Information Collection

State and Local WIC Agencies

IC 186883 under ICR 200810-0584-001 · OMB 0584-0484.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
APPENDIX C - STATE 9-24-08.pdf	Other-State Agency Survey
APPENDIX D - LOCAL 1-30-09.pdf	Other-Local Agency Survey
APPENDIX B - PROJ SPECIFIC LETTERS 1-30-09.pdf Advance Letters	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-State Agency Survey			APPENDIX C - STATE 9-24-08.pdf		No		Paper Only
Other-Local Agency Survey			APPENDIX D - LOCAL 1-30-09.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 670

Number of Respondents for Small Entity: 67

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	670	670
Annual IC Time Burden (Hours)	1,597	1,597
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Advance Letters	APPENDIX B - PROJ SPECIFIC LETTERS 1-30-09.pdf	03/12/2009

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