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

View Information Collection (IC)

WIC National Outreach Campaign – In-depth Interviews (IDIs) among Employees of Food Shopping Vendors
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A-1 Vendor Corporate Employee IDI Screener Yes Yes Fillable Printable
Other-Attachment B-1 Confirmation Form - Store Managers Yes Yes Fillable Printable
Other-Attachment B-2 Confirmation Form - Cashiers Yes Yes Fillable Printable
Other-Attachment C-1 Consent Form - Store Managers Yes Yes Fillable Printable
Other-Attachment C-2 Consent Form - Cashiers Yes Yes Fillable Printable
Other-Attachment D-1 Vendor Research IDI Guide - Store Managers Yes Yes Fillable Printable
Other-Attachment D-2 Vendor Research IDI Guide - Cashiers Yes Yes Fillable Printable

Income Security Food and Nutrition Assistance

 

1,440 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 1,440 0 0 0 0 1,440
Annual IC Time Burden (Hours) 167 0 0 0 0 167
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment E-1 IRB Determination Notice 08/07/2024
Fast Track Clearance WIC Outreach Campaign Shopping Vendor_08012024.docx 08/07/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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