Information Collection

State and Local WIC-Data Mgr. and WIC Staff

IC 203582 under ICR 201408-0584-007 · OMB 0584-0580.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0580 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
App_O.Ht_Wt SA Admin Data Request.V2 PRAO recommendations 11-12-14.V2.docx	Other-App_O.Ht_Wt SA Admin Data Requ
App_L.V2.Contact Information Request to Sites.docx App_L.V2.Contact Information Request to WIC Sites	IC Document
App_M. Study Extension SA Announcement 8-29-14 PRAO recommendations 11-12-14CM Rev.docx App_M. Study Extension SA Announcement 8-29-14 PRAO recommendations 11-12-14CM Rev	IC Document
App_N.Study Extension SA Letter 8-29-14.V2 PRAO recommendations 11-12-14CMRev.docx App_N.Study Extension SA Letter 8-29-14.V2 PRAO recommendations 11-12-14CMRev	IC Document
App_P.AgendaStateConferenceCall.docx App_P.AgendaStateConferenceCall	IC Document
App_Q. Study Extension Site Announcement 8-29-14 PRAO recommendations 11-12-14CMRev.docx App_Q. Study Extension Site Announcement 8-29-14 PRAO recommendations 11-12-14CMRev	IC Document
App_R. Study Extension Site Letter 8-29-14.V2 PRAO recommendations 11-12-14CMRev.V2.docx App_R. Study Extension Site Letter 8-29-14.V2 PRAO recommendations 11-12-14CMRev.V2	IC Document
App_S Study Extension Site HT-WT Request Attachment PRAO recommendations 11-12-14CMRev.docx App_S Study Extension Site HT-WT Request Attachment PRAO recommendations 11-12-14CMRev	IC Document
App_T.AgendaWICSiteConferenceCall.docx App_T.AgendaWICSiteConferenceCall	IC Document

IC Title:

State and Local WIC-Data Mgr. and WIC Staff

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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
Other-App_O.Ht_Wt SA Admin Data Request.V2 PRAO recommendations 11-12-14.V2					No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: Privacy Act of 1974

FR Citation: 5 FR 552

Number of Respondents: 107

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,454	2,013	441
Annual IC Time Burden (Hours)	362	-56	418
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
App_L.V2.Contact Information Request to WIC Sites		12/23/2014
App_M. Study Extension SA Announcement 8-29-14 PRAO recommendations 11-12-14CM Rev		12/23/2014
App_N.Study Extension SA Letter 8-29-14.V2 PRAO recommendations 11-12-14CMRev		12/23/2014
App_P.AgendaStateConferenceCall		12/23/2014
App_Q. Study Extension Site Announcement 8-29-14 PRAO recommendations 11-12-14CMRev		12/23/2014
App_R. Study Extension Site Letter 8-29-14.V2 PRAO recommendations 11-12-14CMRev.V2		12/23/2014
App_S Study Extension Site HT-WT Request Attachment PRAO recommendations 11-12-14CMRev		12/23/2014
App_T.AgendaWICSiteConferenceCall		12/23/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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