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

View Information Collection (IC)

State and Local WIC-Screener, Staff, Personnel
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-App.GG_Webinar Presentation- Overview of Study Yes Yes Fillable Fileable
Other-App.II_Email Invitation to State & Local WIC Administrators No   Paper Only
Other-App.JJ_Voicemail Invitation to State & Local WIC Administrators No   Paper Only
Other-App.LL.1.State_Key Informant Interview Yes Yes Fillable Fileable
Other-App.LL.2.Local_Key Informant Interview Yes Yes Fillable Fileable
Other-App.C.1_Eng.Participant Referral Script & FAX cover No   Paper Only
Other-App.C.2_Span Participant Referral Script & FAX cover No   Paper Only
Other-App.D.1_Eng.Participant Referral Form.docx Yes Yes Fillable Fileable
Other-App.D.2_Span.Participant Referral Form.docx Yes Yes Fillable Fileable
Other-App.MM.1_Eng.Local Staff Online Survey.V2 Yes Yes Fillable Fileable
Other-App.MM.2_Span.Local Staff Online Survey.V2 Yes Yes Fillable Fileable
Other-App.BB_WIC Admin Data Request Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

Privacy Act of 1974  5 FR 552

862 0
   
State, Local, and Tribal Governments
 
   99 %

  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 441 0 0 0 0 441
Annual IC Time Burden (Hours) 418 0 0 0 0 418
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Screen Shots for the Web Survey 12/18/2012
App.FF_Feeding My Baby Brochure 12/18/2012
App.HH.Frequently Asked Questions 12/18/2012
App.KK_Thank you letter - State Not Selected 12/18/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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