Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Caregivers of Former WIC Children (Individuals/Households) Modified 19585 2860 0 Other-App A1 Year 9 Study Consent Form - English - Clean
Other-App A2 Year 9 Study Consent Form - Spanish - Clean
Other-App B1. Study Extension Letter - English - clean
Other-App B2. Study Extension Letter - Spanish 062421
Other-App_C1. Contact Information Form - English
Other-App_C2. Contact Information Form - Spanish
Other-App_D1. Contact Information Form Reminder- English
Other-App_D2. Contact Information Form Reminder- Spanish
Other-App_E1. Year 9 Interview Advance Letter - English
Other-App_E2. Year 9 Interview Advance Letter- Spanish
Other-App_H1.Year 9 HW measurement card - English
Other-App_H2.Year 9 HW measurement card - Spanish
Other-App_J1.Year 9 text or email provider measures - English
Other-App_J2.Year 9 text or email provider measures - Spanish
Other-App_F1. Year 9 telephone interview - English 2_9_21
Other-App_F2.Year 9 telephone interview - Spanish 2-9-21_
Other-App_F3.Year 9 replicate dietary intake interview - English
Other-App_F4. Year 9 replicate dietary intake interview - Spanish
Caregivers of Former WIC Children - Non-Response (Individuals/Households) Unchanged 13179 667 0 Other-Non Respondents Burden Instrument
Healthcare Provider (Profit/Non-Profit Business) Unchanged 428 71 0 Other-App_H1.Year 9 HW measurement card - English
Other-App_H2.Year 9 HW measurement card - Spanish
State and Local WIC Staff (SLT) Unchanged 2101 2029 0 Other-App_H1.Year 9 HW measurement card - English
Other-App_H2.Year 9 HW measurement card - Spanish
Other-App_R.Participant contact information request
Total burden requested under this ICR: 35293 5627 0  
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