WIC NE State & Local - Phase I

WIC Nutrition Education Study

OMB: 0584-0599

IC ID: 212149

Documents and Forms
Document Name
Document Type
Other-A.1_SA Info Request State Plan
Other-A.2_LA Info Request Sampling
Other-B.1_LA Web Survey_REV
Other-B.2_LA Paper Survey_REV
Other-B.3_LA Web_Survey SampleScreen
Other-C.1_Site Web Survey_Version1_
Other-C.2_Site Web Survey_Version2_R
Other-C.3_Site Paper Survey_Version1
Other-C.4_Site Paper Survey_Version2
Other-C.5_Site_Paper_Survey_Version1
Other-C.6_Site_Paper_Survey_Version2
Other-C.7_Site Web Survey SampleScre
Other-G_SA Invite
Other-O_Phase I_SiteIntGuide
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

WIC NE State & Local - Phase I
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-A.1_SA Info Request State Plans_Sampling A.1_SA Info Request State Plans_Sampling.doc No   Printable Only
Other-A.2_LA Info Request Sampling A.2_LA Info Request Sampling.doc No   Printable Only
Other-B.1_LA Web Survey_REV B.1_LA Web Survey_REV.docx Yes Yes Fillable Fileable
Other-B.2_LA Paper Survey_REV B.2_LA Paper Survey_REV.docx No   Paper Only
Other-B.3_LA Web_Survey SampleScreenshots B.3_LA Web_Survey SampleScreenshots.docx Yes Yes Fillable Fileable
Other-C.1_Site Web Survey_Version1_ C.1_Site Web Survey_Version1_.docx Yes Yes Fillable Fileable
Other-C.2_Site Web Survey_Version2_REV C.2_Site Web Survey_Version2_REV.docx Yes Yes Fillable Fileable
Other-C.3_Site Paper Survey_Version1_REV C.3_Site Paper Survey_Version1_REV.docx No   Paper Only
Other-C.4_Site Paper Survey_Version2_REV C.4_Site Paper Survey_Version2_REV.docx No   Paper Only
Other-C.5_Site_Paper_Survey_Version1_Spanish C.5_Site_Paper_Survey_Version1_Spanish.docx No   Paper Only
Other-C.6_Site_Paper_Survey_Version2_Spanish C.6_Site_Paper_Survey_Version2_Spanish.docx No   Paper Only
Other-C.7_Site Web Survey SampleScreenshots C.7_Site Web Survey SampleScreenshots.docx Yes Yes Fillable Fileable
Other-G_SA Invite G_SA Invite.doc No   Printable Only
Other-O_Phase I_SiteIntGuide O_Phase I_SiteIntGuide.docx No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

2,400 0
   
State, Local, and Tribal Governments
 
   87 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,149 0 2,149 0 0 0
Annual IC Time Burden (Hours) 712 0 712 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
I.1_LA Invite I.1_LA Invite.docx 06/28/2014
F_Phase I Brochure F_Phase I Brochure.doc 07/22/2014
H.1_Phase I FAQ_English H.1_Phase I FAQ_English.docx 06/28/2014
H.2_Phase I FAQ_Spanish.docx H.2_Phase I FAQ_Spanish.docx 06/29/2014
J.1_Site Invite J.1_Site Invite.docx 06/28/2014
J.2_Site Invite_Spanish J.2_Site Invite_Spanish.docx 06/28/2014
G_SA Invite G_SA Invite.doc 06/28/2014
E_SA Announce Email_REVkcb E_SA Announce Email_REVkcb.doc 06/28/2014
K.1_LA Survey Remind 1 K.1_LA Survey Remind 1.docx 06/28/2014
K.2_LA Survey Remind 2.docx K.2_LA Survey Remind 2.docx 06/28/2014
K.3_LA Survey Remind 3.docx K.3_LA Survey Remind 3.docx 06/28/2014
K.4_LA Survey Remind 4.docx K.4_LA Survey Remind 4.docx 06/28/2014
L.1_Site Email Remind 1.docx L.1_Site Email Remind 1.docx 06/28/2014
L.2_Site Letter Remind 1.docx L.2_Site Letter Remind 1.docx 06/28/2014
L.3_Site Letter Reminder1_Spanish.docx L.3_Site Letter Reminder1_Spanish.docx 06/28/2014
M_SA Nonrespond Email.docx M_SA Nonrespond Email.docx 06/28/2014
N_LA Remind Scrpt.docx N_LA Remind Scrpt.docx 06/28/2014
P_Site Interviews Email Invite.docx P_Site Interviews Email Invite.docx 06/28/2014
Q_Site Interviews Phone Schedule.docx Q_Site Interviews Phone Schedule.docx 06/28/2014
R_Site Interviews Email Reminder.docx R_Site Interviews Email Reminder.docx 06/28/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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