| Average Burden Hours Per State | Notes | 
 | 
 | 
	
		| Closed Cases (FFY 2013) | 123,666 | See Tab "A-1 sel info by State" | 
 | 
 | 
	
		| Average Documentation Time (Minutes) | 10 | Based on average time required by early pilot states to document a case by computer | 
 | 
 | 
	
		| Documentation Time (Minutes) | 1,236,660 | Closed Cases X 10 Minutes | 
 | 
 | 
	
		| Documentation Time (Hours) | 20,611 | Minutes/60 | 
 | 
 | 
	
		| AoA Report Documentation Time (Hours): | 6,870.3 | About two-thirds of the information entered for a typical case is for use at the state level and is not required for the AoA report | 
 | 
 | 
	
		| ORT Input Time (Hours) | 832 | A fair estimate for an average state is 2 days or 16 hours of staff time.  Sixteen hours times 52 states totals 832 | 
 | 
 | 
	
		| Total Hours | 7,702.3 | AoA Report Documentation Time (Hours) + ORT Input Time (Hours) | 
 | 
 | 
	
		| Average Burden Per State | 148.1 | Total Hours/52 (DC and Puerto are counted in addition to our 50 states) | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
	
		| Cost to Respondents | Notes | 
 | 
 | 
	
		| Average Burden Per State | 148.1 | Total Hours/52 (DC and Puerto are counted in addition to our 50 states) | 
 | 
 | 
	
		| Est. Average Local Salary Hourly Rate | $22.32 | Based on a 2015 NORC salary survey | 
 | 
 | 
	
		| Est. Time per Local (Hours) | 132.10 | 
 | 
 | 
 | 
	
		| State Ombudsmen Hourly Rate | $33.65 | Based on a 2015 NORC salary survey | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
	
		| Est. Time Per State (Hours) | 16 | A fair estimate for an average state is 2 days or 16 hours of staff time. | Benefits & Overhead | Total by state | 
	
		| State Ombudsman Respondent Cost | $538 | State Ombudsman Hourly Rate x Est. Time Per State (Hours) | 2 | $1,076.80 | 
	
		| Local Ombudsman Respondent Cost | $2,948.47 | Average Burden Per State x Est. Average Local Salary | 2 | $5,896.94 | 
	
		| 
 | $3,486.87 | Sum of Local Ombudsman Respondent Cost + State Ombudsman Respondent Cost | Total State | $6,973.74 | 
	
		| Est. National Cost (Local) | $153,321 | Local Ombudsman RespondentWage  Cost  x 52 | 
 | 
 | 
	
		| 
 | $153,321 | Benefits & overhead | 2 | $306,641.09 | 
	
		| Est. National Cost (State) | $27,996.80 | State Ombudsman Wage Respondent Cost x 52 | 2 | $55,993.60 | 
	
		| 
 | $27,996.80 | Benefits & overhead | 
 | 
 | 
	
		| Total Annual Costs to All Respondents | $362,634.69 | Sum of Local Ombudsman Respondent Cost and State Ombudsman Respondent Cost | Total All | $362,634.69 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
	
		| Annualized Cost to Federal Government | 
 | 
 | 
	
		| GS Grade/Step* | Quantity | Percent Time | Annual Costs | Notes | 
	
		| GS 15-4 | 1 | 2% | $2,777.42 | Dropped to 2% from 5% | 
	
		| GS 13-8 | 1 | 5% | $5,600.70 | 
 | 
	
		| GS 13-4 | 1 | 10% | $9,990.50 | Increased from 5% to 10% | 
	
		| 
 | 
 | Contract Cost | $172,500.00 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
	
		| *GS table used relates to DC-Baltimore-NOVA area | 
 | Annualized Cost to Federal Government | $190,868.62 | Sum of Annualized Costs | 
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		| State | Cases opened | Cases Closed/ Complain- ants | Complaints | Licensed Nursing Facilities | Licensed Board & Care & Similar Facilities1 | All Facilities | Local Ombuds- man Entities | Paid Pro- gram Staff | Certified Volunteer Ombuds- men | Total Program Expen- ditures | Complain- ants per LTC Facility Bed | Complaints per LTC Facility Bed | Complaints per Com- plainant | Number of LTC Facility Beds per Paid Program Staff (FTEs) | Nursing Facilities Visited at least quarterly 2 | Board & Care Facilities Visited at least quarterly 2 | LTC Facilities Visited at least quarterly 2 | Nursing Facilities Visited at least quarterly 2,3 | Board & Care Facilities Visited at least quarterly 2,3 | 
 | 
	
		|  | Number | Number | Number | Number | Beds | Number | 
 | Beds | 
 | Number | Beds | Programs | ( FTE's) | Number | ($000's) | Number | Number | Number | (Beds) | Total | Total | Total | Percentage | Percentage | Table of Contents | 
	
		| Total 2013 | 124,958 | 123,666 | 190,592 | 16,516 | 1,716,787 | 53,376 | 
 | 1,272,804 | 
 | 69,892 | 2,989,591 | 575 | 1,233 | 8,290 | $92,502 | 0.04 | 0.06 | 1.54 | 2,424 | 11,589 | 15,710 | 27,299 | 70.2% | 29.4% | 
 | 
	
		| 2012 | 127,896 | 126,398 | 193,650 | 16,528 | 1,723,433 | 52,928 | 
 | 1,248,785 | 
 | 69,456 | 2,972,218 | 573 | 1,180 | 8,712 | $90,777 | 0.04 | 0.07 | 1.53 | 2,518 | 11,173 | 13,470 | 24,643 | 67.6% | 25.4% | 
 | 
	
		| 2011 | 134,830 | 132,387 | 204,144 | 16,602 | 1,733,444 | 52,550 | 
 | 1,233,786 | 
 | 69,152 | 2,967,230 | 575 | 1,187 | 9,065 | 87,577 | 0.04 | 0.07 | 1.54 | 2,501 | 11,069 | 14,482 | 25,551 | 66.7% | 27.6% | 
 | 
	
		| 2010 | 143,062 | 139,296 | 211,937 | 16,639 | 1,736,645 | 52,681 | 
 | 1,212,015 | 
 | 69,320 | 2,948,660 | 578 | 1,166 | 8,813 | 87,840 | 0.05 | 0.07 | 1.52 | 2,529 | 12,231 | 20,262 | 32,493 | 73.5% | 38.5% | 
 | 
	
		| 2009 | 161,222 | 157,617 | 233,025 | 16,653 | 1,737,301 | 52,371 | 
 | 1,163,008 | 
 | 69,024 | 2,900,309 | 573 | 1,203 | 8,661 | 84,946 | 0.05 | 0.08 | 1.48 | 2,411 | 12,949 | 23,593 | 36,542 | 77.8% | 45.0% | 
 | 
	
		| 2008 | 184,591 | 182,506 | 271,650 | 16,749 | 1,740,115 | 50,116 | 
 | 1,130,863 | 
 | 66,865 | 2,870,978 | 572 | 1,293 | 8,771 | 86,867 | 0.06 | 0.09 | 1.49 | 2,220 | 13,357 | 22,957 | 36,314 | 79.7% | 45.8% | 
 | 
	
		| AK | 655 | 713 | 1,316 | 17 | 776 | 636 | 
 | 3,632 | 
 | 653 | 4,408 | 0 | 5.0 | 17 | $729 | 0.16 | 0.30 | 1.85 | 882 | 1 | 0 | 1 | 6% | 0% | 
 | 
	
		| AL | 554 | 532 | 1,016 | 231 | 27,119 | 350 | 
 | 10,140 | 
 | 581 | 37,259 | 13 | 20.8 | 1 | $1,568 | 0.01 | 0.03 | 1.91 | 1,791 | 231 | 299 | 530 | 100% | 85% | 
 | 
	
		| AR | 1,066 | 1,066 | 1,126 | 238 | 25,531 | 139 | 
 | 7,427 | 
 | 377 | 32,958 | 8 | 15.0 | 338 | $942 | 0.03 | 0.03 | 1.06 | 2,197 | 238 | 139 | 377 | 100% | 100% | 
 | 
	
		| AZ | 2,260 | 2,260 | 3,714 | 146 | 16,370 | 2,086 | 
 | 32,540 | 
 | 2,232 | 48,910 | 8 | 23.0 | 74 | $1,520 | 0.05 | 0.08 | 1.64 | 2,123 | 144 | 268 | 412 | 99% | 13% | 
 | 
	
		| CA | 30,592 | 30,964 | 39,661 | 1,271 | 121,188 | 7,571 | 
 | 174,814 | 
 | 8,842 | 296,002 | 35 | 112.2 | 856 | $9,642 | 0.10 | 0.13 | 1.28 | 2,637 | 853 | 2,220 | 3,073 | 67% | 29% | 
 | 
	
		| CO | 1,961 | 1,961 | 3,678 | 203 | 20,158 | 569 | 
 | 17,718 | 
 | 772 | 37,876 | 16 | 31.5 | 26 | $2,234 | 0.05 | 0.10 | 1.88 | 1,201 | 203 | 569 | 772 | 100% | 100% | 
 | 
	
		| CT | 1,264 | 1,317 | 2,353 | 234 | 27,126 | 189 | 
 | 9,242 | 
 | 423 | 36,368 | 9 | 9.0 | 31 | $1,902 | 0.04 | 0.06 | 1.79 | 4,041 | 234 | 89 | 323 | 100% | 47% | 
 | 
	
		| DC | 555 | 522 | 1,198 | 19 | 2,766 | 136 | 
 | 1,744 | 
 | 155 | 4,510 | 0 | 9.0 | 37 | $557 | 0.12 | 0.27 | 2.30 | 501 | 19 | 70 | 89 | 100% | 51% | 
 | 
	
		| DE | 439 | 528 | 630 | 50 | 5,135 | 104 | 
 | 2,228 | 
 | 154 | 7,363 | 0 | 6.0 | 32 | $531 | 0.07 | 0.09 | 1.19 | 1,227 | 50 | 94 | 144 | 100% | 90% | 
 | 
	
		| FL | 2,752 | 2,926 | 6,480 | 682 | 83,342 | 3,397 | 
 | 86,751 | 
 | 4,079 | 170,093 | 17 | 24.0 | 366 | $2,959 | 0.02 | 0.04 | 2.21 | 7,087 | 168 | 371 | 539 | 25% | 11% | 
 | 
	
		| GA | 2,618 | 2,459 | 4,271 | 372 | 40,866 | 2,590 | 
 | 33,693 | 
 | 2,962 | 74,559 | 13 | 47.3 | 7 | $2,410 | 0.03 | 0.06 | 1.74 | 1,575 | 327 | 1,501 | 1,828 | 88% | 58% | 
 | 
	
		| HI | 62 | 53 | 99 | 50 | 4,300 | 1,638 | 
 | 7,774 | 
 | 1,688 | 12,074 | 0 | 2.0 | 40 | $167 | 0.00 | 0.01 | 1.87 | 6,037 | 49 | 20 | 69 | 98% | 1% | 
 | 
	
		| IA | 731 | 711 | 1,174 | 447 | 31,482 | 408 | 
 | 22,641 | 
 | 855 | 54,123 | 8 | 12.0 | 6 | $1,027 | 0.013 | 0.022 | 1.65 | 4,510 | 24 | 2 | 26 | 5% | 0% | 
 | 
	
		| ID | 984 | 992 | 1,746 | 78 | 5,960 | 287 | 
 | 9,335 | 
 | 365 | 15,295 | 6 | 17.5 | 54 | $673 | 0.06 | 0.11 | 1.76 | 877 | 78 | 287 | 365 | 100% | 100% | 
 | 
	
		| IL | 4,629 | 4,478 | 7,085 | 1,068 | 105,348 | 510 | 
 | 31,420 | 
 | 1,578 | 136,768 | 16 | 68.3 | 149 | $4,455 | 0.03 | 0.05 | 1.58 | 2,002 | 679 | 371 | 1,050 | 64% | 73% | 
 | 
	
		| IN | 1,025 | 986 | 1,345 | 517 | 51,596 | 270 | 
 | 18,404 | 
 | 787 | 70,000 | 17 | 20.1 | 24 | $897 | 0.01 | 0.02 | 1.36 | 3,476 | 407 | 90 | 497 | 79% | 33% | 
 | 
	
		| KS | 1,763 | 1,684 | 2,099 | 350 | 22,170 | 442 | 
 | 13,216 | 
 | 792 | 35,386 | 9 | 9.5 | 119 | $715 | 0.05 | 0.06 | 1.25 | 3,725 | 299 | 15 | 314 | 85% | 3% | 
 | 
	
		| KY | 4,184 | 3,991 | 5,947 | 310 | 27,687 | 214 | 
 | 6,313 | 
 | 524 | 34,000 | 15 | 36.3 | 109 | $1,528 | 0.12 | 0.17 | 1.49 | 938 | 297 | 206 | 503 | 96% | 96% | 
 | 
	
		| LA | 769 | 731 | 998 | 283 | 34,905 | 99 | 
 | 5,188 | 
 | 382 | 40,093 | 7 | 16.5 | 5 | $1,067 | 0.02 | 0.02 | 1.37 | 2,430 | 283 | 99 | 382 | 100% | 100% | 
 | 
	
		| MA | 4,360 | 4,376 | 6,036 | 431 | 48,503 | 80 | 
 | 2,475 | 
 | 511 | 50,978 | 24 | 38.3 | 308 | $2,844 | 0.09 | 0.12 | 1.38 | 1,332 | 431 | 80 | 511 | 100% | 100% | 
 | 
	
		| MD | 1,555 | 1,578 | 2,873 | 233 | 27,843 | 1,389 | 
 | 20,427 | 
 | 1,622 | 48,270 | 19 | 36.2 | 94 | $2,514 | 0.03 | 0.06 | 1.82 | 1,333 | 233 | 304 | 537 | 100% | 22% | 
 | 
	
		| ME | 753 | 649 | 1,211 | 106 | 6,977 | 251 | 
 | 7,126 | 
 | 357 | 14,103 | 0 | 8.2 | 62 | $729 | 0.05 | 0.09 | 1.87 | 1,714 | 106 | 251 | 357 | 100% | 100% | 
 | 
	
		| MI | 1,930 | 1,732 | 3,566 | 447 | 46,870 | 4,637 | 
 | 49,063 | 
 | 5,084 | 95,933 | 14 | 20.8 | 58 | $2,013 | 0.02 | 0.04 | 2.06 | 4,603 | 202 | 3 | 205 | 45% | 0% | 
 | 
	
		| MN | 1,262 | 1,320 | 2,693 | 375 | 29,871 | 2,275 | 
 | 101,225 | 
 | 2,650 | 131,096 | 16 | 21.0 | 49 | $2,058 | 0.01 | 0.02 | 2.04 | 6,243 | 212 | 255 | 467 | 57% | 11% | 
 | 
	
		| MO | 4,820 | 4,740 | 5,545 | 529 | 56,073 | 622 | 
 | 22,254 | 
 | 1,151 | 78,327 | 8 | 17.8 | 231 | $1,054 | 0.06 | 0.07 | 1.17 | 4,413 | 485 | 208 | 693 | 92% | 33% | 
 | 
	
		| MS | 1,599 | 1,402 | 2,118 | 211 | 20,104 | 190 | 
 | 5,680 | 
 | 401 | 25,784 | 10 | 18.5 | 5 | $1,046 | 0.05 | 0.08 | 1.51 | 1,394 | 211 | 190 | 401 | 100% | 100% | 
 | 
	
		| MT | 536 | 534 | 1,062 | 128 | 7,556 | 198 | 
 | 5,418 | 
 | 326 | 12,974 | 9 | 16.3 | 1 | $948 | 0.04 | 0.08 | 1.99 | 796 | 128 | 198 | 326 | 100% | 100% | 
 | 
	
		| NC | 1,670 | 1,630 | 3,058 | 444 | 50,335 | 1,261 | 
 | 41,010 | 
 | 1,705 | 91,345 | 16 | 37.6 | 1,050 | $3,816 | 0.02 | 0.03 | 1.88 | 2,431 | 353 | 903 | 1,256 | 80% | 72% | 
 | 
	
		| ND | 634 | 626 | 835 | 118 | 6,715 | 141 | 
 | 4,482 | 
 | 259 | 11,197 | 6 | 4.6 | 50 | $264 | 0.06 | 0.07 | 1.33 | 2,461 | 118 | 139 | 257 | 100% | 99% | 
 | 
	
		| NE | 530 | 546 | 827 | 226 | 16,651 | 287 | 
 | 11,676 | 
 | 513 | 28,327 | 6 | 4.0 | 54 | $230 | 0.02 | 0.03 | 1.51 | 7,082 | 129 | 61 | 190 | 57% | 21% | 
 | 
	
		| NH | 323 | 194 | 431 | 82 | 7,522 | 154 | 
 | 5,258 | 
 | 236 | 12,780 | 0 | 6.0 | 23 | $477 | 0.02 | 0.03 | 2.22 | 2,130 | 14 | 4 | 18 | 17% | 3% | 
 | 
	
		| NJ | 2,265 | 2,343 | 5,093 | 385 | 51,877 | 520 | 
 | 25,290 | 
 | 905 | 77,167 | 0 | 26.0 | 217 | $2,755 | 0.03 | 0.07 | 2.17 | 2,968 | 267 | 0 | 267 | 69% | 0% | 
 | 
	
		| NM | 2,764 | 2,715 | 4,491 | 73 | 6,764 | 220 | 
 | 4,749 | 
 | 293 | 11,513 | 5 | 8.5 | 85 | $700 | 0.24 | 0.39 | 1.65 | 1,354 | 73 | 172 | 245 | 100% | 78% | 
 | 
	
		| NV | 748 | 760 | 1,586 | 51 | 5,837 | 491 | 
 | 7,741 | 
 | 542 | 13,578 | 0 | 13.3 | 7 | $1,180 | 0.06 | 0.12 | 2.09 | 1,025 | 51 | 360 | 411 | 100% | 73% | 
 | 
	
		| NY | 1,569 | 1,606 | 2,658 | 635 | 115,708 | 912 | 
 | 44,639 | 
 | 1,547 | 160,347 | 34 | 40.7 | 920 | $2,614 | 0.01 | 0.02 | 1.66 | 3,938 | 500 | 408 | 908 | 79% | 45% | 
 | 
	
		| OH | 5,318 | 5,264 | 9,004 | 973 | 94,915 | 1,326 | 
 | 51,489 | 
 | 2,299 | 146,404 | 12 | 92.8 | 319 | $7,848 | 0.04 | 0.06 | 1.71 | 1,577 | 612 | 536 | 1,148 | 63% | 40% | 
 | 
	
		| OK | 1,371 | 1,292 | 2,062 | 398 | 33,078 | 201 | 
 | 10,301 | 
 | 599 | 43,379 | 11 | 27.6 | 141 | $1,942 | 0.03 | 0.05 | 1.60 | 1,572 | 128 | 56 | 184 | 32% | 28% | 
 | 
	
		| OR | 2,190 | 1,974 | 2,865 | 139 | 12,185 | 2,188 | 
 | 32,262 | 
 | 2,327 | 44,447 | 21 | 9.0 | 167 | $1,154 | 0.04 | 0.06 | 1.45 | 4,939 | 72 | 307 | 379 | 52% | 14% | 
 | 
	
		| PA | 998 | 1,037 | 2,150 | 712 | 88,642 | 1,818 | 
 | 66,827 | 
 | 2,530 | 155,469 | 56 | 74.1 | 550 | $4,908 | 0.01 | 0.01 | 2.07 | 2,099 | 684 | 1670 | 2,354 | 96% | 92% | 
 | 
	
		| PR | 1,447 | 1,389 | 3,722 | 12 | 716 | 765 | 
 | 15,970 | 
 | 777 | 16,686 | 2 | 11.0 | 0 | $413 | 0.08 | 0.22 | 2.68 | 1,517 | 4 | 119 | 123 | 33% | 16% | 
 | 
	
		| RI | 670 | 677 | 862 | 90 | 9,152 | 60 | 
 | 4,228 | 
 | 150 | 13,380 | 0 | 9.4 | 14 | $691 | 0.05 | 0.06 | 1.27 | 1,431 | 61 | 31 | 92 | 68% | 52% | 
 | 
	
		| SC | 3,814 | 3,628 | 7,908 | 274 | 22,848 | 1,297 | 
 | 19,801 | 
 | 1,571 | 42,649 | 10 | 22.2 | 26 | $1,539 | 0.09 | 0.19 | 2.18 | 1,919 | 206 | 317 | 523 | 75% | 24% | 
 | 
	
		| SD | 321 | 268 | 351 | 110 | 6,933 | 172 | 
 | 4,229 | 
 | 282 | 11,162 | 9 | 6.0 | 0 | $332 | 0.02 | 0.03 | 1.31 | 1,860 | 54 | 35 | 89 | 49% | 20% | 
 | 
	
		| TN | 1,457 | 1,431 | 1,780 | 327 | 37,349 | 353 | 
 | 17,776 | 
 | 680 | 55,125 | 9 | 13.0 | 324 | $901 | 0.03 | 0.03 | 1.24 | 4,240 | 132 | 79 | 211 | 40% | 22% | 
 | 
	
		| TX | 13,003 | 12,623 | 15,460 | 1,192 | 135,339 | 1,794 | 
 | 58,154 | 
 | 2,986 | 193,493 | 28 | 62.0 | 675 | $3,968 | 0.07 | 0.08 | 1.22 | 3,121 | 981 | 184 | 1,165 | 82% | 10% | 
 | 
	
		| UT | 907 | 911 | 1,290 | 115 | 8,605 | 183 | 
 | 5,932 | 
 | 298 | 14,537 | 12 | 10.9 | 11 | $571 | 0.06 | 0.09 | 1.42 | 1,331 | 23 | 52 | 75 | 20% | 28% | 
 | 
	
		| VA | 1,625 | 1,614 | 2,370 | 279 | 32,072 | 543 | 
 | 32,448 | 
 | 822 | 64,520 | 21 | 26.7 | 88 | $1,928 | 0.03 | 0.04 | 1.47 | 2,421 | 84 | 61 | 145 | 30% | 11% | 
 | 
	
		| VT | 385 | 422 | 583 | 39 | 3,212 | 124 | 
 | 3,175 | 
 | 163 | 6,387 | 1 | 5.8 | 11 | $494 | 0.07 | 0.09 | 1.38 | 1,101 | 39 | 124 | 163 | 100% | 100% | 
 | 
	
		| WA | 2,991 | 3,149 | 4,835 | 252 | 23,704 | 3,286 | 
 | 45,334 | 
 | 3,538 | 69,038 | 13 | 17.6 | 347 | $1,796 | 0.05 | 0.07 | 1.54 | 3,932 | 184 | 1827 | 2,011 | 73% | 56% | 
 | 
	
		| WI | 1,015 | 1,147 | 3,158 | 398 | 35,119 | 3,396 | 
 | 46,333 | 
 | 3,794 | 81,452 | 1 | 26.0 | 109 | $2,133 | 0.01 | 0.04 | 2.75 | 3,133 | 64 | 0 | 64 | 16% | 0% | 
 | 
	
		| WV | 538 | 521 | 823 | 128 | 10,937 | 568 | 
 | 4,035 | 
 | 696 | 14,972 | 1 | 11.7 | 3 | $855 | 0.03 | 0.05 | 1.58 | 1,285 | 126 | 27 | 153 | 98% | 5% | 
 | 
	
		| WY | 727 | 694 | 1,350 | 38 | 2,950 | 39 | 
 | 1,777 | 
 | 77 | 4,727 | 4 | 5.0 | 0 | $265 | 0.15 | 0.29 | 1.95 | 945 | 38 | 39 | 77 | 100% | 100% | 
 | 
	
		| 
 | 1 Includes only those covered by the LTCOP | 
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 | 2 Numbers are for facilities (unduplicated) visited on a regular basis; not in response to a complaint."Regular basis" is defined as at least quarterly. | 
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 | Numbers are for local projects except for those states in which the state office does more visiting. | 
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 | 3 Percentages are based on the local numbers reported (see footnote 2) and may slightly underrepresent the actual number of facilities visited for some states. | 
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