WIC Nutrition Services and Administration Costs Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
FINAL WIC NSA Cost Study_Supporting Statement A_REV_110513.doc	Supporting Statement A	Uploaded 2013-11-06	Available
WIC NSA Cost Study_Supporting Statement B_REV_110513.doc	Supporting Statement B	Uploaded 2013-11-06	Available
App F1_Burden Estimate Assumptions.docx	Supplementary Document	Uploaded 2013-11-05	Available
App E1_NASS Comments.docx	Supplementary Document	Uploaded 2013-11-05	Available
App D1_Memo on Pretest Results.docx	Supplementary Document	Uploaded 2013-11-05	Available
App C1_Communication Plan_REV.docx	Supplementary Document	Uploaded 2013-11-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209206	State & Local Agencies - WIC NSA Study Non-response	Other-NON RESPONDENT PLACEHOLDER	New
209205	State & Local Agencies - WIC NSA Study	Other-App A1_WIC State Agency Web Survey	New

ICR Details

OMB Control No: 0584-0589	ICR Reference No: 201311-0584-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: WIC Nutrition Services and Administration Costs Study
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: 03/18/2014
	Date Received in OIRA: 01/13/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	36 Months From Approved
Responses	5,020	0	0
Time Burden (Hours)	2,581	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National WIC NSA Cost Study will provide an updated assessment of the types and categories of costs charged to WIC NSA grants, and the factors that influence the variation in these costs among State and local agencies.

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Authorizing Statute(s): PL: Pub.L. 111 - 296 305 Name of Law: HHFKA
  

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:
	78 FR 45171	07/26/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 7	01/10/2014
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
State & Local Agencies - WIC NSA Study
State & Local Agencies - WIC NSA Study Non-response

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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	5,020	0	0	5,020	0	0
Annual Time Burden (Hours)	2,581	0	0	2,581	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 collection of information, estimated to add 2,580.7 burden hours to the OMB collection inventory.

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Annual Cost to Federal Government: $637,011

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: 01/13/2014

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