The Integrity Profile (TIP) Data Collection

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0401 can be found here:

Documents and Forms

Document Name Document Type
Form FNS-698 The Integrity Profile (TIP) Data Collection Form and Instruction
FNS-698 Profile of Integrity Practices and Procedures (PIPP) FNS-698.pdf wic.fns.usda.gov/wictip/ Form and Instruction
FNS-699 The Integrity Profile (TIP) Report Form FNS-699.pdf wic.fns.usda.gov/wictip/ Form and Instruction
FNS-700 TIP Data Entry Form FNS-700.pdf wic.fns.usda.gov/wictip/ Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	The Integrity Profile (TIP) Data Collection	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 246.12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-698	Profile of Integrity Practices and Procedures (PIPP)	FNS-698.pdf	https://wic.fns.usda.gov/wictip/	Yes	Yes	Fillable Fileable
Form and Instruction	FNS-699	The Integrity Profile (TIP) Report Form	FNS-699.pdf	https://wic.fns.usda.gov/wictip/	Yes	Yes	Fillable Fileable
Form and Instruction	FNS-700	TIP Data Entry Form	FNS-700.pdf	https://wic.fns.usda.gov/wictip/	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 10

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	270	180	90
Annual IC Time Burden (Hours)	38	0	38
Annual IC Cost Burden (Dollars)	0	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.