Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
State and Local Agency WIC Directors and WIC Clinic Staff - SLT New 1412 431 0 Other-Appendix C1 Call with State Agency Director and Request Documents
Other-Appendix C2 Local Agency Director Survey
Other-Appendix C2a Local Agency Director Survey (Screenshots)
Other-Appendix C3 Call with Local Agency Director and Request Documents
Other-Appendix C4 Clinic Site Information Form
Other-Appendix C5 Site Director Interview Guide
Other-Appendix C6a Identified Risks Data Collection Form
Other-Appendix C7 Staff Interview Guide
Other-Appendix G4 Telephone Call with WIC Clinic
Other-Appendix G5 Informed Consent for Site Director Interview
Other-Appendix G6 Informed Consent for Observation and Staff Interview
State and Local Agency WIC Directors and WIC Clinic Staff - SLT (Non-respondents) New 292 5 0 Other-Non Respondents Burden Instrument
WIC Local Agency Directors and WIC Clinic Staff - Profit/Non-Profit Businesses New 561 162 0 Other-Appendix C2 Local Agency Director Survey
Other-Appendix C2a Local Agency Director Survey (screenshots)
Other-Appendix C3 Call with Local Agency Director and Request Documents
Other-Appendix C4 Clinic Site Information Form
Other-Appendix C5 Site Director Interview Guide
Other-Appendix C6a Identified Risks Data Collection Form
Other-Appendix C7 Staff Interview Guide
Other-Appendix G4 Telephone Call with WIC Clinic
Other-Appendix G5 Informed Consent for Site Director Interview
Other-Appendix G6 Informed Consent for Observation and Staff Interview
WIC Local Agency Directors and WIC Clinic Staff - Profit/Non-Profit Businesses (Non-Respondents) New 157 3 0 Other-Non Respondents Burden Instrument
WIC Participants - Individuals and Households New 2642 242 0 Other-Appendix C6 Nutrition Services Observation Form
Other-Appendix C8 WIC Participant Interview Guide
Other-Appendix C8a WIC Participant Interview Guide - Spanish
Other-Appendix G8 WIC Participant Screener
Other-Appendix G8a WIC Participant Screener - Spanish
Other-Appendix G9 Informed Consent for Observation and WIC Participant Interview
Other-Appendix G9a Informed Consent for Observation and WIC Participant Interview - Spanish
WIC Participants - Individuals and Households (Non-respondents) New 1432 24 0 Other-Non Respondents Burden Instrument
Total burden requested under this ICR: 6496 867 0  
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