Profit/Nonprofit Business

WIC Infant and Toddler Feeding Practices Study-2

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0580 can be found here:

Documents and Forms

Document Name Document Type
App.AA.1_Eng.Hospital Data Request.docx Other-Hospital Data Request Form
App.AA.2_Span.Hospital Data Request.docx Other-Hospital Data Request Form-Spa
App.CC.1_Eng.Provider Data Request.docx Other-Provider Data Request
App.CC.2_Span.Provider Data Request.docx Other-Provider Data Request-Spanish

Information Collection (IC) Details

IC Title:	Profit/Nonprofit Business	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Hospital Data Request Form	App.AA.1_Eng.Hospital Data Request.docx	Yes	Yes	Fillable Fileable
Other-Hospital Data Request Form-Spanish	App.AA.2_Span.Hospital Data Request.docx	Yes	Yes	Fillable Fileable
Other-Provider Data Request	App.CC.1_Eng.Provider Data Request.docx	Yes	Yes	Fillable Fileable
Other-Provider Data Request-Spanish	App.CC.2_Span.Provider Data Request.docx	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: Privacy Act of 1974	FR Citation: 5 FR 552

Number of Respondents: 4,510	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,836	1,836
Annual IC Time Burden (Hours)	81	81
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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