View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

WIC Participant
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-App_A.1.Pretest 30 month 14-1028 - English App_A.1.Pretest 30 month 14-1028 - English.docx No   Paper Only
Other-App_A.2.Pretest 30 month 14-1028 - Spanish App_A.2.Pretest 30 month 14-1028 - Spanish.docx No   Paper Only
Other-App_C 1 Extension Study Consent_Contact - English PRAO recommendations App_C 1 Extension Study Consent_Contact - English PRAO recommendations 11-12-14CMRev.docx No   Paper Only
Other-App_C 2 Extension Study Consent_Contact - Spanish PRAO recommendations App_C 2 Extension Study Consent_Contact - Spanish PRAO recommendations 11-14-14CMRev.docx No   Paper Only
Other-App_D 1.V2.24 Month Revised Interview - English App_D 1.V2.24 Month Revised Interview - English 100914.docx No   Paper Only
Other-App_D.2.V2.24 Month Revised Interview-Spanish App_D.2.V2.24 Month Revised Interview-Spanish 100914.docx No   Paper Only
Other-App_E.1.ContactInformationForm-English App_E.1.ContactInformationForm-English.docx No   Paper Only
Other-App_E.2.ContactInformationForm-Spanish App_E.2.ContactInformationForm-Spanish.docx No   Paper Only
Other-App G1.30-month interview App_G.1.30 month 14-1028 - English.docx No   Paper Only
Other-App_G.2.30 month Interview - Spanish App_G.2.30 month 14-1028 - Spanish.docx No   Paper Only
Other-App_J.1.36 month Interview 14-1028 - English App_J.1.36 month 14-1028 - English.docx No   Paper Only
Other-App_J.2.36 month Interview 14-1028 - Spanish App_J.2.36 month 14-1028 - Spanish.docx No   Paper Only
Other-App_V.1.HT_WT.MeasurementCard-English-2 App_V.1.HT_WT.MeasurementCard-English-2.docx No   Paper Only
Other-App_V.2.HT_WT.MeasurementCard-Spanish-2 App_V.2.HT_WT.MeasurementCard-Spanish-2.docx No   Paper Only
Other-App_W.1.HIPAA Letter and Form - English PRAO recommendations 11-12-14 App_W.1.HIPAA Letter and Form - English PRAO recommendations 11-12-14.docx No   Paper Only
Other-App_W.2.HIPAA Letter and Form - Spanish PRAO recommendations 11-14-14 App_W.2.HIPAA Letter and Form - Spanish PRAO recommendations 11-14-14.docx No   Paper Only

Income Security Food and Nutrition Assistance

Privacy Act of 1974  5 FR 552

3,281 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 33,072 0 12,517 0 0 20,555
Annual IC Time Burden (Hours) 4,673 0 210 0 0 4,463
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
App_B.1.41904_FeedingBabyFlyer-Eng PRAO recommendations 11-10-14 App_B.1.41904_FeedingBabyFlyer-Eng PRAO recommendations 11-10-14.docx 12/23/2014
App_B.1.41904_FeedingBabyFlyer-Span PRAO recommendations 11-14-14 App_B.2.41904_FeedingBabyFlyer-Span PRAO recommendations 11-14-14.docx 12/23/2014
App_F.1.V2.30monthadvanceletter - English PRAO recommendations 11-10-14 App_F.1.V2.30monthadvanceletter - English PRAO recommendations 11-10-14.docx 12/23/2014
App_F.2.V2.30monthadvanceletter - Spanish PRAO recommendations 11-14-14 App_F.2.V2.30monthadvanceletter - Spanish PRAO recommendations 11-14-14.docx 12/23/2014
App_H.1.ReminderScripts-English PRAO recommendations 11-12-14 App_H 1 ReminderScripts-English PRAO recommendations 11-12-14 V2.docx 02/10/2015
App_H.2.ReminderScripts-Spanish PRAO recommendations 11-14-14 App_H.2.Reminder Scripts-Spanish-sm.docx 02/10/2015
App_I.1.36monthadvanceletter - English PRAO recommendations 11-12-14 App_I.1.36monthadvanceletter - English PRAO recommendations 11-12-14.docx 12/23/2014
App_I.2.36monthadvanceletter - Spanish PRAO recommendations 11-14-14 App_I.2.36monthadvanceletter - Spanish PRAO recommendations 11-14-14.docx 12/23/2014
App_K.1.Birthday Card-English App_K.1.Birthday Card-English.docx 12/23/2014
App_J.2.36 month 14-1028 - Spanish App_J.2.36 month 14-1028 - Spanish.docx 12/23/2014
App_U.1.HT_WT.RespondentLetter-English PRAO recommendations 11-12-014 App_U.1.HT_WT.RespondentLetter-English PRAO recommendations 11-12-014.docx 12/23/2014
App_U.2.HT_WT.RespondentLetter-Spanish PRAO recommendations 11-14-14 App_U.2.HT_WT.RespondentLetter-Spanish PRAO recommendations 11-14-14.docx 12/23/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.