| 
 | Respondents | Non-Respondents | 
 | 
	
		| Affected Public | Respondents Type | Instrument | 
 | SAMPLE SIZE | Number of respondents | Frequency of data collection | Total responses | Time per response (hours) | Total Estimated annual burden (hours) | Number of non-respondents | Frequency of data collection | Total responses | Time per response | Total burden estimate | Grand Total burden estimate | 
	
		| Attachment | 
	
		| Individual/ Households Subtotal | Individuals and Households | 
	
		| Individuals and Households | Screening (Journaling) | 
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		| English Language respondents | A1 | 96 | 48 | 1 | 48 | 0.25 | 12.00 | 48 | 1 | 48 | 0.08 | 3.84 | 15.84 | 
	
		| Spanish Language respondents | A2 | 96 | 48 | 1 | 48 | 0.25 | 12.00 | 48 | 1 | 48 | 0.08 | 3.84 | 15.84 | 
	
		| Journaling | 
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		| Confirmation and follow up | A1A/A2A | 96 | 48 | 1 | 48 | 0.08 | 3.84 | 48 | 1 | 0 | 0 | 0 | 3.84 | 
	
		| English Language respondents | B1 | 24 | 24 | 14 | 336 | 0.29 | 97.44 | 0 | 1 | 0 | 0 | 0 | 97.44 | 
	
		| Spanish Language respondents | B2 | 24 | 24 | 14 | 336 | 0.29 | 97.44 | 0 | 1 | 0 | 0 | 0 | 97.44 | 
	
		| Journaling follow up groups | 
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		| Invitation | C1A | 24 | 18 | 1 | 18 | 0.08 | 1.44 | 6 | 1 | 6 | 0.08 | 0.48 | 1.92 | 
	
		| Homework | C1A1 | 18 | 18 | 1 | 18 | 0.5 | 9.00 | 0 | 1 | 0 | 0 | 0 | 9 | 
	
		| Camera set up | C1B | 18 | 4 | 1 | 4 | 0.5 | 2.00 | 14 | 1 | 14 | 0 | 0 | 2 | 
	
		| Journaling follow focus group discussion | D1 | 18 | 12 | 1 | 12 | 2 | 24.00 | 6 | 1 | 6 | 0.08 | 0.48 | 24.48 | 
	
		| Screening  (Mini Focus Groups) | 
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		| Screening for English Language Groups | E1 | 672 | 168 | 1 | 168 | 0.25 | 42.00 | 504 | 1 | 504 | 0.08 | 40.32 | 82.32 | 
	
		| Screening for Spanish Language Groups | E2 | 672 | 168 | 1 | 168 | 0.25 | 42.00 | 504 | 1 | 504 | 0.08 | 40.32 | 82.32 | 
	
		| Mini Focus Groups | 
 | 
 | 
 | 
 | 
 | 
 | 0.00 | 
 | 
 | 
 | 
 | 
 | 
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		| Confirmation and follow up | E3/E4 | 336 | 192 | 1 | 192 | 0.08 | 15.36 | 144 | 1 | 0 | 0 | 0 | 15.36 | 
	
		| Homework (English Language Groups) | E1A | 96 | 96 | 1 | 96 | 0.5 | 48.00 | 0 | 1 | 0 | 0 | 0 | 48 | 
	
		| Homework (Spanish Language Groups) | E2A | 96 | 96 | 1 | 96 | 0.5 | 48.00 | 0 | 1 | 0 | 0 | 0 | 48.00 | 
	
		| Consent (English Language Groups) | G1 | 96 | 
 | 1 | 96 | 0.08 | 7.68 | 
 | 
 | 
 | 
 | 
 | 7.68 | 
	
		| Consent (Spanish Language Groups) | G2 | 96 | 
 | 1 | 96 | 0.08 | 7.68 | 
 | 
 | 
 | 
 | 
 | 7.68 | 
	
		| Group Discussion (English) | F1 | 96 | 72 | 1 | 72 | 1.5 | 108.00 | 24 | 1 | 24 | 0.08 | 1.92 | 109.92 | 
	
		| Group Discussion (Spanish) | F2 | 96 | 72 | 1 | 72 | 1.5 | 108.00 | 24 | 1 | 24 | 0.08 | 1.92 | 109.92 | 
	
		| Individual/ Households Subtotal | 1,536 | 432 | - | 1,924 | - | 685.88 | 1,104 | - | 1,178 | - | 93.12 | 779.00 | 
	
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		| 
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		| 
 | Total Number of Participants | Number of Responders | Proportion of Responders | Number of Non-Responders | Proportion of Non-Responders | 
 | 
 | 
 | 3,102 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| Screening (Journaling) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
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		| English-language respondents | 96 | 48 | 50% | 48 | 50% | 
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 | 
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		| Spanish-language respondents | 96 | 48 | 50% | 48 | 50% | 
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 | 
	
		| Journaling | 
 | 
 | 
 | 
 | 
 | 
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 | 
 | 
 | 
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 | 
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		| Confirmation | 48 | 48 | 100% | 0 | 0% | 
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		| English-language respondents | 24 | 24 | 100% | 0 | 0% | 
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		| Spanish-language respondents | 24 | 24 | 100% | 0 | 0% | 
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		| Journaling follow-up groups | 
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		| Invitation | 24 | 18 | 75% | 6 | 25% | 
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		| Homework | 18 | 18 | 100% | 0 | 0% | 
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		| Camera set-up | 18 | 4 | 22% | 14 | 78% | 
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		| Journaling follow focus group discussion | 18 | 12 | 67% | 6 | 33% | 
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		| Screening (Mini Focus Group) | 
 | 
 | 
 | 
 | 
 | 
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 | 
 | 
 | 
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 | 
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		| Screening for English-language Groups | 672 | 168 | 25% | 504 | 75% | 
 | 
 | 
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		| Screening for Spanish-language Groups | 672 | 168 | 25% | 504 | 75% | 
 | 
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		| Mini Focus Groups | 
 | 
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		| Confirmation and follow-up | 336 | 192 | 57% | 144 | 43% | 
 | 
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		| Homework (English-language groups) | 96 | 96 | 100% | 0 | 0% | 
 | 
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 | 
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		| Homework (Spanish-language groups) | 96 | 96 | 100% | 0 | 0% | 
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		| Group Discussion (English) | 96 | 72 | 75% | 14 | 15% | 
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		| Group Discussion (Spanish) | 96 | 72 | 75% | 14 | 15% | 
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		| Totals | 1,536 | 432 | 
 | 1,104 | 
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