WIC Participant

Appendix V.1
ITFPS-2
AMPM SCREEN SHOTS- English
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB number. The valid OMB
control number for this information collection is 0584-XXXX. The time required to complete this information collection is estimated to average 10 minutes per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information.

OMB Approval No. 0584-XXXX
Approval Expires: XX/XX/20XX

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a
valid OMB number. The valid OMB control number for this information collection is 0584-XXXX. The time required to complete this
information collection is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

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