Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Caregivers of Former WIC Children (Individuals/Households) Modified 34382 4526 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
Other-Appendix D5 Contact Information Form - English
Other-Appendix D6 Contact Information Form - Spanish
Caregivers of Former WIC Children - Non-Response (Individuals/Households) Modified 15582 544 0 Other-Non Respondents Burden Instrument
Healthcare Provider (Profit/Non-Profit Business) Unchanged 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) Unchanged 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: 52076 5564 0  
To view an IC, click on IC Title