Women, Infants, and Children Overseas - Eligibility Determination

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PIA Sec 1 -2.pdf	Supplementary Document	Uploaded 2013-07-31	Available
0720-0030 SSN Justification.doc	Supplementary Document	Uploaded 2013-07-31	Available
WIC supporting statement FINAL.doc	Supporting Statement A	Uploaded 2013-07-31	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5606	Women, Infants, and Children Overseas - Eligibility Determination	Other-PAS	Modified

ICR Details

OMB Control No: 0720-0030	ICR Reference No: 201307-0720-001
Status: Historical Active	Previous ICR Reference No: 201003-0720-002
Agency/Subagency: DOD/DODOASHA	Agency Tracking No:
Title: Women, Infants, and Children Overseas - Eligibility Determination
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/20/2013
	Date Received in OIRA: 07/31/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved	09/30/2013
Responses	31,672	0	750
Time Burden (Hours)	7,918	0	188
Cost Burden (Dollars)	57,326	0	0

---

Abstract: The collection instrument is used to collect information from dependents of members of the armed forces, dependents of a civilian employee of a military department, and DoD Contractors and their dependents stationed overseas to determine eligibility to receive WIC Overseas benefits. The collection instrument is used by contractor staff assigned to WIC Overseas offices.

---

Authorizing Statute(s): US Code: 10 USC 1060a Name of Law: Special Supplemental Food Program
   US Code: 42 USC 13A Name of Law: Child Nutrition
   US Code: 42 USC 290dd-2 Name of Law: Confidentiality of Records
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 21598	04/11/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 46328	07/31/2013
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Women, Infants, and Children Overseas - Eligibility Determination

---

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	31,672	750	0	30,922	0	0
Annual Time Burden (Hours)	7,918	188	0	7,730	0	0
Annual Cost Burden (Dollars)	57,326	0	0	57,326	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: There was a change in the number of burden hours because we included dependents of members of the armed forces stationed overseas which is the majority of the WIC Overseas recipients. They were not included in the previous OMB submission.

---

Annual Cost to Federal Government: $262,519

Does this IC contain surveys, censuses, or employ statistical methods? No

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

---

Common Form ICR:  No

---

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: 07/31/2013

---