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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
State, Local, or Tribal Government (WIC Directors and Database Administrators)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Appendix A.4 WIC State Agency Semi-Structured Interview Instrument
A.4_WIC SA Interview Instrument_FINAL.docx
No
Paper Only
Other-Appendix B.2 Agenda for Conference Call with WIC State Agencies
B.2_Agenda for Conference Call WIC SA Dec 2016.docx
No
Paper Only
Other-Appendix C.1 Administrative Costs of Cost Containment Practices
C.1_Administrative Costs of Cost Containment Practices.xlsx
Yes
No
Paper Only
Other-Appendix D.1 Instruction Sheet for Submitting WIC Participant Certification Data Files
D.1_Certification Data Request and Instructions_Participants_FINAL.docx
Yes
Yes
Fillable Fileable
Other-Appendix D.3 Sample Follow-up Email for WIC Participant Certification Data
D.3_Sample Follow-Up Email for Participant Certification Data Dec 16.docx
No
Paper Only
Other-Appendix D.4 FTP Site Instructions for State Agencies Submitting Data Files
D.4_FTP Site Instructions for State Agency Data Files Dec 2016.docx
Yes
Yes
Fillable Fileable
Other-Appendix E.1 Instruction Sheet for Submitting Former WIC Participants Certification Data File
E.1_Certification Data Request and Instructions_Former_FINAL.docx
Yes
Yes
Fillable Fileable
Other-Appendix E.3 Sample Follow-Up Email for Former WIC Participant Certification Data
E.3_Sample Follow-Up Email for Former Participant Cert Data Dec 16.docx
No
Paper Only
Other-Appendix F.1 Instruction Sheet for Submitting EBT Transaction Data Files
F.1_EBT Data Submission Request and Instructions_FINAL.docx
Yes
Yes
Fillable Fileable
Other-Appendix F.3 Sample Follow-Up Email for WIC EBT Data Submission
F.3_Sample Follow-Up Email for EBT Data Dec 2016.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:
86
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
17 %
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
446
0
446
0
0
0
Annual IC Time Burden (Hours)
215
0
215
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix A.1 WIC State Agency (58) Advance Letter
A.1_WIC SA Census Advance Letter_FINAL.docx
09/25/2017
Appendix A.2 Study of WIC Food Package Costs and Cost Containment Study Information Sheet
A.2_Cost Containment Study FAQs_FINAL.docx
09/25/2017
Appendix A.3 Summary of Cost-Containment Practices
A.3_Summary of WIC SA Cost Containment_FINAL.docx
09/25/2017
Appendix B.1 WIC State Agency EBT (12) Advance Letter
B.1_WIC SA EBT State Advance Letter_FINAL.docx
09/25/2017
Appendix D.2 Sample Reminder Email for WIC Participant Certification Data
D.2_Sample Reminder Email for Participant Certification Data.docx
12/14/2016
Appendix E.2 Sample Reminder Email for Former WIC Certification Data
E.2_Sample Reminder Email for Former Participant Cert Data.docx
12/16/2016
Appendix F.2 Sample Reminder Email for WIC EBT Data Request
F.2_Sample Reminder Email for EBT Data.docx
12/16/2016
Appendix A.5 Spreadsheet of WIC State Agency Cost Containment Practices
A.5_Spreadsheet of WIC SA Cost Containment Practices_FINAL.pdf
09/25/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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