3.c, | B3.d | 200 | 160 | 1 | 160 | 0.70 | 112.00 | 40 | 0 | 0 | 0.00 | 0.00 | 112.00 |
| Certification Survey Invitation Telephone Script, Call 1a | C11.a, | C11.b | 200 | 40 | 1 | 40 | 0.18 | 7.20 | 160 | 1 | 160 | 0.02 | 3.20 | 10.40 | ||||
| Certification Survey Invitation Telephone Script, Call 2a | 160 | 32 | 1 | 32 | 0.18 | 5.76 | 128 | 1 | 128 | 0.02 | 2.56 | 8.32 | ||||||
| Certification Survey Invitation Telephone Script, Call 3a | 128 | 26 | 1 | 26 | 0.18 | 4.61 | 102 | 1 | 102 | 0.02 | 2.04 | 6.65 | ||||||
| Certification Survey Invitation Telephone Script, Call 4a | 102 | 20 | 1 | 20 | 0.18 | 3.67 | 82 | 1 | 82 | 0.02 | 1.63 | 5.30 | ||||||
| Certification Survey Invitation Telephone Script, Call 5a | 82 | 10 | 1 | 10 | 0.18 | 1.76 | 72 | 1 | 72 | 0.02 | 1.44 | 3.20 | ||||||
| Certification Survey Invitation Telephone Script, Call 6a | 72 | 7 | 1 | 7 | 0.18 | 1.26 | 65 | 1 | 65 | 0.02 | 1.30 | 2.56 | ||||||
| Certification Survey Invitation Telephone Script, Call 7a | 65 | 7 | 1 | 7 | 0.18 | 1.26 | 53 | 1 | 53 | 0.02 | 1.06 | 2.32 | ||||||
| Certification Survey In-Person Invitation Script, Door Knock 1e | C12.a, | C12.b | 53 | 23 | 1 | 23 | 0.17 | 3.87 | 30 | 0 | 0 | 0.00 | 0.00 | 3.87 | ||||
| Text Message Reminder for Scheduled Certification Surveyf | C13.a, | C13.b | 180 | 99 | 1 | 99 | 0.02 | 1.98 | 81 | 1 | 81 | 0.00 | 0.00 | 1.98 | ||||
| Telephone Reminder for Scheduled Certification Surveya | C14.a, | C14.b | 180 | 90 | 1 | 90 | 0.05 | 4.50 | 90 | 1 | 90 | 0.02 | 1.80 | 6.30 | ||||
| Certification Survey Information Letter from State Agenciesg | D6.a, | D6.b | 180 | 150 | 1 | 150 | 0.05 | 7.50 | 30 | 1 | 30 | 0.02 | 0.60 | 8.10 | ||||
| Participant Consent Form-Certification Survey | D7.a, | D7.b | 150 | 150 | 1 | 150 | 0.08 | 12.00 | 0 | 0 | 0 | 0.00 | 0.00 | 12.00 | ||||
| Denied Applicant Survey-In Persond | B4.a, | B4.b, | B4.c, | B4.d | 24 | 19 | 1 | 19 | 0.65 | 12.35 | 5 | 0 | 0 | 0.00 | 0.00 | 12.35 | ||
| Denied Applicant Survey Invitation Telephone Script, Call 1a | C15.a, | C15.b | 24 | 3 | 1 | 3 | 0.13 | 0.37 | 21 | 1 | 21 | 0.02 | 0.42 | 0.79 | ||||
| Denied Applicant Survey Invitation Telephone Script, Call 2a | 21 | 2 | 1 | 2 | 0.13 | 0.26 | 19 | 1 | 19 | 0.02 | 0.38 | 0.64 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 3a | 19 | 2 | 1 | 2 | 0.13 | 0.26 | 17 | 1 | 17 | 0.02 | 0.34 | 0.60 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 4a | 17 | 1 | 1 | 1 | 0.13 | 0.13 | 16 | 1 | 16 | 0.02 | 0.32 | 0.45 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 5a | 16 | 1 | 1 | 1 | 0.13 | 0.13 | 15 | 1 | 15 | 0.02 | 0.30 | 0.43 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 6a | 15 | 1 | 1 | 1 | 0.13 | 0.13 | 14 | 1 | 14 | 0.02 | 0.28 | 0.41 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 7a | 14 | 1 | 1 | 1 | 0.13 | 0.13 | 13 | 1 | 13 | 0.02 | 0.26 | 0.39 | ||||||
| Denied Applicant Survey In-Person Invitation, Door Knock 1e | C16.a, | C16.b | 13 | 8 | 1 | 8 | 0.17 | 1.29 | 5 | 0 | 0 | 0.00 | 0.00 | 1.29 | ||||
| Denied Applicant Survey In-Person Invitation, Door Knock 2e | 5 | 1 | 1 | 1 | 0.17 | 0.17 | 4 | 0 | 0 | 0.00 | 0.00 | 0.17 | ||||||
| Text Message Reminder for Scheduled Denied Applicant Surveyf | C17.a, | C17.b | 24 | 13 | 1 | 13 | 0.02 | 0.26 | 11 | 1 | 11 | 0.02 | 0.22 | 0.48 | ||||
| Telephone Reminder for Scheduled Denied Applicant Surveya | C18.a, | C18.b | 11 | 5 | 1 | 5 | 0.10 | 0.54 | 6 | 1 | 6 | 0.02 | 0.12 | 0.66 | ||||
| Denied Applicant Survey Information Letter from State Agenciesg | D8.a, | D8.b | 24 | 19 | 1 | 19 | 0.02 | 0.38 | 5 | 1 | 5 | 0.02 | 0.10 | 0.48 | ||||
| Participant Consent Form-Denied Applicant Survey | D9.a, | D9.b | 19 | 19 | 1 | 19 | 0.10 | 1.90 | 0 | 0 | 0 | 0.00 | 0.00 | 1.90 | ||||
| Subtotal of Individuals or Households (Year 2) | 179 | 5 | 909 | 0.20 | 185.68 | 45 | 22 | 1000 | 0.02 | 18.37 | 204.05 | |||||||
| Year 2 Data Collection Total | 188 | 5 | 923 | 0.21 | 189.23 | 48 | 21 | 1004 | 0.02 | 18.46 | 207.69 | |||||||
| Year 3 Data Collection | ||||||||||||||||||
| State, Local, and Tribal Government | ||||||||||||||||||
| State, Local, and Tribal Government | State WIC Agency Directors | Study Description for State and Local WIC Agencies | D1 | 3 | 3 | 1 | 3 | 0.05 | 0.15 | 0 | 0 | 0 | 0.00 | 0.00 | 0.15 | |||
| Local WIC Agency Directors | Certification End Date Verification Email, 1 | D3 | 6 | 6 | 1 | 6 | 0.05 | 0.30 | 0 | 0 | 0 | 0.00 | 0.00 | 0.30 | ||||
| Certification End Date Verification Reminder Telephone Script, Call 1a | D4 | 6 | 3 | 1 | 3 | 0.58 | 1.57 | 3 | 1 | 3 | 0.02 | 0.07 | 1.63 | |||||
| Certification End Date Verification Reminder Telephone Script, Call 2a | 3 | 2 | 1 | 2 | 0.58 | 0.96 | 1 | 1 | 1 | 0.02 | 0.02 | 0.98 | ||||||
| Certification End Date Verification Reminder Telephone Script, Call 3 | 1 | 1 | 1 | 1 | 0.58 | 0.58 | 0 | 0 | 0 | 0.00 | 0.00 | 0.58 | ||||||
| Subtotal of State, Local, and Tribal Government (Year 3) | 9 | 2 | 14 | 0.25 | 3.55 | 3 | 1 | 4 | 0.02 | 0.09 | 3.64 | |||||||
| Individuals or Households | ||||||||||||||||||
| Individuals or Households | Pilot of Alternative Methodology 2020 | Certification Survey-In Persond | B3.a, | B3.b, | B3.c, | B3.d | 200 | 160 | 1 | 160 | 0.70 | 112.00 | 40 | 0 | 0 | 0.00 | 0.00 | 112.00 |
| Certification Survey Invitation Telephone Script, Call 1a | C11.a, | C11.b | 200 | 40 | 1 | 40 | 0.18 | 7.20 | 160 | 1 | 160 | 0.02 | 3.20 | 10.40 | ||||
| Certification Survey Invitation Telephone Script, Call 2a | 160 | 32 | 1 | 32 | 0.18 | 5.76 | 128 | 1 | 128 | 0.02 | 2.56 | 8.32 | ||||||
| Certification Survey Invitation Telephone Script, Call 3a | 128 | 26 | 1 | 26 | 0.18 | 4.61 | 102 | 1 | 102 | 0.02 | 2.04 | 6.65 | ||||||
| Certification Survey Invitation Telephone Script, Call 4a | 102 | 20 | 1 | 20 | 0.18 | 3.67 | 82 | 1 | 82 | 0.02 | 1.63 | 5.30 | ||||||
| Certification Survey Invitation Telephone Script, Call 5a | 82 | 10 | 1 | 10 | 0.18 | 1.76 | 72 | 1 | 72 | 0.02 | 1.44 | 3.20 | ||||||
| Certification Survey Invitation Telephone Script, Call 6a | 72 | 7 | 1 | 7 | 0.18 | 1.26 | 65 | 1 | 65 | 0.02 | 1.30 | 2.56 | ||||||
| Certification Survey Invitation Telephone Script, Call 7a | 65 | 7 | 1 | 7 | 0.18 | 1.26 | 53 | 1 | 53 | 0.02 | 1.06 | 2.32 | ||||||
| Certification Survey In-Person Invitation Script, Door Knock 1e | C12.a, | C12.b | 53 | 23 | 1 | 23 | 0.17 | 3.87 | 30 | 0 | 0 | 0.00 | 0.00 | 3.87 | ||||
| Text Message Reminder for Scheduled Certification Surveyf | C13.a, | C13.b | 180 | 99 | 1 | 99 | 0.02 | 1.98 | 81 | 1 | 81 | 0.02 | 0.00 | 1.98 | ||||
| Telephone Reminder for Scheduled Certification Surveya | C14.a, | C14.b | 180 | 90 | 1 | 90 | 0.05 | 4.50 | 90 | 1 | 90 | 0.02 | 1.80 | 6.30 | ||||
| Certification Survey Information Letter from State Agenciesg | D6.a, | D6.b | 180 | 150 | 1 | 150 | 0.05 | 7.50 | 30 | 1 | 30 | 0.02 | 0.60 | 8.10 | ||||
| Participant Consent Form-Certification Survey | D7.a, | D7.b | 150 | 150 | 1 | 150 | 0.08 | 12.00 | 0 | 0 | 0 | 0.00 | 0.00 | 12.00 | ||||
| Denied Applicant Survey-In Persond | B4.a, | B4.b, | B4.c, | B4.d | 24 | 19 | 1 | 19 | 0.65 | 12.35 | 5 | 0 | 0 | 0.00 | 0.00 | 12.35 | ||
| Denied Applicant Survey Invitation Telephone Script, Call 1a | C15.a, | C15.b | 24 | 3 | 1 | 3 | 0.13 | 0.37 | 21 | 1 | 21 | 0.02 | 0.42 | 0.79 | ||||
| Denied Applicant Survey Invitation Telephone Script, Call 2a | 21 | 2 | 1 | 2 | 0.13 | 0.26 | 19 | 1 | 19 | 0.02 | 0.38 | 0.64 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 3a | 19 | 2 | 1 | 2 | 0.13 | 0.26 | 17 | 1 | 17 | 0.02 | 0.34 | 0.60 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 4a | 17 | 1 | 1 | 1 | 0.13 | 0.13 | 16 | 1 | 16 | 0.02 | 0.32 | 0.45 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 5a | 16 | 1 | 1 | 1 | 0.13 | 0.13 | 15 | 1 | 15 | 0.02 | 0.30 | 0.43 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 6a | 15 | 1 | 1 | 1 | 0.13 | 0.13 | 14 | 1 | 14 | 0.02 | 0.28 | 0.41 | ||||||
| Denied Applicant Survey Invitation Telephone Script, Call 7a | 14 | 1 | 1 | 1 | 0.13 | 0.13 | 13 | 1 | 13 | 0.02 | 0.26 | 0.39 | ||||||
| Denied Applicant Survey In-Person Invitation, Door Knock 1e | C16.a, | C16.b | 13 | 8 | 1 | 8 | 0.17 | 1.29 | 5 | 0 | 0 | 0.00 | 0.00 | 1.29 | ||||
| Denied Applicant Survey In-Person Invitation, Door Knock 2e | 5 | 1 | 1 | 1 | 0.17 | 0.17 | 4 | 0 | 0 | 0.00 | 0.00 | 0.17 | ||||||
| Text Message Reminder for Scheduled Denied Applicant Surveyf | C17.a, | C17.b | 24 | 13 | 1 | 13 | 0.02 | 0.26 | 11 | 1 | 11 | 0.02 | 0.22 | 0.48 | ||||
| Telephone Reminder for Scheduled Denied Applicant Surveya | C18.a, | C18.b | 11 | 5 | 1 | 5 | 0.10 | 0.54 | 6 | 1 | 6 | 0.02 | 0.12 | 0.66 | ||||
| Denied Applicant Survey Information Letter from State Agenciesg | D8.a, | D8.b | 24 | 19 | 1 | 19 | 0.02 | 0.38 | 5 | 1 | 5 | 0.02 | 0.10 | 0.48 | ||||
| Participant Consent Form-Denied Applicant Survey | D9.a, | D9.b | 19 | 19 | 1 | 19 | 0.10 | 1.90 | 0 | 0 | 0 | 0.00 | 0.00 | 1.90 | ||||
| Subtotal of Individuals or Households (Year 3) | 179 | 5 | 909 | 0.20 | 185.68 | 45 | 22 | 1000 | 0.02 | 18.37 | 204.05 | |||||||
| Year 3 Data Collection Total | 188 | 5 | 923 | 0.21 | 189.23 | 48 | 21 | 1004 | 0.02 | 18.46 | 207.69 | |||||||
| Grand Total Reporting (Years 1-3) | 4375 | 4.9 | 21541 | 0.21 | 4594.36 | 2253 | 11.6 | 26238 | 0.02 | 537.44 | 5131.80 | |||||||
| Note: Totals may not sum due to rounding. | ||||||||||||||||||
| a Non-response for telephone calls is assumed to equate to 0.02 burden hours to listen to a voicemail. bThe non-response to the Local Agency Survey is assumed to be 0.02 burden hours due to the respondents opening and starting the survey, but not completing it. cNon-response for the study description is assumed to be 0.02 burden hours due to the respondents reading some, but not all, of the document. dNon-response for the survey is assumed to be 0.00 burden hours due to the respondents not scheduling a time to complete the in-person survey. eThe non-response to the door knock is assumed to be 0.00 burden hours due to the respondents not answering the door. fThe non-response to the text message reminder is assumed to be 0.02 burden hours due to the respondents reading some, but not all, of the message. gThe non-response is assumed to be 0.02 burden hours due to the respondents reading some, but not all, of the document. hThe non-response to Participant Experiences Survey – In Person is assumed to be 0.02 burden hours due to the respondents not agreeing to complete the survey after the Certification Survey. |
||||||||||||||||||
| Total # of respondents (including participants and non-respondents) | 6,628 | |||||||||||||||||
| Estimated total # of annual responses (including participants and non-respondents) | 47,779 | |||||||||||||||||
| Total annual burden estimates (including participants and non-respondents) | 5,132 | |||||||||||||||||
| Estimated frequency of responses per respondent (including participants and non-respondents) | 7.21 | |||||||||||||||||
| Estimated time per response (including participants and non-respondents) | 0.11 | |||||||||||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |