State & Local Agencies - WIC NSA Study

WIC Nutrition Services and Administration Costs Study

App A3_Combination WIC Web Survey_REVISED_08-19-13

State & Local Agencies - WIC NSA Study

OMB: 0584-0589

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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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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
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File Created2021-01-27

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