2024-21570. Proposed Data Collection Submitted for Public Comment and Recommendations

Estimated Annualized Burden Hours

Type of respondents	Form name	Number of respondents	Number of responses per respondent	Average burden per response (in hours)	Total burden (in hours)
Core SIPP Program Awardees	Implementation Capacity Rubric	26	1	2	52
	Economic Indicators	23	1	1	23
	Recipient-level Group Interviews	26	1	1.5	39
	Injury Indicators Spreadsheet	26	1	5	130
	Emergency Department Injury Indicators Spreadsheet	26	1	5	130
	Hospital Discharge Injury Indicators Spreadsheet	26	1	5	130
	Special Emphasis Reports	26	1	10	260
Total					764