WIC Breastfeeding Peer Counseling Study Phase 2

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
OMB Part B WICPeerC_11-30-11.docx	Supporting Statement B	Uploaded 2011-12-01	Available
OMB Part A WICPeerC_11-30-11.docx	Supporting Statement A	Uploaded 2011-12-01	Available
NASS comments WIC Breastfeeding Peer Counseling Study Review - Sept 8, 2011.docx	Supplementary Document	Uploaded 2011-09-26	Available
0584-0548 ResptoOMBTermsofClearance.docx	Supplementary Document	Uploaded 2011-09-19	Available
Appx H IRBPolicies and Procedures.doc	Supplementary Document	Uploaded 2011-07-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198544	I/H WIC Participants	Other-Appx A2 WIC PeerC Followup Survey	Modified
183515	Non-Responses	Other-Non-responses	Unchanged
183226	State, Local and/or Tribal Agencies	Other-PeerCounsBackQuest	Modified

ICR Details

OMB Control No: 0584-0548	ICR Reference No: 201111-0584-007
Status: Historical Active	Previous ICR Reference No: 201103-0584-005
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: WIC Breastfeeding Peer Counseling Study Phase 2
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/04/2012
	Date Received in OIRA: 11/21/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2015	36 Months From Approved	01/31/2012
Responses	9,204	0	618
Time Burden (Hours)	2,323	0	461
Cost Burden (Dollars)	0	0	0

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Abstract: Study will examine implementation of the Loving Support Breastfeeding Peer Counseling Program: Program expenditures; challenges and strategies faced and will be used through suveys and interviews to provide technical assistance and training to States.

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Authorizing Statute(s): PL: Pub.L. 108 - 265 203 Name of Law: Child Nutrition and WIC Reauthorization Act of 2004
  

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:
	76 FR 13340	03/11/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 142	07/25/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
State, Local and/or Tribal Agencies
Non-Responses
I/H WIC Participants

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	9,204	618	0	8,586	0	0
Annual Time Burden (Hours)	2,323	461	0	1,862	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a revision of a currently approved collection of information. This program change will result in an increase of of 2,323 burden hours. The changes are due to substantive revisions contained in this phase as well as changes to the instruments (adding and deleting questions). As a result of these changes the number of respondents and responses increased.

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Annual Cost to Federal Government: $1,560,547

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 11/21/2011

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