Information Collection

WIC Local Agency Directory

IC 3056 under ICR 201403-0584-002 · OMB 0584-0431.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-648 WIC Local Agency Directory	Form
FNS-648 Instructions.pdf fprs.fns.usda.gov/	Instruction
FNS-648 WIC Local Agency Directory Report FNS-648.pdf fprs.fns.usda.gov/	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 246.4 7 CFR 246.25

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-648	WIC Local Agency Directory Report	FNS-648.pdf	https://fprs.fns.usda.gov/	Yes	Yes	Fillable Fileable
Instruction			FNS-648 Instructions.pdf	https://fprs.fns.usda.gov/	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

Number of Respondents for Small Entity: 23

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.