Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Local Agency WIC Clinic Staff - Profit/Non-Profit Businesses Modified 189 73 0 Other-Appendix C1 Site Director Interview Guide
Other-Appendix C2a Identified Risks Data Collection Form
Other-Appendix C3 Staff Interview Guide
Other-Appendix D2 Telephone Call with WIC Clinic
Other-Appendix D3 Informed Consent for Site Director Interview
Other-Appendix D4 Informed Consent for Observation and Staff Interview
Local Agency WIC Clinic Staff - Profit/Non-Profit Businesses (Non-Respondents) Modified 0 0 0 Other-Non Respondents Burden Instrument
State and Local Agency WIC Clinic Staff - SLT Modified 441 170 0 Other-Appendix C1 Site Director Interview Guide
Other-Appendix C2a Identified Risks Data Collection Form
Other-Appendix C3 Staff Interview Guide
Other-Appendix D2 Telephone Call with WIC Clinic
Other-Appendix D3 Informed Consent for Site Director Interview
Other-Appendix D4 Informed Consent for Observation and Staff Interview
State and Local Agency WIC Clinic Staff - SLT (Non-respondents) Modified 0 0 0 Other-Non Respondents Burden Instrument
WIC Participants - Individuals and Households Modified 2490 238 0 Other-Appendix C2 Nutrition Services Observation Form
Other-Appendix C4 WIC Participant Interview Guide
Other-Appendix C4a WIC Participant Interview Guide - Spanish
Other-Appendix D6 WIC Participant Screener
Other-Appendix D6a WIC Participant Screener - Spanish
Other-Appendix D7 Informed Consent for Observation and WIC Participant Interview
Other-Appendix D7a Informed Consent for Observation and WIC Participant Interview - Spanish
WIC Participants - Individuals and Households (Non-respondents) Modified 1745 29 0 Other-Non Respondents Burden Instrument
Total burden requested under this ICR: 4865 510 0  
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