Exhibit 1--Estimated Annualized Burden Hours
Form name Number of Number of Hours per Total burden
respondents* responses per response hours
Key Staff 72 1 1.5 108
Implementation 288 1 1 288
Stakeholder 144 1 1 144
Health Care 216 1 45/60 162
Parent Focus ** 229 1 25/60 95
Parent Focus 160 1 2.5 400
Adolescent ** 57 1 25/60 24
Adolescent 40 1 1.5 60
Total 1,206 na na 1,281
* The number of respondents that will be interviewed in each state will vary depending on the number, scope, complexity, and nature of the projects implemented. This table reflects upper-bound estimates of total burden hours and the number of respondents per type per state.
** Based on an expected 70% screen-in rate
Exhibit 2 shows the estimated annualized cost burden associated with the respondent's time to participate in this evaluation. The total cost burden for the interviews and focus groups is estimated to be
Exhibit 2--Estimated Annualized Cost Burden Form name Number of Total burden Average Total cost respondents hours hourly wage burden rate* Key Staff 72 108 *a
$55.22 $5,964Interviews Implementation 288 288 *b 30.99 8,925 Staff Interviews Stakeholder 144 144 *b 30.99 4,463 Interviews Health Care 216 162 *c 80.59 13,056 Provider Interviews Parent Focus 229 95 *d 22.01 2,091 Group Screener Parent Focus 160 400 *d 22.01 8,804 Groups Adolescent 57 24 *e 0 0.00 Focus Group Screener Adolescent 40 60 *e 0 0.00 Focus Groups Total 1,206 1,281 na 43,303 * National Compensation Survey: Occupational wages in the United States May 2012, " U.S. Department of Labor, Bureau of Labor Statistics." *a Based on the mean wages for general and operations manager (11-1021) *b Based on the mean wages for social and community service managers (11-9151) *c Based on the mean wages for general pediatricians (29-1065) *d Based on the mean wages for all occupations *e Wage rates for adolescents are assumed to be zero.
Request for Comments
In accordance with the Paperwork Reduction Act, comments on AHRQ's information collection are requested with regard to any of the following: (a) Whether the proposed collection of information is necessary for the proper performance of AHRQ health care research and health care information dissemination functions, including whether the information will have practical utility; (b) the accuracy of AHRQ's estimate of burden (including hours and costs) of the proposed collection(s) of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information upon the respondents, including the use of automated collection techniques or other forms of information technology.
Comments submitted in response to this notice will be summarized and included in the Agency's subsequent request for OMB approval of the proposed information collection. All comments will become a matter of public record.
[FR Doc. 2013-18378 Filed 7-30-13;
BILLING CODE 4160-90-P