View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
State and Local WIC Staff (SLT)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-App_H1.Year 9 HW measurement card - English
App_H1.Year 9 HW measurement card - English.docx
No
Paper Only
Other-App_H2.Year 9 HW measurement card - Spanish
App_H2.Year 9 HW measurement card - Spanish.docx
No
Paper Only
Other-App_R.Participant contact information request
App_R.Participant contact information request.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Food and Nutrition Assistance
Privacy Act System of Records
Title:
FNS-8 USDA/FNS Studies and Reports
FR Citation:
56 FR 19078
Number of Respondents:
107
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
2,101
0
840
0
0
1,261
Annual IC Time Burden (Hours)
2,029
0
1,677
0
0
352
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
App_N1. Announcement of study extension to WIC State agencies
App_N1. Announcement of study extension to WIC State agencies.docx
10/27/2021
App_N2 Announcement of study extension to WIC sites
App_N2 Announcement of study extension to WIC sites.docx
10/27/2021
App_O. Study extension webinar
App_O. Study extension webinar.pptx
10/27/2021
App_P.Agenda for conference call on extension with State Agency and sites
App_P.Agenda for conference call on extension with State Agency and sites.docx
10/27/2021
App_Q1.Study extension summary and agreement_Correspondence to State Agency with copy to site POC
App_Q1.Study extension summary and agreement_Correspondence to State Agency with copy to site POC.docx
10/27/2021
App_Q2. Addendum A to study extension summary
App_Q2. Addendum A to study extension summary.docx
10/27/2021
App_Q3. Addendum B to Study Extension Summary
App_Q3. Addendum B to Study Extension Summary.docx
10/27/2021
App_S. Administrative data on Lost to Followup Participants
App_S. Administrative data on Lost to Followup Participants.xlsx
10/27/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.