State & Local Agencies - WIC NSA Study

A
ppendix A3

WIC Combination Web Survey

Exhibit 1: Agency Login

Exhibit 2: Home Screen

Exhibit 3: Agency Information Screen

State Level Survey Questions

Exhibit 4: Demographic Questions screen

Exhibit 5: Change in Costs Questions Screen

Agency Costing Tool

Exhibit 6: Labor/Personnel Expenditure

Exhibit 7: Contracted Services Screen

Exhibit 8: Materials, Services, and Travel Screen

Exhibit 9: Indirect Costs

Exhibit 10: Other Sources of Funds

Exhibit 11: In-kind Contributions

Local Level Survey Questions

Exhibit 12: Demographic Questions Screen

Exhibit 13: Services Provided Questions Screen

Exhibit 14: Change in Costs Questions Screen

Exhibit 15: Cost Reduction Strategies

Exhibit 16 Confirmation Screen

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