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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
State and Local WIC Agency Directors (SLT)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
7 CFR 215.11
7 CFR 246.7
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Appendix B1.b State Agency Survey - Screenshots
App B1.b State Agency Survey (Screenshots)_revised.docx
Yes
Yes
Fillable Fileable
Other-Appendix B2.a Local Agency Survey
App B2.a Local Agency Survey.docx
Yes
Yes
Fillable Fileable
Other-Appendix B2.b Local Agency Survey - Screenshots
App B2.b Local Agency Survey (Screenshots).docx
Yes
Yes
Fillable Fileable
Other-Appendix B7.a Denied Applicant Log Request Email
App B7.a Denied Applicant Log Request Email.docx
Yes
Yes
Fillable Fileable
Other-Appendix B7.b Denied Applicant Log
App B7.b Denied Applicant Log.xlsx
Yes
Yes
Fillable Fileable
Other-Appendix B7.d Denied Applicant Log Request Reminder Telephone Script
App B7.d Denied Applicant Log Reminder Telephone Script.docx
Yes
Yes
Fillable Fileable
Other-Appendix B8 State Agency Administrative Data Request Email
App B8. State Agency Administrative Data Request Email.docx
Yes
Yes
Fillable Fileable
Other-Appendix C6 State Agency Survey Reminder Telephone Script
App C6. State Agency Survey Reminder Telephone Script.docx
Yes
Yes
Fillable Fileable
Other-Appendix C10 Local Agency Survey Reminder Telephone Script
App C10. Local Agency Survey Reminder Telephone Script.docx
Yes
Yes
Fillable Fileable
Other-Appendix C24 WIC Administrative Data Request to States from Regions
App C24 WIC Administrative Data Request to States from Regions.docx
Yes
Yes
Fillable Fileable
Other-Appendix C25 State Agency Administrative Data Request Reminder Email
App C25 State Agency Administrative Data Request Reminder Email.docx
Yes
Yes
Fillable Fileable
Other-Appendix C26 State Agency Administrative Data Request Reminder Telephone Script
App C26 State Agency Administrative Data Request Reminder Telephone Script.docx
Yes
Yes
Fillable Fileable
Other-Appendix D4 Certification End Date Verification Reminder Telephone Script
App D4. Certification End Date Verification Reminder Telephone Script.docx
Yes
Yes
Fillable Fileable
Other-Appendix B1.a State Agency Survey
App B1.a State Agency Survey Revised 9.18.18.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:
900
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
4,814
0
4,814
0
0
0
Annual IC Time Burden (Hours)
1,121
0
1,121
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix B7.c Denied Applicant Log Request Reminder Email
App B7.c Denied Applicant Log Request Reminder.docx
01/29/2018
Appendix C2 Letter to State Agencies from Regional Offices
App C2. Letter to State Agencies from Regional Offices.docx
01/29/2018
Appendix C3 State Agency Survey Invitation Email
App C3. State Agency Survey Invitation Email.docx
01/29/2018
Appendix C4 State Agency Survey Invitation Letter with Instrument
App C4. State Agency Survey Invitation Letter with Instrument.docx
01/29/2018
Appendix C5 State Agency Survey Reminder Email
App C5. State Agency Survey Reminder Email.docx
01/29/2018
Appendix C7 Local Agency Survey Invitation Email
App C7. Local Agency Survey Invitation Email.docx
01/29/2018
Appendix C8 Local Agency Survey Invitation Letter with Instrument
App C8. Local Agency Survey Invitation Letter with Instrument.docx
01/29/2018
Appendix C9 Local Agency Survey Reminder Email
App C9. Local Agency Survey Reminder Email.docx
01/29/2018
Appendix D1 Study Description for State and Local WIC Agencies
App D1. Study Description for State and Local WIC Agencies.docx
01/30/2018
Appendix D2 State Agency Survey Thank You Letter
App D2. State Agency Survey Thank You Letter.docx
01/30/2018
Appendix D3 Certification End Date Verification Email
App D3. Certification End Date Verification Email.docx
01/30/2018
Appendix D5 Local Agency Survey Thank You Letter
App D5. Local Agency Survey Thank You Letter.docx
01/30/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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