Additional Burden Document

The Cross-Site Accountability Assessment of the Residential Treatment for Pregnant and Postpartum Women and Their Minor Children Program (PPW) (OMB No. 0930-0269) was approved from 1/10/08 through 01/31/2011. SAMHSA awarded grant funding for 16 additional grantees under this Program for FY 2008.  As with our other grantees, these 16 new grantee sites are required by their GFA to participate in the national evaluation.  NO changes have been made to the national evaluation instruments or data collection protocol (as described in the Supporting Statement that received final OMB approval on 01/10/08).  Table 1 is the original summary burden table that includes the 8 grantees funded in FY 2006 (for which OMB approved).  Table 2 summarizes the additional annualized burden estimates that are needed for the 16 FY 2008-funded grantees.
Table 1. ALREADY APPROVED Grantees: Annual Respondent Burden Estimates for 3 Years (Included in OMB Application Approved 1/10/08)
Respondent	Number of Respondents	Responses per Respondent	Total Responses	Hours per Response	Total Hour Burden	Hourly Wage Cost	Total Hour Cost
Total for Mothers	321	---	12,840	---	4,289	$5.15	$22,089
Total for Family Members	642		642		161	$13.99	$2,252
Total for Minor Children	1,284	---	7,705	---	2,991	$0	$0
Total for Staff	8	---	7,712	---	2,401	$16.73	$40,169
Total Annual Average	2,255	---	28,899	---	9,842	--	$64,510

Note. Cells for “Responses per Respondent” and “Hours per Response” are blank because this is a summary table and these fields vary based on the tool administered.

Table 2. 16 NEW Grantees: Annual Respondent Burden Estimates for 3 Years
Respondent	Number of Respondents	Responses per Respondent	Total Responses	Hours per Response	Total Hour Burden	Hourly Wage Cost	Total Hour Cost
Total for Mothers	642	---	25,680	---	8,578	$5.15	$44,177
Total for Family Members	1,284		1,284		322	$13.99	$4,505
Total for Minor Children	2,568	---	15,410	---	5,982	$0	$0
Total for Staff	16	---	15,424	---	4,802	$16.73	$80,337
Total Annual Average	4,510	---	57,798	---	19,684	--	$129,019