Attachment B
Burden Table
Type of Respondent |
Form Name |
Number of Respondents |
No. Responses per Respondent |
Average Burden (hours) |
Total Burden Hours |
Hourly Wage Rate |
Total Respondent Costs
|
Parents |
Screener (Attachment C) |
33 |
1 |
10/60 |
6 |
$14.35 |
$86.10 |
Parents |
Screener - Spanish Version (Attachment D) |
33 |
1 |
10/60 |
6 |
$14.35 |
$86.10 |
Pediatricians |
Screener (Attachment E) |
33 |
1 |
10/60 |
6 |
$74.35 |
$446.10 |
Parents |
Moderator Guide (Attachment F) |
25 |
1 |
1.5 |
38 |
$14.35 |
$545.30 |
Parents |
Moderator Guide - Spanish Version (Attachment G) |
25 |
1 |
1.5 |
38 |
$14.35 |
$545.30 |
Pediatricians |
Moderator Guide (Attachment H) |
25 |
1 |
1.0 |
25 |
$74.35 |
$1858.75 |
Total |
|
|
|
|
119 |
|
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | CDC User |
| File Modified | 0000-00-00 |
| File Created | 2021-01-25 |