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

View Information Collection (IC)

WIC Outreach Campaign – Campaign Logo and Platform Concept Focus Groups
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A-1 WIC Screener - English Yes Yes Fillable Printable
Other-Attachment A-2 WIC Eligible Screener - English Yes Yes Fillable Printable
Other-Attachment A-3 WIC Screener - Spanish Yes Yes Fillable Printable
Other-Attachment A-4 WIC Eligibility Screener - Spanish Yes Yes Fillable Printable
Other-Attachment C-1 Consent Form - English Yes Yes Fillable Printable
Other-Attachment C-2 Consent Form - Spanish Yes Yes Fillable Printable
Other-Attachment D-1 WIC Focus Group Guide -English Yes Yes Fillable Printable
Other-Attachment D-2 WIC Platform Logo FG Guide Spanish Yes Yes Fillable Printable
Other-F-1 Stimuli for Focus Groups Yes Yes Fillable Printable
Other-B-1 Confirmation Form (English) Yes Yes Fillable Printable
Other-B-2 Confirmation Form (Spanish) Yes Yes Fillable Printable

Income Security Food and Nutrition Assistance

 

360 0
   
Individuals or Households
 
   0 %

  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 360 0 0 0 0 360
Annual IC Time Burden (Hours) 186 0 0 0 0 186
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
E-1 IRB Determination Notice 05/07/2024
WIC Outreach Campaign – Campaign Logo and Platform Concept Focus Groups 05/07/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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