| Sample Sizes, Estimated Burden, and Estimated Cost of Respondent Burden for the School Nutrition and Meal Cost Study | 
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		| Affected Public | ID | Data Collection Activity | Respondents | Sample | Estimated Number of Respondents | Freq of Response | Total Annual Responses | Average Burden Hours per Response | Total Annual Burden Estimate (hours) | Estimated Number of Respondents | Freq of Response | Total Annual Responses | Average Burden Hours per Response | Total Annual Burden Estimate (hours) | Grand Total Annual Burden Estimate (hours) | Hourly Wage Rate | Total Annualized Cost of Respondent Burden | 
	
		| State | C2, C15, C16 | Email (Study Introduction Email) | State Child Nutrition Directors (Groups 1, 2, 3) | 50 | 50 | 1 | 50 | 0.20 | 10.00 | 0 | 0 | 0 | 0.00 | 0.00 | 10.00 | $42.98 | $429.80 | 
	
		| State | D4 | Telephone Survey (Indirect Cost Survey) | State Education Agency Finance Officers (Group 3) | 50 | 48 | 1 | 48 | 0.33 | 16.00 | 2 | 1 | 2 | 0.07 | 0.13 | 16.13 | $42.98 | $693.41 | 
	
		| Local and Tribal | C13 | Telephone Call (Recruiting Call Script) | Superintendents (Group 2) | 98 | 98 | 1 | 98 | 0.28 | 27.44 | 0 | 0 | 0 | 0.00 | 0.00 | 27.44 | $47.77 | $1,310.81 | 
	
		| Local and Tribal | C14 | Telephone Call (Recruiting Call Script) | Superintendents (Group 3) | 298 | 298 | 1 | 298 | 0.08 | 24.83 | 0 | 0 | 0 | 0.00 | 0.00 | 24.83 | $47.77 | $1,186.29 | 
	
		| Local and Tribal | C1, C3, C4, C15 | Letter (SFA Recruitment Advance and Confirmation Letters) | SFA Directors (Group 2) | 74 | 74 | 1 | 74 | 0.20 | 14.80 | 0 | 0 | 0 | 0.00 | 0.00 | 14.80 | $39.37 | $582.68 | 
	
		| Local and Tribal | C13 | Telephone Call (Recruiting Call Script) | SFA Directors (Group 2) | 74 | 72 | 1 | 72 | 0.28 | 20.40 | 2 | 1 | 2 | 0.07 | 0.13 | 20.53 | $39.37 | $808.40 | 
	
		| Local and Tribal | D1 | Telephone Survey (SFA Director Planning Interview) | SFA Directors (Group 2) | 72 | 72 | 1 | 72 | 0.33 | 24.00 | 0 | 0 | 0 | 0.00 | 0.00 | 24.00 | $39.37 | $944.88 | 
	
		| Local and Tribal | C1, C5, C6, C7, C16 | Letter (SFA Recruitment Advance and Confirmation Letters, Pre-Visit Advance Letter) | SFA Directors (Group 3) | 226 | 226 | 1 | 226 | 0.25 | 56.50 | 0 | 0 | 0 | 0.00 | 0.00 | 56.50 | $39.37 | $2,224.41 | 
	
		| Local and Tribal | C14 | Telephone Call (Recruiting Call Script) | SFA Directors (Group 3) | 226 | 219 | 1 | 219 | 0.78 | 170.82 | 7 | 1 | 7 | 0.07 | 0.47 | 171.29 | $39.37 | $6,743.69 | 
	
		| Local and Tribal | E1 | In-person Interview (SFA Director Cost Interview Prep Forms) | SFA Directors (Group 3) | 219 | 219 | 1 | 219 | 0.50 | 109.50 | 0 | 0 | 0 | 0.07 | 0.00 | 109.50 | $39.37 | $4,311.02 | 
	
		| Local and Tribal | F1 | Self-Administered Web Survey (SFA Director Survey) | SFA Directors (Groups 1, 2, 3) | 409 | 368 | 1 | 368 | 0.83 | 305.44 | 41 | 1 | 41 | 0.07 | 2.73 | 308.17 | $39.37 | $12,132.78 | 
	
		| Local and Tribal | G1 | Email (SFA Director Email Invitation) | SFA Directors (Groups 1, 2, 3) | 409 | 409 | 1 | 409 | 0.02 | 6.82 | 0 | 0 | 0 | 0.00 | 0.00 | 6.82 | $39.37 | $268.37 | 
	
		| Local and Tribal | D5 | Telephone Survey  (Follow-Up SFA Director Prep Form) | SFA Directors/LEA Business Managers (Group 3) | 219 | 209 | 1 | 209 | 0.17 | 34.83 | 10 | 1 | 10 | 0.07 | 0.67 | 35.5 | $39.37 | $1,397.64 | 
	
		| Local and Tribal | D6, D7, D8 | Telephone Survey (Follow-Up SFA Director and Business Manager Cost Interview) | SFA Directors/LEA Business Managers (Group 3) | 219 | 209 | 1 | 209 | 2.00 | 418 | 10 | 1 | 10 | 0.07 | 0.67 | 418.67 | $39.37 | $16,482.91 | 
	
		| Local and Tribal | E2, E3, E4, E5, E7 | In-person Interview (SFA Director and Business Manager Cost Interview) | SFA Directors/LEA Business Managers (Group 3) | 219 | 219 | 1 | 219 | 3.25 | 711.75 | 0 | 0 | 0 | 0.00 | 0.00 | 711.75 | $39.37 | $28,021.60 | 
	
		| Local and Tribal | H1, H3, H4 | Self-Administered Web Survey (Basic Menu Survey, A La Carte Foods Checklist) | Foodservice Managers (Group 2) | 316 | 300 | 1 | 300 | 8.00 | 2400 | 16 | 1 | 16 | 0.07 | 1.07 | 2,401 | $25.28 | $60,698.97 | 
	
		| Local and Tribal | I | In-person Data Request (Request for Data on Reimbursable Meal Sales)a | Foodservice Managers (Group 2) | 300 | 300 | 1 | 300 | 0.17 | 50 | 0 | 0 | 0 | 0.00 | 0.00 | 50 | $25.28 | $1,264.00 | 
	
		| Local and Tribal | P2 | Interviewer-Completed Observation Form (Point of Sale Form)b | Foodservice Managers (Group 2) | 300 | 300 | 1 | 300 | 0.08 | 25 | 0 | 0 | 0 | 0.00 | 0.00 | 25 | $25.28 | $632.00 | 
	
		| Local and Tribal | D2 | Telephone Survey (FSM Pre-visit Questionnaire) | Foodservice Managers (Group 3) | 947 | 900 | 1 | 900 | 0.25 | 225 | 47 | 1 | 47 | 0.07 | 3.13 | 228.13 | $25.28 | $5,767.21 | 
	
		| Local and Tribal | E6 | In-person Interview (FSM Cost Interview) | Foodservice Managers (Group 3) | 1,026 | 975 | 1 | 975 | 0.5 | 487.5 | 51 | 1 | 51 | 0.07 | 3.40 | 490.90 | $25.28 | $12,409.95 | 
	
		| Local and Tribal | H2, H3, H4 | Self-Administered Web Survey (Expanded Menu Survey, A La Carte Foods Checklist) | Foodservice Managers (Group 3) | 1,026 | 975 | 1 | 975 | 10.00 | 9750 | 51 | 1 | 51 | 0.07 | 3.40 | 9,753.40 | $25.28 | $246,565.95 | 
	
		| Local and Tribal | P4 | Interviewer-Completed Observation Booklet (Plate Waste Observations)b | Foodservice Managers (Group 3) | 168 | 168 | 1 | 168 | 0.17 | 28 | 0 | 0 | 0 | 0.00 | 0.00 | 28 | $25.28 | $707.84 | 
	
		| Local and Tribal | C8, C9, C15, C16 | Letter (FSM Introduction Letter) | Foodservice Managers (Groups 2, 3) | 1,263 | 1,263 | 1 | 1,263 | 0.13 | 164.19 | 0 | 0 | 0 | 0.00 | 0.00 | 164.19 | $25.28 | $4,150.72 | 
	
		| Local and Tribal | F2 | Self-Administered Web Survey (FSM Survey) | Foodservice Managers (Groups 2, 3) | 1,263 | 1,200 | 1 | 1,200 | 0.33 | 396 | 63 | 1 | 63 | 0.07 | 4.20 | 400.2 | $25.28 | $10,117.06 | 
	
		| Local and Tribal | P1 | Interviewer-Completed Observation Guide (Cafeteria Observation)b | Foodservice Managers  (Groups 2, 3) | 1,200 | 1,200 | 1 | 1,200 | 0.33 | 400.00 | 0 | 0 | 0 | 0.00 | 0.00 | 400.00 | $25.28 | $10,112.00 | 
	
		| Local and Tribal | C10, C11, C15, C16 | Letter (Principal Intro Letter to Schools) | Principals (Groups 2, 3) | 1,263 | 1,263 | 1 | 1,263 | 0.13 | 164.19 | 0 | 0 | 0 | 0.00 | 0.00 | 164.19 | $42.38 | $6,958.37 | 
	
		| Local and Tribal | F3 | Self-Administered Web Survey (Principal Survey) | Principals (Groups 2, 3) | 1,200 | 1,080 | 1 | 1,080 | 0.50 | 540 | 120 | 1 | 120 | 0.07 | 8.00 | 548.00 | $42.38 | $23,224.24 | 
	
		| Local and Tribal | G2 | Email (Principal Email Invitation) | Principals (Groups 2, 3) | 1,200 | 1,200 | 1 | 1,200 | 0.02 | 20.00 | 0 | 0 | 0 | 0.00 | 0.00 | 20.00 | $42.38 | $847.60 | 
	
		| Local and Tribal | C12 | Letter (Principal Pre-Visit Advance Letter) | Principals (Group 3) | 947 | 947 | 1 | 947 | 0.05 | 47.35 | 0 | 0 | 0 | 0.00 | 0.00 | 47.35 | $42.38 | $2,006.69 | 
	
		| Local and Tribal | D3 | Telephone Survey (Principal Cost Interview) | Principals (Group 3) | 947 | 900 | 1 | 900 | 0.75 | 675 | 47 | 1 | 47 | 0.07 | 3.13 | 678.13 | $42.38 | $28,739.29 | 
	
		| Local and Tribal | J, K1, K2, K3 | Self-Administered Observation Forms (Competitive Foods Checklist and Form)a | School Staff Liaisons (Groups 2, 3) | 950 | 760 | 1 | 760 | 0.83 | 633.33 | 190 | 1 | 190 | 0.07 | 12.67 | 646.00 | $19.85 | $12,823.10 | 
	
		| Subtotal State, Local & Tribal Governments | 
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 | 17,178 | 16,521 | 1 | 16,521 | 1.09 | 17,956.70 | 657 | 1.00 | 657 | 0.07 | 43.80 | 18,000.50 | - | $504,563.66 | 
	
		| Private Sector for-Profit | C1, C3, C4, C15 | Letter (SFA Recruitment Advance and Confirmation Letters) | SFA Directors (Group 2) | 27 | 27 | 1 | 27 | 0.20 | 5.40 | 0 | 0 | 0 | 0.00 | 0 | 5.40 | $39.37 | $212.60 | 
	
		| Private Sector for-Profit | C13 | Telephone Call (Recruiting Call Script) | SFA Directors (Group 2) | 27 | 26 | 1 | 26 | 0.28 | 7.28 | 1 | 1 | 1 | 0.07 | 0.07 | 7.35 | $39.37 | $289.24 | 
	
		| Private Sector for-Profit | D1 | Telephone Survey (SFA Director Planning Interview) | SFA Directors (Group 2) | 26 | 26 | 1 | 26 | 0.33 | 8.67 | 0 | 0 | 0 | 0.00 | 0.00 | 8.67 | $39.37 | $341.21 | 
	
		| Private Sector for-Profit | C1, C5, C6, C7, C16 | Letter (SFA Recruitment Advance and Confirmation Letters, Pre-Visit Advance Letter) | SFA Directors (Group 3) | 81 | 81 | 1 | 81 | 0.25 | 20.25 | 0 | 0 | 0 | 0.00 | 0 | 20.25 | $39.37 | $797.24 | 
	
		| Private Sector for-Profit | C14 | Telephone Call (Recruiting Call Script) | SFA Directors (Group 3) | 81 | 79 | 1 | 79 | 0.70 | 55.30 | 2 | 1 | 2 | 0.07 | 0.13 | 55.43 | $39.37 | $2,182.28 | 
	
		| Private Sector or-Profit | E1 | In-person Interview (SFA Director Cost Interview Prep Forms) | SFA Directors (Group 3) | 79 | 79 | 1 | 79 | 0.50 | 39.50 | 0 | 0 | 0 | 0.00 | 0.00 | 39.50 | $39.37 | $1,555.12 | 
	
		| Private Sector for-Profit | F1 | Self-Administered Web Survey (SFA Director Survey) | SFA Directors (Groups 1, 2, 3) | 149 | 134 | 1 | 134 | 0.83 | 111.22 | 15 | 1 | 15 | 0.07 | 1 | 112.22 | $39.37 | $4,418.10 | 
	
		| Private Sector for-Profit | G1 | Email (SFA Director Email Invitation) | SFA Directors (Groups 1, 2, 3) | 149 | 149 | 1 | 149 | 0.02 | 2.48 | 0 | 0 | 0 | 0.00 | 0 | 2.48 | $39.37 | $97.77 | 
	
		| Private Sector or-Profit | D5 | Telephone Survey  (Follow-Up SFA Director Prep Form) | SFA Directors/LEA Business Managers (Group 3) | 79 | 76 | 1 | 76 | 0.17 | 12.67 | 3 | 1 | 3 | 0.07 | 0.20 | 12.87 | $39.37 | $506.56 | 
	
		| Private Sector or-Profit | D6, D7, D8 | Telephone Survey (Follow-Up SFA Director and Business Manager Cost Interview) | SFA Directors/LEA Business Managers (Group 3) | 79 | 76 | 1 | 76 | 2.00 | 152.00 | 3 | 1 | 3 | 0.07 | 0.20 | 152.20 | $39.37 | $5,992.11 | 
	
		| Private Sector or-Profit | E2, E3, E4, E5, E7 | In-person Interview (SFA Director and Business Manager Cost Interview) | SFA Directors/LEA Business Managers (Group 3) | 79 | 79 | 1 | 79 | 3.25 | 256.75 | 0 | 0 | 0 | 0.00 | 0.00 | 256.75 | $39.37 | $10,108.25 | 
	
		| Subtotal Private Sector for-Profit Business | 
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 | 856 | 832 | 1 | 832 | 0.81 | 671.52 | 24 | 1.00 | 24 | 0.07 | 1.60 | 673 | - | $26,500.47 | 
	
		| Individual | L1, L2, L3, L4, L5, L6, L7, L8, L9, L10 | Letter (Household Advance Letters) and Brochure | Parents (Households) | 3,663 | 3,663 | 1 | 3,663 | 0.18 | 671.55 | 0 | 0 | 0 | 0.00 | 0 | 671.55 | $22.01 | $14,780.82 | 
	
		| Individual | M1, M2 | Consent Form (Parent Passive Consent Response Form) | Parents | 3,663 | 3,663 | 1 | 3,663 | 0.05 | 183.15 | 0 | 0 | 0 | 0.00 | 0 | 183.15 | $22.01 | $4,031.13 | 
	
		| Individual | N1, N2 | Self-Administered Form (Food Diary, Day 1) | Parents | 800 | 800 | 1 | 800 | 0.17 | 133.33 | 0 | 0 | 0 | 0.00 | 0.0 | 133.33 | $22.01 | $2,934.67 | 
	
		| Individual | N1, N2 | Self-Administered Form (Food Diary, Day 2) | Parents | 200 | 200 | 1 | 200 | 0.17 | 33.33 | 0 | 0 | 0 | 0.00 | 0 | 33.33 | $22.01 | $733.67 | 
	
		| Individual | N5, N6 | In-person or Telephone Interview (Parent Interview) | Parents | 2,637 | 2,400 | 1 | 2,400 | 0.42 | 1,000.00 | 237 | 1 | 237 | 0.07 | 15.80 | 1,015.80 | $22.01 | $22,357.76 | 
	
		| Individual | N7 | In-person Interview (AMPM 24-Hour Dietary Recall, Day 1) | Parents | 800 | 800 | 1 | 800 | 0.25 | 200.00 | 0 | 0 | 0 | 0.00 | 0.0 | 200.00 | $22.01 | $4,402.00 | 
	
		| Individual | N7 | Telephone Survey (AMPM 24-Hour Dietary Recall, Day 2) | Parents | 236 | 200 | 1 | 200 | 0.75 | 150.00 | 36 | 1 | 36 | 0.07 | 2 | 152.40 | $22.01 | $3,354.32 | 
	
		| Individual | M3, M4 | Assent Form (Student Assent Form) | Students | 2,747 | 2,747 | 1 | 2,747 | 0.05 | 137.35 | 0 | 0 | 0 | 0.00 | 0 | 137.35 | $- | $- | 
	
		| Individual | N3, N4 | In-person Interview (Child/Youth Interview) | Students | 2,747 | 2,637 | 1 | 2,637 | 0.17 | 439.50 | 110 | 1 | 110 | 0.07 | 7.33 | 446.83 | $- | $- | 
	
		| Individual | N7 | In-person Interview (AMPM 24-Hour Dietary Recall, Day 1) | Students | 2,637 | 2,637 | 1 | 2,637 | 0.92 | 2,426.04 | 0 | 0 | 0 | 0.00 | 0.00 | 2,426.04 | $- | $- | 
	
		| Individual | N7 | Telephone Survey (AMPM 24-Hour Dietary Recall, Day 2) | Students | 708 | 600 | 1 | 600 | 0.75 | 450.00 | 108 | 1 | 108 | 0.07 | 7.2 | 457.20 | $- | $- | 
	
		| Individual | O | In-person Measurement (Height and Weight Measurement Form) | Students | 2,637 | 2,637 | 1 | 2,637 | 0.05 | 131.85 | 0 | 0 | 0 | 0.00 | 0.00 | 131.85 | $- | $- | 
	
		| Subtotal Individuals | 
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 | 23,475 | 22,984 | 1 | 22,984 | 0.260 | 5,956.11 | 491 | 1 | 491 | 0.07 | 32.73 | 5,988.84 | - | $52,594.36 | 
	
		| Grand Total | 
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 | 41,509 | 40,337 | 1.00 | 40,337 | 0.61 | 24,584.32 | 1,172 | 1.00 | 1,172 | 0.07 | 78.13 | 24,662.45 | - | $583,658.50 | 
	
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		| a Request for Data on Reimbursable Meal Sales (I) will be verbally collected from FSM respondents (or cashiers). | 
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		| b The Cafeteria Observation Guide (P1), Point of Sale Form (P2), and Plate Waste Observation Booklet (P4) are each completed by contractor staff, but require FSM assistance. | 
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		| Notes: The Milk Form (P3) will be completed by contractor staff and is not reported in the respondent burden table. | 
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		| For those data collection documents that are grouped together for individual data collection activities, the cumulative burden estimate matching this table is displayed on each associated document. | 
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		| "Total Annualized Cost of Respondent Burden" is equal to the "Grand Total Annual Burden Estimate (hours)" times an average hourly wage rate. | 
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		| Average hourly wage rates used included School Foodservice Director or LEA Business Manager - (Education Administrators, All Other) - $39.37, Foodservice Managers-$25.28, School Staff Liaisons (Miscellaneous Education, Training, and Library Workers) -$19.85, Superintendent (Education Administrators, Postsecondary) - $47.77, Principal (Education Administrators) - $42.38, Parent (All Occupations) - $22.01, and State Education Agency Financial Officer (Financial Analyst) - $42.98  Students (elementary and secondary school students) were assumed to not have an hourly wage rate.  Average hourly wage rates are taken from: Bureau of Labor Statistics, Wages by Occupation, May 2012. | 
	
		| LEA = local education agency; SFA = school food authority. | 
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