Customer Opinion /Satisfaction Survey Regarding the WIC Integrity Profile (TIP Apllication)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery - Department

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0503-0021 can be found here:

Documents and Forms

Document Name Document Type
FNS WIC TIP Modernization Assessment_FINAL_Phase 1 - State Agency Survey.pdf Other-Survey
FNS WIC TIP Clearance Submission_04212016 v3.doc Fast-Track Generic Template IC Document

Information Collection (IC) Details

IC Title:	Customer Opinion /Satisfaction Survey Regarding the WIC Integrity Profile (TIP Apllication)	Agency IC Tracking Number:	0584

IC Status: New

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-Survey			FNS WIC TIP Modernization Assessment_FINAL_Phase 1 - State Agency Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	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
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast-Track Generic Template	FNS WIC TIP Clearance Submission_04212016 v3.doc	04/21/2016

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