WIC Program Annual Closeout Report with Addendum

ICR 199505-0584-001

OMB: 0584-0427

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
103473 Migrated
ICR Details
0584-0427 199505-0584-001
Historical Active 199209-0584-007
USDA/FNS
WIC Program Annual Closeout Report with Addendum
Extension without change of a currently approved collection   No
Regular
Approved without change 07/28/1995
Retrieve Notice of Action (NOA) 05/19/1995
Approved as amended by USDA's revisions of 7/28/95.
  Inventory as of this Action Requested Previously Approved
07/31/1998 07/31/1998 08/31/1995
86 0 0
490 0 490
0 0 0

Each State agency administering the WIC Program uses the WIC Program Annual Closeout Report and Addendum to furnish the information needed by FCS to closeout the State agency's WIC Program grant. It is the State agency's final statement of activity under its grant for the fiscal year.

None
None


No

1
IC Title Form No. Form Name
WIC Program Annual Closeout Report with Addendum FCS-227, FCS-227A

  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 86 0 0 86 0 0
Annual Time Burden (Hours) 490 490 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/19/1995


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