WIC Nutrition Education Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
YYY_Observation Forms.doc	Supplementary Document	Uploaded 2014-06-29	Available
D_RO Announce Email_REV.doc	Supplementary Document	Uploaded 2014-06-29	Available
EEEE_Pretest methods and findings_REV.docx	Supplementary Document	Uploaded 2014-06-28	Available
DDDD_IRB approval letters.docx	Supplementary Document	Uploaded 2014-06-28	Available
CCCC_Privacy and Nondisclosure Agreement.docx	Supplementary Document	Uploaded 2014-06-28	Available
BBBB_NASS commentsEdited.docx	Supplementary Document	Uploaded 2014-06-28	Available
Part B_7_18_14_REV10_16_14.doc	Supporting Statement B	Uploaded 2014-10-17	Available
Part A_7_18_14_REV10_16_14.docx	Supporting Statement A	Uploaded 2014-10-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
212154	WIC NE Individuals/Household - Phase II; Non-response	Other-Non-Response Placeholder	New
212153	WIC NE Individuals/Household - Phase II	Other-KK.1_Child_Final PAPI EnglishEdited.doc	New
212152	WIC NE State & Local - Phase II; Non-Response	Other-Non-Response Placeholder	New
212151	WIC NE State & Local - Phase II	Other-PPP.1_NE Web Survey	New
212150	WIC NE State & Local - Phase I; Non-Response	Other-Non-Response Placeholder	New
212149	WIC NE State & Local - Phase I	Other-A.1_SA Info Request State Plans_Sampling	New

ICR Details

OMB Control No: 0584-0599	ICR Reference No: 201406-0584-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: WIC Nutrition Education 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 with change	Conclusion Date: 10/24/2014
	Date Received in OIRA: 07/29/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved
Responses	7,493	0	0
Time Burden (Hours)	1,233	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The WIC Nutrition Education study will provide a nationally representative description of WIC nutrition education.

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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:
	79 FR 3164	01/17/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 145	07/29/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
WIC NE State & Local - Phase II
WIC NE State & Local - Phase II; Non-Response
WIC NE Individuals/Household - Phase II; Non-response
WIC NE State & Local - Phase I
WIC NE State & Local - Phase I; Non-Response
WIC NE Individuals/Household - Phase II

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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	7,493	0	0	7,493	0	0
Annual Time Burden (Hours)	1,233	0	0	1,233	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 for the WIC Nutrition Education study that will add 1,233 burden hours and 7,493 responses to the OMB inventory as a result of program changes.

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Annual Cost to Federal Government:

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: 07/29/2014

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