WIC Local Agency Directory

Forms and Documents

Document Name	Status
Form FNS-648 WIC Local Agency Directory Form and Instruction	Modified
FNS-648 Supportiing Statement 3-7-2011.docx Supporting Statement A	2011-03-14

IC Document Collections

IC ID	Document Title	Status
3056	WIC Local Agency Directory Form and Instruction	Modified

ICR Details

OMB Control No: 0584-0431	ICR Reference No: 201103-0584-001
Status: Historical Inactive	Previous ICR Reference No: 200802-0584-002
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: WIC Local Agency Directory
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 04/21/2011
	Date Received in OIRA: 03/22/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2011	36 Months From Approved	07/31/2011
Responses	90	0	90
Time Burden (Hours)	15	0	15
Cost Burden (Dollars)	0	0	0

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Abstract: State agencies administering the WIC Program use the FNS-648 to inform FNS of additions and deletions of local agencies operating the WIC Program, and local agency address changes

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Authorizing Statute(s): US Code: 42 USC 1786 Name of Law: Child Nutrition Act
  

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:
	75 FR 65447	10/25/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 53	03/18/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
WIC Local Agency Directory	FNS-648, FNS-648, FNS-648, FNS-648, FNS-648, FNS-648	WIC Local Agency Directory Report ,   WIC Local Agency Directory Report ,   WIC LOCAL AGENCY DIRECTORY REPORT ,   WIC Local Agency Directory Report ,   WIC Local Agency Directory Report ,   WIC Local Agency Directory Report

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,476

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 03/22/2011

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