Information Collection

WIC Local Agency Directory

IC 3056 under ICR 200802-0584-002 · OMB 0584-0431.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0431 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-648 WIC Local Agency Directory	Form
FNS-648 WIC LOCAL AGENCY DIRECTORY REPORT FNS-648-paper form.pdf	Form
FNS-648 WIC Local Agency Directory Report FNS 648 Food Program Reporting System Screenshot Burden Disclosure Statement.pdf	Form and Instruction
FNS-648 WIC Local Agency Directory Report FNS 648 Food Program Reporting System Screenshot Page 1.pdf	Form and Instruction
FNS-648 WIC Local Agency Directory Report FNS 648 FPRS Screenshot Page Guidance_Instructions 2.pdf	Form and Instruction
FNS-648 WIC Local Agency Directory Report FNS 648 FPRS Screenshot Guidance_Instructions continued Page 3.pdf	Form and Instruction
FNS-648 WIC Local Agency Directory Report FNS 648 FPRS Screenshot Guidance_Instruction continued Page 4.pdf	Form and Instruction

IC Title:

WIC Local Agency Directory

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 246.25 7 CFR 246.4

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-648	WIC LOCAL AGENCY DIRECTORY REPORT	FNS-648-paper form.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FNS-648	WIC Local Agency Directory Report	FNS 648 Food Program Reporting System Screenshot Burden Disclosure Statement.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FNS-648	WIC Local Agency Directory Report	FNS 648 Food Program Reporting System Screenshot Page 1.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FNS-648	WIC Local Agency Directory Report	FNS 648 FPRS Screenshot Page Guidance_Instructions 2.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FNS-648	WIC Local Agency Directory Report	FNS 648 FPRS Screenshot Guidance_Instructions continued Page 3.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FNS-648	WIC Local Agency Directory Report	FNS 648 FPRS Screenshot Guidance_Instruction continued Page 4.pdf	Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	90	2	88
Annual IC Time Burden (Hours)	15	0	15
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.