Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
WIC Local Agency Applications Modified 363 726 0 Other-Attachment G Gold Application
Instruction
Instruction
Other-Attachment J Gold Evaluation Worksheet
Other-Attachment K PremElite Application
Instruction
Instruction
Other-Attachment N PremElite Evaluation Worksheet
Other-Attachment O LSA-FAQ-Page
WIC State Agency Evaluations Modified 363 435 0 Other-Attachment G Gold Application
Instruction
Instruction
Other-Attachment J Gold Evaluation Worksheet
Other-Attachment K PremElite Application
Instruction
Instruction
Other-Attachment N PremElite Evaluation Worksheet
Other-Attachment O LSA-FAQ-Page
Total burden requested under this ICR: 726 1161 0  
To view an IC, click on IC Title