View Information Collection Request (ICR) Package
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View Information Collection (IC) List
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0584-0663
ICR Reference No:
202010-0584-009
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
USDA/FNS
Agency Tracking No:
Title:
WIC Nutrition Assessment and Tailoring Study
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
04/13/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/01/2020
Terms of Clearance:
We thank the agency for agreeing to submit any additions to the number of respondents through a revision package. The clinic observation form cleared here could be used after submitting a revision package to visit WIC clinics in-person.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2024
36 Months From Approved
Responses
6,496
0
0
Time Burden (Hours)
867
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
Following key policy changes, the WIC Nutrition Assessment and Tailoring Study will provide FNS with a comprehensive, detailed description of the WIC nutrition risk assessment process, and explore the ways in which WIC clinics tailor participant benefits to address the results of the assessment. It will also evaluate the relationship between this process and participant program satisfaction.
Authorizing Statute(s):
US Code:
42 USC 1769i (Section 28)
Name of Law: Richard B. Russell National School Lunch Act (NSLA)
PL:
Pub.L. 111 - 296 305
Name of Law: Healthy, Hunger-Free Kids Act (HHFKA) of 2010
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
84 FR 34849
07/19/2019
30-day Notice:
Federal Register Citation:
Citation Date:
85 FR 76515
11/30/2020
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
State and Local Agency WIC Directors and WIC Clinic Staff - SLT
State and Local Agency WIC Directors and WIC Clinic Staff - SLT (Non-respondents)
WIC Local Agency Directors and WIC Clinic Staff - Profit/Non-Profit Businesses
WIC Local Agency Directors and WIC Clinic Staff - Profit/Non-Profit Businesses (Non-Respondents)
WIC Participants - Individuals and Households
WIC Participants - Individuals and Households (Non-respondents)
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
6,496
0
0
6,496
0
0
Annual Time Burden (Hours)
867
0
0
867
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is a new information collection request that will provide FNS with a comprehensive, detailed description of the WIC nutrition risk assessment process. FNS estimates that this new information collection will add 6,496 responses and 867 burden hours to OMB's inventory due to a program change.
Annual Cost to Federal Government:
$610,165
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Christina Sandberg 703 305-2337 christina.sandberg@fns.usda.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
12/01/2020
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