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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Individuals/Households (WIC Participants and Former WIC Participants)
Agency IC Tracking Number:
Is this a Common Form?
No
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 G.2 Survey of WIC Participants (English)
G.2_Current Participant Survey English_FINAL.docx
Yes
Yes
Fillable Fileable
Other-Appendix G.2a Survey of WIC Participants (Spanish)
G.2a_Current Participant Survey Spanish_FINAL.docx
Yes
Yes
Fillable Fileable
Other-Appendix H.2 Survey of Former WIC Participants (English)
H.2_Former Participant Survey English_FINAL.docx
Yes
Yes
Fillable Fileable
Other-Appendix H.2a Survey of Former WIC Participants (Spanish)
H.2a_Former Participant Survey Spanish_FINAL.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:
4,918
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
67 %
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
14,920
0
14,920
0
0
0
Annual IC Time Burden (Hours)
2,048
0
2,048
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix G.1 WIC Participant Advance Letter (English)
G.1_Participant Advance Letter English_FINAL.docx
09/25/2017
Appendix G.1a WIC Participant Advance Letter (Spanish)
G.1a_Participant Advance Letter Spanish.docx
09/25/2017
Appendix G.3 WIC Participant/Former Participant Reminder Postcard (English)
G.3_Reminder Postcard English Dec 2016.docx
12/19/2016
Appendix G.3a WIC Participant/Former Participant Reminder Postcard (Spanish)
G.3a_Reminder Postcard Spanish.docx
12/19/2016
Appendix G.4 WIC Participant/Former Participant Reminder Letter (English)
G.4_Reminder Letter English Dec 2016.docx
12/19/2016
Appendix G.4a WIC Participant/Former Participant Reminder Letter (Spanish)
G.4a_Reminder Letter Spanish Dec 2016.docx
12/19/2016
Appendix G.5 WIC Participant/Former Participant Refusal Letter (English)
G.5_Refusal Letter English Dec 2016.docx
12/19/2016
Appendix G.5a WIC Participant/Former Participant Refusal Letter (Spanish)
G.5a_Refusal Letter Spanish Dec 2016.docx
12/19/2016
Appendix H.1 Former WIC Participant Advance Letter (English)
H.1_Former Participant Advance Letter English.docx
12/19/2016
Appendix H.1a Former WIC Participant Advance Letter (Spanish)
H.1a_Former Participant Advance Letter Spanish.docx
12/19/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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