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
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A-1 WIC Vendor Store Manager -Cashier IDI Screener Attachment A-1 WIC VENDOR STORE MANAGER-CASHIER IDI Screener_080124.docx Yes Yes Fillable Printable
Other-Attachment B-2 Confirmation Form - Store Managers Attachment B-1 Confirmation Form - Store Managers_08012024.docx Yes Yes Fillable Printable
Other-Attachment C-1 Consent Form - Store Managers Attachment C-1 Consent Form - Store Managers_08012024.docx Yes Yes Fillable Printable
Other-Attachment C-@ Consent Form - Cashiers Attachment C-2 Consent Form - Cashiers_08012024.docx Yes Yes Fillable Printable
Other-Attachment D-1 Vendor Reasearch IDI Guide -Store Managers Attachment D-1 Vendor Research IDI Guide - Store Managers_08012024.docx Yes Yes Fillable Printable
Other-Attachment D-2 Vendor Reasearch IDI Guide Cashiers Attachment D-2 Vendor Research IDI Guide - Cashiers _08012024.docx Yes Yes Fillable Printable

Income Security Food and Nutrition Assistance

 

1,440 0
   
State, Local, and Tribal Governments
 
   100 %

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

Title Document Date Uploaded
Attachment E-1 IRB Determination Notice Attachment E-1 IRB Determination Notice - Shopping Vendor IDIs.pdf 10/29/2024
Fast Track WIC Outreach Campaign Shopping Vender 10292024 Fast Track Clearance WIC Outreach Campaign Shopping Vendor_1.docx 11/13/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.