App_Y. Burden table Rev 10.19.2021

							Respondents					Non-Respondents
Respondent Type	Respondent Description	Type of Study Activity			Appendices	Sample size	Number of Respondents	Frequency of Response (annual)	Total Annual Responses	Average Hours per Response	Sub-Total Annual Burden	Number of non -respondents	Frequency of Response (annual)	Total Annual Responses	Average Hours per response	Sub-Total Annual Burden	Total Burden Hours	Hourly Rate	Base Annual Respondent Cost	Fringe Benefits	Total Annualized Cost
Individuals and Households	Caregivers of former WIC children	Year 9 Study Consent Form (a)			A1/A2	3,020	2,668	1	2,668	0.08	222.78	352	1	352	0.08	29.39	252.17	$7.25	$1,828.23	$603.32	$2,431.55
		Study extension letter (a)			B1/B2	3,020	2,668	1	2,668	0.05	133.67	352	1	352	0.05	17.64	151.30	$7.25	$1,096.94	$361.99	$1,458.93
		Contact Information Form - Round 1 (b)			C1/C2	2,668	1,067	1	1,067	0.10	106.93	1,601	1	1,601	0.10	160.40	267.33	$7.25	$1,938.17	$639.60	$2,577.76
		Contact Information Form Reminder - Round 2 (b)			D1/D2	2,668	1,067	1	1,067	0.10	106.93	1,601	1	1,601	0.10	160.40	267.33	$7.25	$1,938.17	$639.60	$2,577.76
		Contact Information Form Reminder - Round 3 (b)			D1/D2	1,601	641	1	641	0.10	64.23	960	1	960	0.10	96.17	160.40	$7.25	$1,162.90	$383.76	$1,546.66
		Contact Information Form Reminder - Round 4 (b)			D1/D2	960	384	1	384	0.10	38.47	576	1	576	0.10	57.70	96.17	$7.25	$697.25	$230.09	$927.34
		Year 9 Interview advance letter ( c )			E1/E2	2,668	2,268	1	2,268	0.05	113.62	400	1	400	0.05	20.05	133.67	$7.25	$969.08	$319.80	$1,288.88
		Year 9 telephone interview ( d )			F1/F2	3,020	1,068	1	1,068	1.00	1,068.00	1,952	1	1,952	0.01	19.52	1,087.52	$7.25	$7,884.52	$2,601.89	$10,486.41
		Year 9 replicate dietary intake interview ( e )			F3/F4	160	107	1	107	0.50	53.67	53	1	53	0.01	0.53	54.20	$7.25	$392.92	$129.66	$522.58
		Year 9 H/W measurement card (f)			H1/H2	2,668	748	1	748	1.00	747.60	1,920	1	1,920	0.01	19.20	766.80	$7.25	$5,559.33	$1,834.58	$7,393.91
		Reminders for Year 9 interview from Study Liaison (g)			G1a/G1b	1,068	427	1	427	0.03	14.27	641	1	641	0.03	21.40	35.67	$7.25	$258.62	$85.34	$343.96
		Reminders for Year 9 non-locatable active interview (g)			G2a/G2b	641	256	1	256	0.03	8.56	385	1	385	0.03	12.85	21.41	$7.25	$155.22	$51.22	$206.44
		Reminders for Year 9 study participation refusal conversion (g)			G3a/G3b	385	154	1	154	0.03	5.14	231	1	231	0.03	7.72	12.86	$7.25	$93.23	$30.77	$123.99
		Reminders for Year 9 Interivew Telephone Research Center voicemail , first message (g)			G5a/G5b	231	92	1	92	0.03	3.09	139	1	139	0.03	4.63	7.72	$7.25	$55.94	$18.46	$74.40
		Reminders for Year 9 study participant not answering calls (g)			G4a/G4b	139	56	1	56	0.03	1.86	83	1	83	0.03	2.79	4.64	$7.25	$33.66	$11.11	$44.77
		Reminders for Year 9 Interview Telephone Research Center voicemail, expiring interview (g)			G6a/G6b	83	33	1	33	0.03	1.11	50	1	50	0.03	1.66	2.77	$7.25	$20.10	$6.63	$26.73
		Height and weight reminders & Year 9 text or email provider measures - Round 1 (Mail, Text, or Email) (h)			I1/I2 & J1/J2	694	278	1	278	0.05	13.91	416	1	416	0.01	4.16	18.07	$7.25	$131.02	$43.24	$174.26
		Height and weight reminders & Year 9 text or email provider measures - Round 2 (Mail, Text, or Email) (h)			I1/I2 & J1/J2	416	166	1	166	0.05	8.34	250	1	250	0.01	2.50	10.83	$7.25	$78.54	$25.92	$104.45
		Height and weight reminders & Year 9 text or email provider measures - Round 3 (Mail, Text, or Email) (h)			I1/I2 & J1/J2	250	100	1	100	0.05	5.01	150	1	150	0.01	1.50	6.51	$7.25	$47.20	$15.58	$62.77
		Year 9 thank you (i)			K1/K2	1,068	1,068	1	1,068	0.03	35.67	0	0	0	0.00	0.00	35.67	$7.25	$258.62	$85.34	$343.96
		Birthday card respondent year 9 (j)			L1/L2	2,668	2,134	1	2,134	0.02	35.64	534	1	534	0.02	8.92	44.56	$7.25	$323.03	$106.60	$429.63
		Birthday card child age 9 (k)			M1/M2	2,668	2,134	1	2,134	0.03	71.28	534	1	534	0.03	17.84	89.11	$7.25	$646.06	$213.20	$859.25
Individuals and Households Subtotal (a) ( c )						3,020	2,668	7	19,585	0.15	2,859.76	352	37	13,179	0.05	666.96	3,526.72		$25,568.72	$8,437.68	$34,006.40
State & Local Government	State WIC staff point of contact	Announcement of study extension to WIC State agencies			N1	27	27	1	27	0.08	2.25	0	0	0	0.00	0.00	2.25	$60.81	$137.10	$45.24	$182.34
		Study extension webinar (l)			O	27	27	1	27	1.00	27.00	0	0	0	0.00	0.00	27.00	$60.81	$1,641.87	$541.82	$2,183.69
		Conference calls on extension (m)			P	27	27	1	27	1.00	27.00	0	0	0	0.00	0.00	27.00	$60.81	$1,641.87	$541.82	$2,183.69
		Study extension summary and agreement (n)			Q1/Q2/Q3	27	27	1	27	0.77	20.73	0	0	0	0.00	0.00	20.73	$60.81	$1,260.46	$415.95	$1,676.42
		Participant contact information request (p)			R	14	14	9	126	0.08	10.52	0	0	0	0.00	0.00	10.52	$60.81	$639.78	$211.13	$850.91
		Administrative data on Lost to Followup Participants (o)			S	27	27	1	27	57.76	1,559.50	0	0	0	0.00	0.00	1,559.50	$60.81	$94,833.26	$31,294.98	$126,128.24
		Subtotal ( r )				27	27	10	261	6	1,647.00	0	0	0	0	0.00	1,647.00		$100,154.34	$33,050.93	$133,205.28
	WIC site staff point of contact	N2 Announcement of study extension to WIC sites			N2	52	52	1	52	0.08	4.34	0	0	0	0.00	0.00	4.34	$15.50	$67.30	$22.21	$89.51
		Study extension webinar			O	52	52	1	52	1.00	52.00	0	0	0	0.00	0.00	52.00	$15.50	$806.00	$265.98	$1,071.98
		Conference call on extension			P	52	52	1	52	1.00	52.00	0	0	0	0.00	0.00	52.00	$15.50	$806.00	$265.98	$1,071.98
		Study extension summary and agreement (n)			Q1/Q2/Q3	52	52	1	52	0.77	39.92	0	0	0	0.00	0.00	39.92	$15.50	$618.77	$204.19	$822.96
		Participant contact information request (p)			R	52	52	15	780	0.08	65.13	0	0	0	0.00	0.00	65.13	$15.50	$1,009.52	$333.14	$1,342.65
		Year 9 H/W measurement card (q)			H1/H2	52	52	4	208	0.17	34.74	0	0	0	0.00	0.00	34.74	$15.50	$538.41	$177.67	$716.08
		Subtotal ( r )				52	52	23	1,196	0.21	248.13	0	0	0	0.00	0.00	248.13		$3,845.99	$1,269.18	$5,115.17
State/Local Government Subtotal						79	79	18	1,457	1.30	1,895.13	0	0	0	0.00	0.00	1,895.13		$104,000.33	$34,320.11	$138,320.44
	WIC site staff point of contact	Study extension announcement			N2	28	28	1	28	0.08	2.34	0	0	0	0.00	0.00	2.34	$15.50	$36.24	$11.96	$48.20
		Study extension webinar			O	28	28	1	28	1.00	28.00	0	0	0	0.00	0.00	28.00	$15.50	$434.00	$143.22	$577.22
Profit/Non-Profit Business		Conference call on extension			P	28	28	1	28	1.00	28.00	0	0	0	0.00	0.00	28.00	$15.50	$434.00	$143.22	$577.22
		Study extension summary and agreement (n)			Q1/Q2/Q3	28	28	1	28	0.77	21.50	0	0	0	0.00	0.00	21.50	$15.50	$333.18	$109.95	$443.13
		Participant contact information request (p)			R	28	28	15	420	0.08	35.07	0	0	0	0.00	0.00	35.07	$15.50	$543.59	$179.38	$722.97
		Year 9 H/W measurement card (q)			H1/H2	28	28	4	112	0.17	18.70	0	0	0	0.00	0.00	18.70	$15.50	$289.91	$95.67	$385.58
		Subtotal ( r )				28	28	23	644	0.21	133.61	0	0	0	0.00	0.00	133.61		$2,070.92	$683.40	$2,754.32
	Health care provider	Year 9 H/W measurement card (s)			H1/H2	428	428	1	428	0.17	71.48	0	0	0	0.00	0.00	71.48	$38.47	$2,749.68	$907.39	$3,657.08
Profit/Non-Profit Business Subtotal						456	456	2	1,072	0.19	205.08	0	0	0	0.00	0.00	205.08		$4,820.60	$1,590.80	$6,411.40
GRAND TOTAL						3,555	3,203	7	22,114	0.224	4,960	352	37	13,179	0.051	666.96	5,626.94		$134,389.65	$44,348.59	$178,738.24
Unique respondents is equal to the largest category of respondents, those who receive the study consent form. Unique nonrespondents is equal to largest category of non-respondents, those who do not complete the 72-month interview. Total respondents + nonrespondents is larger than sample size as some study participants may respond to some data collection activities and be non-respondents for others.
(a) Starting sample = 3,020, the number of active participants at the end of the 72-month interview. Assume 6% attrition per year for Years 7 and 8, so 2,668 will be sent consent forms for the Age 9 study
(b) Assume 40% of respondents will complete Contact Information Form based on completion rates for 63, 66, and 69 Contact Information Form completion rate
(c) Assume 85% will read the advance letter.
(d) Assume 50% of those who completed the 72-month interview or 35.4% of sample will complete the 9-Year interview
(e) Assume 15% of completes will be sampled for 2nd AMPM and 67% will complete 2nd AMPM
(f) Assume 70% of respondents to the 72-mo interview will go to the WIC site or their provider for H/W measurement. Assume 1 hour for reading letter, travel to/from WIC site or provider, and measuring child.
(g) Potential respondents for 9-Year interviews may get 1 or more of the 6 study reminders. Total burden for these reminders = 8 minutes and average length of time for these reminders is 2 minutes.
(h) Assume potential respondents for 9-Year HT/WT measures will get an average of 2 reminders to go to WIC or their doctor's office to have their child measured.
(i) Assume 100% of respondents will have a valid email/text/mail address to receive thank you.
(j) Assume 80% of cohort will read birthday cards. Mother and child will both read child card.
(k) Total respondents + nonrespondents is larger than sample size as some study participants may respond to some data collection activities and be non-respondents for others.
(l) Assume study extension webinar attended by all 27 states and 1 point of contact from each site.
(m) Assumes 1 conf. call with state and 1 conf. call with site with 1 point of contact per site.
(n) Time burden for Appendix Q1 is 0.1837 hours, time burden for Appendix Q2 is 0.25 hours, and time burden for Appendix Q3 is 0.334 hours for a total of 0.7677 hours
(o) assume 0.05 hours per record in the administrative data request (n = 1,093)
(p) Assume will request participant contact information from WIC sites about once a month over data collection period. Assume 14 WIC agencies who previously agreed to provide updated participant contact information will continue to do so.
(q) Assume 50% of participants who return measurement cards will be measured at WIC with about 4 children weighed and measured per site ((694*.50)/80=4). Assume 10 minutes of staff time for measurements per child.
(r) Subtotal for Frequency of Response is left blank because for some categories, the frequency for some activities is more than 1
(s) Assumes 50% of participants who return measurement cards will be measured at healthcare providers