State and Local WIC Agencies

National Survey of WIC Participants II

Documents and Forms

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

Information Collection (IC) Details

IC Title:	State and Local WIC Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.