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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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			App_O.Ht_Wt SA Admin Data Request.V2 PRAO recommendations 11-12-14.V2.docx		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 %

	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

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

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