View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

WIC National Outreach Campaign – In-depth Interviews (IDIs) among Healthcare Professionals
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment B-1 Confirmation Form Yes Yes Fillable Printable
Other-Attachment C-1 Consent Form Yes Yes Fillable Printable
Other-Attachment D-1 WIC HCP IDI Guide Yes Yes Fillable Printable
Other-Attachment A-1 WIC HCP IDI Screener Yes Yes Fillable Printable

Income Security Food and Nutrition Assistance

 

500 0
   
Individuals or Households
 
   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 500 0 0 0 0 500
Annual IC Time Burden (Hours) 103 0 0 0 0 103
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track Clearance WIC Outreach Campaign HCP IDIa 10/23/2023
Attachment E-1 Determination Notice for Non Human Subjects REsearch 10/23/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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