Form FNS-698, pg. 1 FNS-698, pg. 1 Profile of Integrity Practices and Procedures (PIPP)

Complete All Sections
All sections of FNS Form 698 must be completed and submitted each fiscal year. Once submitted, the form
can no longer be changed. A new Form 698 will be available for the next fiscal year.

FNS 698: PROFILE OF INTEGRITY PRACTICES AND PROCEDURES (PIPP)

FNS-698 - OMB Form Number: 0584-0401

SECTION 1: Vendor Selection, Limitation and Authorization

FI = Food Instrument
1 The State agency limits the number of vendors it authorizes:
Select

Yes, State-wide
Yes, for geographic areas within the State
No
2 Vendor applicants are notified of authorization within how many days of initial submission?
Enter Data
3 The State Agency contracts with vendors:

Check only one box
On an on-going basis
Annually
Every 2 years
Every 3 years
Other (specify below)
Other time period:
Enter Data
4 The WIC Program uses standard selection criteria for evaluating vendors which include:

Check all that apply
Minimum variety and quantity of authorized supplemental foods
Competitive prices
Lack of a record of criminal conviction or civil judgement for specified activities
Lack of a history of serious vendor violations
Lack of history of serious Food Stamp Program (FSP) violations
Must be FSP authorized
Not currently disqualified from FSP
Must provide a variety of foods other than WIC supplemental foods
Must obtain infant formula only from the sources on the State Agency’s list of infant formula wholesalers,
distributors, and retailers, licensed under State law/regulations and manufacturers registered with the Food
and Drug Administration
Must obtain prior approval to provide incentive items to WIC participants if the store derives more than 50
percent of its annual food sales revenue from WIC food instruments
Other (specify below)
Other criteria used:
Enter Data
5 Each vendor's prices are monitored to ensure that redemptions do not rise to a level that

would make the vendor ineligible for authorization:
Select One

Yes
No

6 On-site visits are performed to verify information received during the authorization process.

Check only one box
For new vendors only
For new vendors and for previously authorized vendors

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless
it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-0401. The time
required for completing this collection is estimated to take 10 minutes per response, including the time for
Reviewing instructions, searching existing data sources, gathering the data needed, and completing and reviewing the
information collection.

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