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WIC Participants - Individuals and Households
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix C2 Nutrition Services Observation Form No   Paper Only
Other-Appendix C4 WIC Participant Interview Guide No   Paper Only
Other-Appendix C4a WIC Participant Interview Guide - Spanish No   Paper Only
Other-Appendix D6 WIC Participant Screener No   Paper Only
Other-Appendix D6a WIC Participant Screener - Spanish No   Paper Only
Other-Appendix D7 Informed Consent for Observation and WIC Participant Interview No   Paper Only
Other-Appendix D7a Informed Consent for Observation and WIC Participant Interview - Spanish No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

510 0
   
Individuals or Households
 
   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 2,490 0 0 -152 0 2,642
Annual IC Time Burden (Hours) 238 0 0 -4 0 242
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix D5 Study Brochure for WIC Participant 02/02/2022
Appendix D5a Study Brochure for WIC Participant - Spanish 02/02/2022
Appendix D8 Reminder Text for WIC Participant Interview to be Conducted Over the Phone 02/02/2022
Appendix D8a Reminder Text for WIC Participant Interview to be Conducted Over the Phone - Spanish 02/02/2022
Appendix D9 Reminder Call for WIC Participant Interview to be Conducted Over the Phone 02/02/2022
Appendix D9a Reminder Call for WIC Participant Interview to be Conducted Over the Phone - Spanish 02/02/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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