Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CNPP MyPlate Focus Groups Unchanged 2304 380 0 Other-Attachment A-1 Focus Group Screener by Ethnicity (English)
Other-Attachment A-2 Focus Group Screener Spanish-Preferring (English)
Other-Attachment A-3 Focus Group Screener Spanish-Preferring (Spanish)
Other-Attachment A-4 Focus Group Screener by Life Stage (English)
Other-Attachment B-1 Confirmation Form (English)
Other-Attachment B-2 Confirmation Form (Spanish)
Other-Attachment C-1 Consent Form (English)
Other-Attachment C-2 Consent Form (Spanish)
Other-Attachment D-1 Discussion Guide (English)
Other-Attachment D-2 Discussion Guide (Spanish)
FNS WIC: Usertesting.com screener for usability testing model applications with eligible participants Unchanged 44 1 0 Other-Attachment Instrument for Fast Trace Clearance for WIC User Testing 8 24 23
National Farm to School Network's (NFSN) information collection process for the Racial Equity Learning Lab Unchanged 352 152 0 Other-
Other-
Other-
Other-
Other-
National Outreach Campaign Needs Assessment for WIC State and Local Agencies Unchanged 1989 415 0 Other-WIC Needs Assessment
Other-Needs Assessment Email Invitation
Other-Needs Assessment Instrument
Other-Needs Assessment Screenshots
National Outreach Campaign WIC – In-depth Interviews among Healthcare Professionals. Unchanged 500 103 0 Other-Attachment A-1 WIC HCP IDI Screener
Other-Attachment B-1 Confirmation Form
Other-Attachment C-1 Consent Form
Other-Attachment D-1 WIC HCP IDI Guide
Produce Safety University Nomination Form Unchanged 218 55 0 Other-Produce Safety University Nomination Form
Product Information Sheet and USDA Foods Database Survey Unchanged 4800 1600 0 Other-Attachment A - Product Information Sheet and USDA Foods Database Survey Instrument
Other-Attachment D - Product Information Sheet and USDA Foods Database Survey Email
Other-Attachment F - Product Information Sheet and USDA Foods Database Survey - Remind Email
Product Information Sheet and USDA Foods Database Survey Unchanged 7200 2400 0 Other-Attachment A - Product Information Sheet and USDA Foods Database Survey
Other-Attachment C - Product Information Sheet and USDA Foods Database Survey - Email for States
Other-Attachment D - Product Information Sheet and USDA Foods Database Survey - Email for SFAs
Other-Attachment E - Product Information Sheet and USDA Foods Database Survey - Reminder Email to States
Other-Attachment F - Product Information Sheet and USDA Foods Database Survey - Reminder Email for SFAs
SNAP Call Center and Telephonic Operations (CCTO) State Survey New 106 106 0 Instruction
Instruction
Supplemental Nutrition Assistance Program Employment & Training (SNAP E&T) Program Marketing/Outreach Support: Participant & Prospective Participant Discussions Unchanged 20000 459 0 Other-E&T Participant Focus Groups - Attachment A
Other-E&T Participant Focus Groups - Attachment B
Other-E&T Participant Focus Groups - Attachment C
Other-E&T Participant Focus Groups - Attachment D
Survey to Collect Information on the use of MyPlate Materials in the Supplemental Nutrition Assistance Program Education (SNAP-Ed) Clearinghouse Unchanged 20 5 0 Instruction
Survey to Collect Information on the use of MyPlate Materials in the Supplemental Nutrition Assistance Program Education (SNAP-Ed) Clearinghouse. Unchanged 110 28 0 Instruction
Survey to Collect Information on the use of MyPlate Materials in the Supplemental Nutrition Assistance Program Education (SNAP-Ed) Clearinghouse. Unchanged 2 1 0 Instruction
The Evaluation of Equity in The Supplemental Nutrition Assistance Program Nutrition Education (SNAP-Ed) Service Delivery Project State and Implementing Agencies' Listening Sessions (Businesses) Unchanged 6 12 0 Other-Appendix A. SNAP-Ed Equity Project Listening Sessions Protocols_final
The Evaluation of Equity in The Supplemental Nutrition Assistance Program Nutrition Education (SNAP-Ed) Service Delivery Project State and Implementing Agencies' Listening Sessions (S,L,T)) Unchanged 88 88 0 Other-Appendix A. SNAP-Ed Equity Project Listening Sessions Protocols_final
Other-Appendix C. SNAP-Ed Listening Session Email to State Agencies (003)
Other-Attachment D. SNAP-Ed Equity Project State Agencies Listening Sessions Flyer_final
USFA School Food Procurement Needs Assessment - SLT New 796 72 0 Other-Attachment B: USFA Survey
Virtual Services Human-Centered Discovery with State and Local Agencies New 1988 669 0 Other-Attachment 1 – WIC VS-Email Communications
Other-• Attachment 2 – WIC VS-Focus Group Descriptions
Other-Attachment 3 – WIC VS-Focus Group Facilitation Guide_Local Agency_TEMPLATE
Other-Attachment 4 – WIC VS-Focus Group Facilitation Guide_State Agency_TEMPLATE
Other-Attachment 5 – WIC VS-Survey_Local Agencies
Other-Attachment 6 – WIC VS-Survey_State Agencies 01
Other-Attachment 7 – WIC VS-Survey_State Agencies 02
WIC Customer Experience Landscape Assessment Unchanged 178 34 0 Other-Appendix C Email invitation to WIC SAs_2023
Other-Attachment A_WIC CX Landscape Analysis Survey_2023 11 21
WIC Eligibility Customer Experience Survey Unchanged 22500 1875 0 Other-WIC Eligibility Customer Experience Survey
WIC National Outreach Campaign Formative Focus Groups Unchanged 3200 414 0 Other-Attachment A-1 WIC Par Screener (English) UPDATED
Other-Attachment A-2 WIC Non-Par Screener (English) UPDATED
Other-Attachment A-3 WIC Par Screener (Spanish) UPDATED
Other-Attachment A-4 WIC Non-Par Screener (Spanish) UPDATED
Other-Attachment B-1 Confirmation Form (English) UPDATED
Other-Attachment B-2 Confirmation Form (Spanish) UPDATED
Other-Attachment C-1 Consent Form (English) UPDATED
Other-Attachment C-2 Consent Form (Spanish) UPDATED
Other-Attachment D-1 WIC FG Guide Participants (English) UPDATED
Other-Attachment D-2 WIC FG Guide NonParticipants (English) UPDATED
Other-Attachment D-3 WIC FG Guide Participants (Spanish) UPDATED
Other-Attachment D-4 WIC FG Guide NonParticipants (Spanish) UPDATED
WIC National Outreach Campaign – In-depth Interviews (IDIs) among Employees of Food Shopping Vendors New 1440 167 0 Other-Attachment A-1 WIC Vendor Store Manager -Cashier IDI Screener
Other-Attachment B-2 Confirmation Form - Store Managers
Other-Attachment C-1 Consent Form - Store Managers
Other-Attachment C-@ Consent Form - Cashiers
Other-Attachment D-1 Vendor Reasearch IDI Guide -Store Managers
Other-Attachment D-2 Vendor Reasearch IDI Guide Cashiers
WIC National Outreach Campaign – In-depth Interviews (IDIs) among Employees of Food Shopping Vendors Unchanged 1440 167 0 Other-Attachment A-1 Vendor Corporate Employee IDI Screener
Other-Attachment B-1 Confirmation Form - Store Managers
Other-Attachment B-2 Confirmation Form - Cashiers
Other-Attachment C-1 Consent Form - Store Managers
Other-Attachment C-2 Consent Form - Cashiers
Other-Attachment D-1 Vendor Research IDI Guide - Store Managers
Other-Attachment D-2 Vendor Research IDI Guide - Cashiers
WIC National Outreach Campaign – In-depth Interviews (IDIs) among Healthcare Professionals Unchanged 500 103 0 Other-Attachment B-1 Confirmation Form
Other-Attachment C-1 Consent Form
Other-Attachment D-1 WIC HCP IDI Guide
Other-Attachment A-1 WIC HCP IDI Screener
WIC Outreach Campaign Texting Usage Focus Groups Unchanged 480 202 0 Other-Attachment A-1 WIC Texting FG Screener - English
Other-Attachment A-2 WIC Texting FG Screener
Other-Attachment B-1 WIC Texting Confirmation Form - English
Other-Attachment B-2 WIC Texting Confirmation Form - Spanish
Other-Attachment C-1 WIC Texting Consent Form -English
Other-Attachment C-2 WIC Texting Consent Form - Spanish
Other-Attachment D-1 WIC FG Guide Participants - English
Other-Attachment D-2 WIC FG Guide Participants - Spanish
Other-Attachment D-3 WIC FG Guide Nonparticipants - English
Other-Attachment D-4 WIC FG Guide Non-Participants - Spanish
WIC Outreach Campaign – Campaign Logo and Platform Concept Focus Groups Unchanged 360 186 0 Other-Attachment A-1 WIC Screener - English
Other-Attachment A-2 WIC Eligible Screener - English
Other-Attachment A-3 WIC Screener - Spanish
Other-Attachment A-4 WIC Eligibility Screener - Spanish
Other-Attachment C-1 Consent Form - English
Other-Attachment C-2 Consent Form - Spanish
Other-Attachment D-1 WIC Focus Group Guide -English
Other-Attachment D-2 WIC Platform Logo FG Guide Spanish
Other-F-1 Stimuli for Focus Groups
Other-B-1 Confirmation Form (English)
Other-B-2 Confirmation Form (Spanish)
WIC PC Longitudinal Feasibility Survey Unchanged 356 59 0 Other-Recruitment materials - A. email to regional offices
Other-Recruitment materials - B. initial email to state agencies
Other-Recruitment materials - C. follow up email to state agencies
Other-Recruitment Materials D. follow up call to state agencies
Other-Task 5.5 Final State Agency Survey clean
WIC Participant Diaries and IDIs Unchanged 720 225 0 Other-A-1 WIC Participant Screener (English)
Other-A-2 WIC Participant Screener (Spanish)
Other-B-1 Diary Confirmation Form (English)
Other-B-2 Diary Confirmation Form (Spanish)
Other-C-1 Diary Consent Form (English)
Other-C-2 Diary Consent Form (Spanish)
Other-D-1 WIC Participant Diary Activity List (English)
Other-D-2 WIC Participant Diary Activity List (Spanish)
Other-E-1 IDI Confirmation Form (English
Other-E-2 IDI Confirmation Form (Spanish)
Other-F-1 IDI Consent Form (English)
Other-F-2 IDI Consent Form (Spanish)
Other-G-1 WIC Participant In-Depth Interview (IDI) Moderator’s Guide (English)
Other-G-2 WIC Participant In-Depth Interview (IDI) Moderator’s Guide (Spanish)
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 71697 9978 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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