WIC Local Agency Breastfeeding Policy and Practices Inventory

Forms and Documents

Document Name	Status
10 10 12 Final WIC BPI-Part A only double-spaced.docx Supporting Statement A	2012-10-10
WICBPI_App_K (final v2).docx Supplementary Document	2012-08-02
072212 WIC BPI-Part B only, double-spaced (final v2).docx Supporting Statement B	2012-08-02

IC Document Collections

IC ID	Document Title	Status
203695	Non-Respondents Web Survey Other-Non-Respondents Web Survery	New
203557	Web Survey Other-Web Survey	New

ICR Details

OMB Control No: 0584-0574	ICR Reference No: 201208-0584-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: WIC Local Agency Breastfeeding Policy and Practices Inventory
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/04/2013
	Date Received in OIRA: 10/10/2012
Terms of Clearance: Approved consistent with the following terms of clearance: Complete screenshots of the websurveys must be provided (via a non-substantive change) before data collection can begin.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2014	36 Months From Approved
Responses	19,237	0	0
Time Burden (Hours)	4,178	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This project will evaluate of the relationship between state and local WIC agencies' breastfeeding policies and breastfeeding outcomes of WIC mothers, and will develop a model for an ongoing WIC agency survey capability and monitoring system.

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Authorizing Statute(s): PL: Pub.L. 111 - 296 305 Name of Law: The Healthy, Hunger-Free Kids Act of 2010
  

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 78233	12/16/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 194	10/05/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Web Survey
Non-Respondents Web Survey

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ICR Summary 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	19,237	0	0	19,237	0	0
Annual Time Burden (Hours)	4,178	0	0	4,178	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 new information collection effort that will add 4,178 burden hours to the OMB inventory as a result of program changes.

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Annual Cost to Federal Government: $319,198

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: 10/10/2012

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