Information Collection

Administer Researcher-Initiated Grants for Research on the WIC Program

IC 197579 under ICR 200906-0584-002 · OMB 0584-0512.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0512 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 425 Administer Researcher-Initiated Grants for Research on the WIC Program	Form and Instruction
SF 425 Federal Financial Report SF-425.pdf www.grants.gov	Form and Instruction
SF-424.pdf SF-424 Application for Federal Assistance	IC Document
SF-LLL.pdf SF-LLL Disclosure of Lobbying Activities	IC Document
AD1047-F-01-92[1].pdf AD 1047 Certification Regarding Debarment, Suspension, and Other	IC Document
AD1048-F-01-92[2].pdf AD 1048 Certification Regarding Debarment, Suspension, Ineligibility, Lower Tier Covered Transactions	IC Document
SF-424B.pdf SF 424 B	IC Document
ATTACHMENT 1.pdf Establish University-Based Grants to Assess WIC Impacts on Periconceptional Nutrition	IC Document
ATTACHMENT 2.pdf Establish the USDA Center for Collaborative Research on WIC Nutrition Education Innovations	IC Document
ATTACHMENT 3.pdf THE WIC RESEARCH INFORMATION NETWORK	IC Document
WIC GRANTS RFA- 4-29-11 FINAL For Approval.pdf Request for Applications (RFA)	IC Document
5-9-2011 Final WIC - OMB Justification Statement for Grant FINAL.doc WIC Grants Generic Clearance Supporting Statement	IC Document
Cover memo WIC grants Attachments 1 thru 3 5-4-2011 FINAL.doc WIC Grant Memo	IC Document

IC Title:

Administer Researcher-Initiated Grants for Research on the WIC Program

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR CFR 2.19(a)(3)(x) (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Form and Instruction	SF 425	Federal Financial Report	SF-425.pdf	www.grants.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 57

Number of Respondents for Small Entity: 6

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	108	108
Annual IC Time Burden (Hours)	3,624	3,624
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SF-424 Application for Federal Assistance	SF-424.pdf	05/09/2011
SF-LLL Disclosure of Lobbying Activities	SF-LLL.pdf	05/09/2011
AD 1047 Certification Regarding Debarment, Suspension, and Other	AD1047-F-01-92[1].pdf	05/09/2011
AD 1048 Certification Regarding Debarment, Suspension, Ineligibility, Lower Tier Covered Transactions	AD1048-F-01-92[2].pdf	05/09/2011
SF 424 B	SF-424B.pdf	05/09/2011
Establish University-Based Grants to Assess WIC Impacts on Periconceptional Nutrition	ATTACHMENT 1.pdf	05/10/2011
Establish the USDA Center for Collaborative Research on WIC Nutrition Education Innovations	ATTACHMENT 2.pdf	05/10/2011
THE WIC RESEARCH INFORMATION NETWORK	ATTACHMENT 3.pdf	05/10/2011
Request for Applications (RFA)	WIC GRANTS RFA- 4-29-11 FINAL For Approval.pdf	05/10/2011
WIC Grants Generic Clearance Supporting Statement	5-9-2011 Final WIC - OMB Justification Statement for Grant FINAL.doc	05/10/2011
WIC Grant Memo	Cover memo WIC grants Attachments 1 thru 3 5-4-2011 FINAL.doc	05/10/2011

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