Attachment S – Phase II Burden Table
Phase II
Instrument  | 
			Total Number of Respondents  | 
			Annual Number of Respondents  | 
			Number of Responses Per Respondent  | 
			Average Burden Hours Per Response  | 
			Annual Burden Hours  | 
			Average Hourly Wage  | 
			Total annual cost  | 
		
Attachment J. 6-month Follow-Up Participant Interview  | 
			2400  | 
			800  | 
			1  | 
			0.25  | 
			200  | 
			$4.92  | 
			$984.00  | 
		
Attachment K. 12-month Follow-Up Participant Interview  | 
			5120  | 
			1707  | 
			1  | 
			0.5  | 
			853.5  | 
			$4.92  | 
			$4199.22  | 
		
Attachment L. Program Managers, Staff, and Partners Interview Guide  | 
			280  | 
			93  | 
			2  | 
			1.5  | 
			140  | 
			$24.44  | 
			$3421.60  | 
		
Attachment N. Program Staff Case Study Interview Guide  | 
			84  | 
			28  | 
			1  | 
			1  | 
			28  | 
			$24.44  | 
			$684.32  | 
		
Attachment M. Participant Case Study Interview Guide  | 
			84  | 
			28  | 
			1  | 
			1.5  | 
			42  | 
			$4.92  | 
			$206.64  | 
		
Attachment O. Program Staff Survey  | 
			300  | 
			100  | 
			1  | 
			0.5  | 
			50  | 
			$24.44  | 
			$1222.00  | 
		
Estimated Annual Burden Total  | 
			1313.5 hours  | 
			
				  | 
			$10,717.78  | 
		||||
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Modified | 0000-00-00 | 
| File Created | 0000-00-00 |