Other (Specify) TOTAL ADMINISTRATIVE Log A. Labor costs for clinicians performing administrative activities (hours recorded per year) PER YEAR Outreach/ Staff Training Other Total hours (d) funding/ (e.g., OSHA (specify) Hourly Labor grant compliance, (c) [=(a)+(b)+(c)] member wage (e) Cost writing (a) examiner calibration) (b) [= (d) * (e)] Dental Hygienist Dental Assistant Dentist Other Other (f) Log B. Labor costs for clinicians performing administrative activities (hours recorded per school) HOURS PER SCHOOL Administrative Total hours (d) follow-up (e.g. (specify) consents (a) billing; data (c) [=(a)+(b)+(c)] Hourly member wage (e) Cost entry) (b) [= (d) * (e)] Dental Hygienist Dental Assistant
Other (Specify) TOTAL ADMINISTRATIVE Log A. Labor costs for clinicians performing administrative activities (hours recorded per year) member PER YEAR Hourly wage (e) Labor Cost [= (d) * (e)] Outreach/ funding/ grant writing (a) Staff Training (e.g., OSHA compliance, examiner calibration) (b) Other (specify) (c) Total hours (d) [=(a)+(b)+(c)] Dental Hygienist Dental Assistant Dentist Other Other (f) Log B. Labor costs for clinicians performing administrative activities (hours recorded per school) member HOURS PER SCHOOL Hourly wage (e) Cost [= (d) * (e)] consents (a) Administrative follow-up (e.g. billing; data entry) (b) (specify) (c) Total hours (d) [=(a)+(b)+(c)] Dental Hygienist Dental Assistant
UserManual_LocalSSP_Final_508.docx