I/H WIC Participants

WIC Breastfeeding Peer Counseling Study Phase 2

OMB: 0584-0548

IC ID: 198544

Documents and Forms
Document Name
Document Type
Other-Baseline Survey
Other-Followup Survey
Other-Baseline Survey_Spanish
Other-Followup Survey_SpanishOMB
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

I/H WIC Participants
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Baseline Survey Appx A1 WICPeerC Baseline Survey_draft02-jn.doc No   Paper Only
Other-Followup Survey Appx A2 WIC PeerC Followup Survey_draft02-jn.doc No   Paper Only
Other-Baseline Survey_Spanish Appx A3 Baseline Survey_SpanishOMBDraft02-jn.doc No   Paper Only
Other-Followup Survey_SpanishOMB Appx A4 Followup Survey_SpanishOMBDraft02-jn.doc No   Paper Only

Income Security Food and Nutrition Assistance

FNS Studies and Reports - FNS 8  56 FR 19079

1,800 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,600 0 3,600 0 0 0
Annual IC Time Burden (Hours) 1,200 0 1,200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Brochure Appx F5 Study Brochure_AllPages.pdf 07/20/2011
Consent Form Appx F6 Consent Form_ready.doc 07/20/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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