WIC Breastfeeding Peer Counseling Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Revised Part A WIC PeerCounseling 6 26 08.pdf	Supporting Statement A	Uploaded 2008-06-27	Available
Recruitment Ltr Collaborating Org.pdf	Supplementary Document	Uploaded 2008-01-02	Available
Recruitment Ltr to Local WIC Clinics.pdf	Supplementary Document	Uploaded 2008-01-02	Available
Recruitment Let WIC Agency Director.pdf	Supplementary Document	Uploaded 2008-01-02	Available
Notification Ltr State Directors.pdf	Supplementary Document	Uploaded 2008-01-02	Available
Revised Part B WIC PeerCounseling 6 26 08.pdf	Supporting Statement B	Uploaded 2008-06-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
183515	Non-Responses	Other-Non-responses	New
183226	State & Local Burden	Other-Program Data - Local WIC Agency	New

ICR Details

OMB Control No: 0584-0548	ICR Reference No: 200801-0584-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: WIC Breastfeeding Peer Counseling 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: 07/01/2008
	Date Received in OIRA: 02/07/2008
Terms of Clearance: Upon submission of Part II of this study, OMB will require the following from FNS: 1) Specific analysis of response patterns and/or response bias for all "check that apply" questions with more than 6 response options, as well as any web tables requiring horizontal scrolling on the survey instrument used in Part I 2) A re-designed questionnaire that draws heavily on already validated instruments and adequately tests new questions. Adequate testing requires cognitive work beyond a simple pilot test. OMB recommends that FNS consult with survey methodologists at one of the two statistical agencies located within the Department of Agriculture for assistance. OMB will look for evidence of such consultation, as well as adequate testing with the submission of the Phase II collection request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2011	36 Months From Approved
Responses	618	0	0
Time Burden (Hours)	461	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Study will examine implementation of the Loving Support Breastfeeding Peer Counseling Program: Program expenditures; challenges and strategies faced and will be used through suveys and interviews to provide technical assistance and training to States.

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Authorizing Statute(s): PL: Pub.L. 108 - 265 203 Name of Law: Child Nutrition and WIC Reauthorization Act of 2004
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 53983	09/21/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 22	02/01/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
State & Local Burden
Non-Responses

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ICR Summary of Burden

table that charts list 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	618	0	0	618	0	0
Annual Time Burden (Hours)	461	0	0	461	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 collection of information resulting in a program change of 461 hours.

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Annual Cost to Federal Government: $620,730

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 02/07/2008

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