Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Business: Provider Data Manager Non Respondents Removed 0 0 0 Other-Non Respondents Burden Instrument
Caregivers of Former WIC Children (Individuals/Households) Modified 27009 3831 0 Other-Appendix A1 Study Extension Consent Age 6 - English
Other-Appendix A2 Study Extension Consent Age 6 - Spanish
Other-Appendix B1 Study Extension Letter - English
Other-Appendix B2 Study Extension Letter - Spanish
Other-Appendix C1 72-month Advance Letter - English
Other-Appendix C2 72-month Advance Letter - Spanish
Other-Appendix D1 72-month Telephone Interview - English
Other-Appendix D2 72-month Telephone Interview - Spanish
Other-Appendix D3 72-month Replicate Dietary Intake Interview - English
Other-Appendix D4 72-month Replicate Dietary Intake Interview - Spanish
Other-Appendix F1 72-month H/W Measurement Card - English
Other-Appendix F2 72-month H/W Measurement Card - Spanish
Other-Appendix H1 72-month Text or Email Provider Measures - English
Other-Appendix H2 72-month Text or Email Provider Measures - Spanish
Caregivers of Former WIC Children - Non-Response (Individuals/Households) Modified 4523 90 0 Other-Non Respondents Burden Instrument
Healthcare Provider (Profit/Non-Profit Business) Modified 851 142 0 Other-Appendix F1 72-month H/W Measurement Card - English
Other-Appendix F2 72-month H/W Measurement Card - Spanish
State and Local WIC Staff (SLT) Modified 1261 352 0 Other-Appendix P Participant Contact Information Request
Other-Appendix F1 72-month H/W Measurement Card - English
Other-Appendix F2 72-month H/W Measurement Card - Spanish
Total burden requested under this ICR: 33644 4415 0  
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