View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
State WIC Agency Officials (2016 and 2018)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
7 CFR 246.7(e)(4)
7 CFR 246.25(b)(3)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Appendix G Nutritional Risk Worksheet
Appendix G nutritional risk worksheet sample 12.14.15.pdf
No
Paper Only
Other-Appendix K Data Transmittal Worksheet
Appendix K Data Transmittal Worksheet Final 1.8.16.docx
Yes
Yes
Fillable Fileable
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:
90
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
94 %
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
852
0
0
0
852
0
Annual IC Time Burden (Hours)
530
0
0
0
530
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix E Cover Letter for Guidance to WIC State Agencies Providing Participant Data
Appendix E wic omb guidance cover letter 12.14.15.docx
02/03/2016
Appendix F Guidance for WIC State Agencies Providing Participant Data
Appendix F wic omb guidance 1.5.16.docx
02/03/2016
Appendix H Sample Reminder Email to WIC State Agencies
Appendix H sample reminder email to states 12.14.15.docx
02/03/2016
Appendix I Sample Follow-up Email to WIC State Agencies
Appendix I sample follow-up email to states 12.14.15.docx
02/03/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.