State & Local Agencies - WIC NSA Study

WIC Nutrition Services and Administration Costs Study

App A2_WIC Local Agency Web Survey_REVISED_08-19-13

State & Local Agencies - WIC NSA Study

OMB: 0584-0589

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A
ppendix A2


WIC Local Agency Web Survey

Exhibit 1: Agency Login

Exhibit 2: Home Screen

Exhibit 3: Agency Information Screen



Survey Questions

Exhibit 4: Demographic Questions screen





Exhibit 5: Services Provided Questions Screen





Exhibit 6: Change in Costs Questions Screen

Exhibit 7: Labor/Personnel Expenditure



Exhibit 8: Contracted Services Screen



Exhibit 9: Materials, Services, and Travel Screen



Exhibit 10: Indirect Costs





Exhibit 11: Other Sources of Funds

Exhibit 12: In-kind Contributions















Exhibit 13: Cost Reduction Strategies

Exhibit 14: Confirmation Screen

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