View Information Collection (IC)
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Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
State, Local, and Tribal Government
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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-B-1. Case study agency WIC director interview guide1-6
B-1. Case study agency WIC director interview guide1-6.docx
No
Paper Only
Other-B-2. Geo State WIC director interview guide
B-2. Geo State WIC director interview guide.docx
No
Paper Only
Other-B-3. Clinic staff interview guide
B-3. Clinic staff interview guide.docx
No
Paper Only
Other-B-5. WIC appointment observation guide
B-5. WIC appointment observation guide.docx
No
Paper Only
Other-B-6. Interview guide pretest protocol
B-6. Interview guide pretest protocol.docx
No
Paper Only
Other-C-1. Case study agency virtual recruitment
C-1. Case study agency virtual recruitment.docx
Yes
Yes
Printable Only
Other-C-2. Geo State agency virtual recruitment
C-2. Geo State agency virtual recruitment.docx
Yes
Yes
Printable Only
Other-C-6. Site visit recruitment communications
C-6. Site visit recruitment communications.docx
Yes
Yes
Printable Only
Other-C-7. Site visit planning meeting talking points
C-7. Site visit planning meeting talking points.docx
No
Paper Only
Other-C-8. Clinic visit recruitment communication
C-8. Clinic visit recruitment communication.docx
Yes
Yes
Printable Only
Other-C-9. Clinic visit planning talking points
C-9. Clinic visit planning talking points.docx
No
Paper Only
Other-C-11. WIC participant study FAQ
C-11. WIC participant study FAQ.docx
No
Paper Only
Other-C-3. Study FAQ
C-3. Study FAQ (2).docx
No
Paper Only
Other-C-10. Site visit informed consent form
C-10. Site visit informed consent form (2).docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Food and Nutrition Assistance
Privacy Act System of Records
Title:
FNS-8 USDA/FNS Studies and Reports
FR Citation:
56 FR 19078
Number of Respondents:
140
Number of Respondents for Small Entity:
25
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
488
0
488
0
0
0
Annual IC Time Burden (Hours)
263
0
263
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
B-4. WIC clinic observation guide
B-4. WIC clinic observation guide.docx
03/12/2026
C-5. Virtual interview thank you email
C-5. Virtual interview thank you email.docx
03/12/2026
C-12. Site visit thank you email
C-12. Site visit thank you email.docx
03/12/2026
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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