Appendix A Table

Appendix A – Table 1

Table 1: Estimate Annualized Burden Hours

Type of Respondent	Form Name	No. of Respondents	No. Responses per Respondent	Average Burden per Response (in hours)	Burden Hours per Form		Total Burden Hours
Adult Parents- Puerto Rico	Screener	11,596	1	0.03	347.88	1472.88
	Core	1,250	1	0.83	1,037.5
	Jurisdiction Module	1,250	1	0.07	87.5
Adult Parents- U.S. Virgin Islands	Screener	2,435	1	0.03	73.05	343.05
	Core	300	1	0.83	249
	Jurisdiction Module	300	1	0.07	21
Adult Parents- Guam	Screener	1,304	1	0.03	39.12	444.12
	Core	450	1	0.83	373.5
	Jurisdiction Module	450	1	0.07	31.5
Adult Parents- American Samoa	Screener	426	1	0.03	12.78	232.78
	Core	250	1	0.83	207.5
	Jurisdiction Module	250	1	0.05	12.5
Adult Parents- Federated States of Micronesia	Screener	339	1	0.03	10.17	230.17
	Core	250	1	0.83	207.5
	Jurisdiction Module	250	1	0.05	12.5
Adult Parents- Marshall Islands	Screener	547	1	0.03	16.41	289.41
	Core	300	1	0.83	249
	Jurisdiction Module	300	1	0.08	24
Adult Parents- Northern Mariana Islands	Screener	470	1	0.03	14.1	241.6
	Core	250	1	0.83	207.5
	Jurisdiction Module	250	1	0.08	20
Adult Parents- Palau	Screener	467	1	0.03	14.01	226.51
	Core	250	1	0.83	207.5
	Jurisdiction Module	250	1	0.02	5
Total		17,584				3480.52