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

View Information Collection (IC)

Caregivers of Former WIC Children (Individuals/Households)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-App A1 Year 9 Study Consent Form - English - Clean Yes No Paper Only
Other-App A2 Year 9 Study Consent Form - Spanish - Clean Yes No Paper Only
Other-App B1. Study Extension Letter - English - clean Yes No Paper Only
Other-App B2. Study Extension Letter - Spanish 062421 Yes No Paper Only
Other-App_C1. Contact Information Form - English Yes No Paper Only
Other-App_C2. Contact Information Form - Spanish Yes No Paper Only
Other-App_D1. Contact Information Form Reminder- English Yes Yes Fillable Fileable
Other-App_D2. Contact Information Form Reminder- Spanish Yes Yes Fillable Fileable
Other-App_E1. Year 9 Interview Advance Letter - English No   Paper Only
Other-App_E2. Year 9 Interview Advance Letter- Spanish No   Paper Only
Other-App_H1.Year 9 HW measurement card - English No   Paper Only
Other-App_H2.Year 9 HW measurement card - Spanish No   Paper Only
Other-App_J1.Year 9 text or email provider measures - English Yes Yes Fillable Fileable
Other-App_J2.Year 9 text or email provider measures - Spanish Yes Yes Fillable Fileable
Other-App_F1. Year 9 telephone interview - English 2_9_21 No   Paper Only
Other-App_F2.Year 9 telephone interview - Spanish 2-9-21_ No   Paper Only
Other-App_F3.Year 9 replicate dietary intake interview - English No   Paper Only
Other-App_F4. Year 9 replicate dietary intake interview - Spanish No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

2,668 0
   
Individuals or Households
 
   75 %

  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 19,585 0 0 0 0 19,585
Annual IC Time Burden (Hours) 2,860 0 0 0 0 2,860
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
App_G1a.Reminders for Year 9 interview from Study Liaison - English 10/15/2021
App_G1b.Reminders for Year 9 interview from Study Liaison - Spanish 10/15/2021
App_G2a.Reminders for Year 9 non-locatable active interview - English 10/15/2021
App_G2b.Reminders for Year 9 non-locatable active interview - Spanish 10/15/2021
App_G3a.Reminders for Year 9 study participation refusal conversion - English 10/15/2021
App_G3b.Reminders for Year 9 study participation refusal conversion - Spanish 10/15/2021
App_G4a.Reminders for Year 9 study participant not answering calls - English 10/15/2021
App_G4b.Reminders for Year 9 study participant not answering calls - Spanish 10/15/2021
App_G5a.Reminders for Year 9 Interivew Telephone Research Center voicemail , first message - English 10/15/2021
App_G5b Reminders for Year 9 Interview Telephone Research Center voicemail , first message - Spanish 10/15/2021
App_G6a.Reminders for Year 9 Interview Telephone Research Center voicemail, expiring interview - English 10/15/2021
App_G6b.Reminders for Year 9 Interview Telephone Research Center voicemail, expiring interview - Spanish 10/15/2021
App_I1.Height and weight reminders - English 10/15/2021
App_I2.Height and weight reminders - Spanish 10/15/2021
App_K1.Year 9 thank you - English 10/15/2021
App_K2.Year 9 thank you - Spanish 10/15/2021
App_L1.Birthday card respondent year 9 - English 10/15/2021
App_L2.Birthday card respondent year 9 - Spanish 10/15/2021
App_M1.Birthday card child age 9 - English 10/15/2021
App_M2.Birthday card child age 9 - Spanish 10/15/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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