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Agenda
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
NSWP-III Pretest - SLT (IC 1 of 2)
Agency IC Tracking Number:
IC Status:
New
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-Appendix A1 Revised State Agency Survey
Appendix A1 Revised State Agency Survey - 071816.docx
No
Paper Only
Other-Appendix A2 Revised Local WIC Agency Survey
Appendix A2 Revised Local WIC Agency Survey - 071816.docx
No
Paper Only
Other-B2. Revised Letter to State Agencies from Regional Offices
B2. Revised Letter to State Agencies from Regional Offices.docx
No
Paper Only
Other-B3. Revised State Agency Survey Invitation Email
B3. Revised State Agency Survey Invitation Email.docx
No
Paper Only
Other-B4. Revised State Agency Survey Invitation Letter with Instrument
B4. Revised State Agency Survey Invitation Letter with Instrument.docx
No
Paper Only
Other-B5. Revised State Agency Survey Reminder Email
B5. Revised State Agency Survey Reminder Email.docx
No
Paper Only
Other-B6. Revised State Agency Survey Reminder Phone Script
B6. Revised State Agency Survey Reminder Phone Script.docx
No
Paper Only
Other-B7. Revised Local WIC Agency Survey Invitation Email
B7. Revised Local WIC Agency Survey Invitation Email.docx
No
Paper Only
Other-B8. Revised Local WIC Agency Survey Invitation Letter with Instrument
B8. Revised Local WIC Agency Survey Invitation Letter with Instrument.docx
No
Paper Only
Other-B9. Revised Local WIC Agency Survey Reminder Email
B9. Revised Local WIC Agency Survey Reminder Email.docx
No
Paper Only
Other-B10. Revised Local WIC Agency Survey Reminder Phone Script
B10. Revised Local WIC Agency Survey Reminder Phone Script.docx
No
Paper Only
Other-C3. Revised State Agency Survey Thank You Letter
C3. Revised State Agency Survey Thank You Letter.docx
No
Paper Only
Other-C4. Revised Local WIC Agency Survey Thank You Letter
C4. Revised Local WIC Agency Survey Thank You Letter.docx
No
Paper Only
Other-D1. State Agency Survey Debriefing Interview Guide
D1. State Agency Survey Debriefing Interview Guide.docx
No
Paper Only
Other-D2. Local WIC Agency Debriefing Interview Guide
D2. Local WIC Agency Debriefing Interview Guide.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:
FR Citation:
Number of Respondents:
27
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
181
0
181
0
0
0
Annual IC Time Burden (Hours)
27
0
27
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo - NSWP III
071816 Generic 0584-0606_Pretesting for NSWP3.pdf
07/18/2016
B1. Revised Notification Email to Regional Offices
B1. Revised Notification Email to Regional Offices - 071816.docx
07/18/2016
NSWP III - Burden Table
NSWP-III pretest burden table 7-18-16.xlsx
07/18/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.