Information Collection

State and Local WIC-Screener, Staff, Personel Non-Response

IC 205114 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⚠️ Notice: This information collection may be referencing outdated material.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
NON-RESPONDENT PLACE HOLDER state and local government.doc Other-Non-Respondent Place Holder

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State and Local WIC-Screener, Staff, Personel Non-Response	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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-Non-Respondent Place Holder			NON-RESPONDENT PLACE HOLDER state and local government.doc		Yes	Yes	Fillable Fileable

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: 259	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-122	122
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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