View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Baseline Collection of WIC Brand Health and Messaging
Agency IC Tracking Number:
IC Status:
Unchanged
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-Attachment A-1 Survey Invitation (English)
Attachment A-1 Survey Invitation (English).docx
Yes
Yes
Fillable Printable
Other-Attachment A-2 Survey Invitation (Spanish)
Attachment A-2 Survey Invitation (Spanish).docx
Yes
Yes
Fillable Printable
Other-Attachment B-1_USDA WIC Survey (English)_rev
Attachment B-1_USDA WIC Survey (English)_rev.docx
Yes
Yes
Fillable Fileable
Other-Attachment B-2_USDA WIC Survey (Spanish)_rev
Attachment B-2_USDA WIC Survey (Spanish)_rev.docx
Yes
Yes
Fillable Fileable
Other-Attachment B-3_USDA WIC Survey Screenshots (English)_rev
Attachment B-3_USDA WIC Survey Screenshots (English)_rev.docx
Yes
Yes
Fillable Fileable
Other-Attachment B-4_USDA WIC Survey screenshots (Spanish)_rev
Attachment B-4_USDA WIC Survey screenshots (Spanish)_rev.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:
FR Citation:
Number of Respondents:
3,750
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
16,250
0
0
0
0
16,250
Annual IC Time Burden (Hours)
2,112
0
0
0
0
2,112
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment C-1 Confidentiality Form
Attachment C-1 Confidentiality Form.docx
09/12/2023
Attachment D-1_Determination Notice for Non Human Subjects Research
Attachment D-1_Determination Notice for Non Human Subjects Research.pdf
09/12/2023
OMB Generic Clearance Memo WIC Baseline Survey_09.07.23
OMB Generic Clearance Memo WIC Baseline Survey_09.07.23.docx
09/12/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.