Information Collection

WIC Participant

IC 203577 under ICR 201601-0584-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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_A1.Study extension flyer to age 5 - English 1-15-16.docx Appendix A1 Study Extension Flyer to Age 5 - English	IC Document
App_A2.Study extension flyer to age 5 - Spanish 1-15-16.docx Appendix A2 Study Extension Flyer to Age 5 - Spanish	IC Document
App_E1.42-mo advance letter - English 1-15-16.docx Appendix E1 42-mo Advance Letter - English	IC Document
App_E2.42-mo advance letter - Spanish 1-15-16.docx Appendix E2 42-mo Advance Letter - Spanish	IC Document
App_G1a.Reminders for non-locatable no active interview - English 1-15-16.docx Appendix G1a Reminders for Non-locatable No Active Interview - English	IC Document
App_G1b.Reminders for non-locatable no active interview - Spanish 1-15-16.docx Appendix G1b Reminders for Non-locatable No Active Interview - Spanish	IC Document
App_G2a.Reminders for non-locatable active interview - English 1-15-16.docx Appendix G2a Reminders for Non-locatable Active Interview - English	IC Document
App_G2b.Reminders for non-locatable active interview - Spanish 1-15-16.docx Appendix G2b Reminders for Non-locatable Active Interview - Spanish	IC Document
App_G3a. Reminders for study participation refusal conversion - English 1-15-16.docx Appendix G3a Reminders for Study Participation Refusal Conversion - English	IC Document
App_G3b. Reminders for study participation refusal conversion - Spanish 1-15-16.docx Appendix G3b Reminders for Study Participation Refusal Conversion - Spanish	IC Document
App_G4a.Reminders for study participation not answering calls - English 1-15-16.docx Appendix G4a Reminders for Study Participation Not Answering Calls - English	IC Document
App_G4b.Reminders for study participation not answering calls - Spanish 1-15-16.docx Appendix G4b Reminders for Study Participation Not Answering Calls - Spanish	IC Document
App_G5a.Reminders for Telephone Research Center voicemail , first message - English 1-15-16.docx Appendix G5a Reminders for Telephone Research Center Voicemail, First Message - English	IC Document
App_G5b Reminders for Telephone Research Center voicemail , first message - Spanish 1-15-16.docx Appendix G5b Reminders for Telephone Research Center Voicemail, First Message - Spanish	IC Document
App_G6a.Reminders for Telephone Research Center voicemail, expiring interview - English 1-15-16.docx Appendix G6a Reminders for Telephone Research Center Voicemail, Expiring Interviews - English	IC Document
App_G6b.Reminders for Telephone Research Center voicemail, expiring interview - Spanish 1-15-16.docx Appendix G6b Reminders for Telephone Research Center Voicemail, Expiring Interviews - Spanish	IC Document
App_G7a.Reminders for interview from Study Liaison - English 1-15-16.docx Appendix G7a Reminders for Interview from Study Liaison - English	IC Document
App_G7b.Reminders for interview from Study Liaison - Spanish 1-15-16.docx Appendix G7b Reminders for Interview from Study Liaison - Spanish	IC Document
App_G8a.Reminders for contact information form - English 1-15-16.docx Appendix G8a Reminders for Contact Information Form - English	IC Document
App_G8b.Reminders for contact information form - Spanish 1-15-16.docx Appendix G8b Reminders for Contact Information Form - Spanish	IC Document
App_G9a.Reminders for consent - English 1-15-16.docx Appendix G9a Reminders for Consent - English	IC Document
App_G9b.Reminders for consent - Spanish 1-15-16.docx Appendix G9b Reminders for Consent - Spanish	IC Document
App_G10a.Letter to study refusals - English 1-15-16.docx Appendix G10a Letter to Study Refusals - English	IC Document
App_G10b.Letter to study refusals - Spanish 1-15-16.docx Appendix G10b Letter to Study Refusals - Spanish	IC Document
App_G11a.Height and weight reminders - English 1-15-16.docx Appendix G11a Height and Weight Reminders - English	IC Document
App_G11b.Height and weight reminders - Spanish 1-22-16.docx Appendix G11b Height and Weight Reminders - Spanish	IC Document
App_H1a.42-mo thank you - English 1-15-16.docx Appendix H1a 42-mo Thank You - English	IC Document
App_H1b.42-mo thank you - Spanish 1-15-16.docx Appendix H1b 42-mo Thank You - Spanish	IC Document
App_H2a.48-mo thank you - English 1-15-16.docx Appendix H2a 48-mo Thank You - English	IC Document
App_H2b.48-mo thank you - Spanish 1-22-16.docx Appendix H2b 48-mo Thank You - Spanish	IC Document
App_H3a.54-mo thank you - English 1-15-16.docx Appendix H3a 54-mo Thank You - English	IC Document
App_H3b 54-mo thank you - Spanish 1-22-16.docx Appendix H3b 54-mo Thank You - Spanish	IC Document
App_H4a.60-mo thank you - English 1-15-16.docx Appendix H4a 60-mo Thank You - English	IC Document
App_H4b.60-mo thank you - Spanish 1-22-16.docx Appendix H4b 60-mo Thank You - Spanish	IC Document
App_HHa_Eng 13 Month FoodModelBooklet.Letter FROM BASE ICR.docx Appendix HHa 13-Month Food Model Booklet Letter - English	IC Document
App_HHb_Span 13 Month FoodModelBooklet.Letter FROM BASE ICR.docx Appendix HHb 13-Month Food Model Booklet Letter - Spanish	IC Document
App_I1.48-mo advance letter - English 1-15-16.docx Appendix I1 48-mo Advance Letter - English	IC Document
App_I2.48-mo advance letter - Spanish 1-15-16.docx Appendix I2 48-mo Advance Letter - Spanish	IC Document
App_L1.48-and 60-mo HT WT respondent letter - English 1-22-16.docx Appendix L1 48-and 60-mo HT/WT Measurement Letter - English	IC Document
App_L2.48-and 60-mo HT WT respondent letter - Spanish 1-15-16.docx Appendix L2 48-and 60-mo HT/WT Measurement Letter - Spanish	IC Document
App_N1.48- and 60-mo text or email provider measures - English 1-15-16.docx Appendix N1 48-and 60-mo Text or Email Provider Measures - English	IC Document
App_N2.48- and 60-mo text or email provider measures - Spanish.docx Appendix N2 48-and 60-mo Text or Email Provider Measures - Spanish	IC Document
App_P1.54-mo advance letter - English 1-15-16.docx Appendix P1 54-mo Advance Letter - English	IC Document
App_P2.54-mo advance letter - Spanish 1-15-16.docx Appendix P2 54-mo Advance Letter - Spanish	IC Document
App_R1.60-mo advance letter - English 1-15-16.docx Appendix R1 60-mo Advance Letter - English	IC Document
App_R2..60-mo advance letter - Spanish 1-15-16.docx Appendix R2 60-mo Advance Letter - Spanish	IC Document
App_T1a.Birthday card respondent year 4 - English 1-15-16.docx Appendix T1a Birthday Card Respondent Year 4 - English	IC Document
App_T1b.Birthday card respondent year 4 - Spanish 1-15-16.docx Appendix T1b Birthday Card Respondent Year 4 - Spanish	IC Document
App_T2a.Birthday card child age 4- English 1-15-16.docx Appendix T2a Birthday Card Child Age 4 - English	IC Document
App_T2b.Birthday card child age 4 - Spanish 1-15-16 .docx Appendix T2b Birthday Card Child Age 4 - Spanish	IC Document
App_T3a.Birthday card respondent year 5 - English 1-15-16.docx Appendix T3a Birthday Card Respondent Year 5 - English	IC Document
App_T3b.Birthday card respondent year 5 - Spanish 1-15-16.docx Appendix T3b Birthday Card Respondent Year 5 - Spanish	IC Document
App_T4a.Birthday card child age 5 - English 1-15-16.docx Appendix T4a Birthday Card Child Age 5 - English	IC Document
App_T4b.Birthday card child age 5 - Spanish 1-15-16.docx Appendix T4b Birthday Card Child Age 5 - Spanish	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

WIC Participant

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

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS-8 USDA/FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 3,277

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	101,019	67,947	33,072
Annual IC Time Burden (Hours)	9,707	5,034	4,673
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix A1 Study Extension Flyer to Age 5 - English	App_A1.Study extension flyer to age 5 - English 1-15-16.docx	01/28/2016
Appendix A2 Study Extension Flyer to Age 5 - Spanish	App_A2.Study extension flyer to age 5 - Spanish 1-15-16.docx	01/28/2016
Appendix E1 42-mo Advance Letter - English	App_E1.42-mo advance letter - English 1-15-16.docx	01/28/2016
Appendix E2 42-mo Advance Letter - Spanish	App_E2.42-mo advance letter - Spanish 1-15-16.docx	01/28/2016
Appendix G1a Reminders for Non-locatable No Active Interview - English	App_G1a.Reminders for non-locatable no active interview - English 1-15-16.docx	01/28/2016
Appendix G1b Reminders for Non-locatable No Active Interview - Spanish	App_G1b.Reminders for non-locatable no active interview - Spanish 1-15-16.docx	01/28/2016
Appendix G2a Reminders for Non-locatable Active Interview - English	App_G2a.Reminders for non-locatable active interview - English 1-15-16.docx	01/28/2016
Appendix G2b Reminders for Non-locatable Active Interview - Spanish	App_G2b.Reminders for non-locatable active interview - Spanish 1-15-16.docx	01/28/2016
Appendix G3a Reminders for Study Participation Refusal Conversion - English	App_G3a. Reminders for study participation refusal conversion - English 1-15-16.docx	01/28/2016
Appendix G3b Reminders for Study Participation Refusal Conversion - Spanish	App_G3b. Reminders for study participation refusal conversion - Spanish 1-15-16.docx	01/28/2016
Appendix G4a Reminders for Study Participation Not Answering Calls - English	App_G4a.Reminders for study participation not answering calls - English 1-15-16.docx	01/28/2016
Appendix G4b Reminders for Study Participation Not Answering Calls - Spanish	App_G4b.Reminders for study participation not answering calls - Spanish 1-15-16.docx	01/28/2016
Appendix G5a Reminders for Telephone Research Center Voicemail, First Message - English	App_G5a.Reminders for Telephone Research Center voicemail , first message - English 1-15-16.docx	01/28/2016
Appendix G5b Reminders for Telephone Research Center Voicemail, First Message - Spanish	App_G5b Reminders for Telephone Research Center voicemail , first message - Spanish 1-15-16.docx	01/28/2016
Appendix G6a Reminders for Telephone Research Center Voicemail, Expiring Interviews - English	App_G6a.Reminders for Telephone Research Center voicemail, expiring interview - English 1-15-16.docx	01/28/2016
Appendix G6b Reminders for Telephone Research Center Voicemail, Expiring Interviews - Spanish	App_G6b.Reminders for Telephone Research Center voicemail, expiring interview - Spanish 1-15-16.docx	01/28/2016
Appendix G7a Reminders for Interview from Study Liaison - English	App_G7a.Reminders for interview from Study Liaison - English 1-15-16.docx	01/28/2016
Appendix G7b Reminders for Interview from Study Liaison - Spanish	App_G7b.Reminders for interview from Study Liaison - Spanish 1-15-16.docx	01/28/2016
Appendix G8a Reminders for Contact Information Form - English	App_G8a.Reminders for contact information form - English 1-15-16.docx	01/28/2016
Appendix G8b Reminders for Contact Information Form - Spanish	App_G8b.Reminders for contact information form - Spanish 1-15-16.docx	01/28/2016
Appendix G9a Reminders for Consent - English	App_G9a.Reminders for consent - English 1-15-16.docx	01/28/2016
Appendix G9b Reminders for Consent - Spanish	App_G9b.Reminders for consent - Spanish 1-15-16.docx	01/28/2016
Appendix G10a Letter to Study Refusals - English	App_G10a.Letter to study refusals - English 1-15-16.docx	01/29/2016
Appendix G10b Letter to Study Refusals - Spanish	App_G10b.Letter to study refusals - Spanish 1-15-16.docx	01/29/2016
Appendix G11a Height and Weight Reminders - English	App_G11a.Height and weight reminders - English 1-15-16.docx	01/29/2016
Appendix G11b Height and Weight Reminders - Spanish	App_G11b.Height and weight reminders - Spanish 1-22-16.docx	01/29/2016
Appendix H1a 42-mo Thank You - English	App_H1a.42-mo thank you - English 1-15-16.docx	01/29/2016
Appendix H1b 42-mo Thank You - Spanish	App_H1b.42-mo thank you - Spanish 1-15-16.docx	01/29/2016
Appendix H2a 48-mo Thank You - English	App_H2a.48-mo thank you - English 1-15-16.docx	01/29/2016
Appendix H2b 48-mo Thank You - Spanish	App_H2b.48-mo thank you - Spanish 1-22-16.docx	01/29/2016
Appendix H3a 54-mo Thank You - English	App_H3a.54-mo thank you - English 1-15-16.docx	01/29/2016
Appendix H3b 54-mo Thank You - Spanish	App_H3b 54-mo thank you - Spanish 1-22-16.docx	01/29/2016
Appendix H4a 60-mo Thank You - English	App_H4a.60-mo thank you - English 1-15-16.docx	01/29/2016
Appendix H4b 60-mo Thank You - Spanish	App_H4b.60-mo thank you - Spanish 1-22-16.docx	01/29/2016
Appendix HHa 13-Month Food Model Booklet Letter - English	App_HHa_Eng 13 Month FoodModelBooklet.Letter FROM BASE ICR.docx	01/29/2016
Appendix HHb 13-Month Food Model Booklet Letter - Spanish	App_HHb_Span 13 Month FoodModelBooklet.Letter FROM BASE ICR.docx	01/29/2016
Appendix I1 48-mo Advance Letter - English	App_I1.48-mo advance letter - English 1-15-16.docx	01/29/2016
Appendix I2 48-mo Advance Letter - Spanish	App_I2.48-mo advance letter - Spanish 1-15-16.docx	01/29/2016
Appendix L1 48-and 60-mo HT/WT Measurement Letter - English	App_L1.48-and 60-mo HT WT respondent letter - English 1-22-16.docx	01/29/2016
Appendix L2 48-and 60-mo HT/WT Measurement Letter - Spanish	App_L2.48-and 60-mo HT WT respondent letter - Spanish 1-15-16.docx	01/29/2016
Appendix N1 48-and 60-mo Text or Email Provider Measures - English	App_N1.48- and 60-mo text or email provider measures - English 1-15-16.docx	01/29/2016
Appendix N2 48-and 60-mo Text or Email Provider Measures - Spanish	App_N2.48- and 60-mo text or email provider measures - Spanish.docx	01/29/2016
Appendix P1 54-mo Advance Letter - English	App_P1.54-mo advance letter - English 1-15-16.docx	01/29/2016
Appendix P2 54-mo Advance Letter - Spanish	App_P2.54-mo advance letter - Spanish 1-15-16.docx	01/29/2016
Appendix R1 60-mo Advance Letter - English	App_R1.60-mo advance letter - English 1-15-16.docx	01/29/2016
Appendix R2 60-mo Advance Letter - Spanish	App_R2..60-mo advance letter - Spanish 1-15-16.docx	01/29/2016
Appendix T1a Birthday Card Respondent Year 4 - English	App_T1a.Birthday card respondent year 4 - English 1-15-16.docx	01/29/2016
Appendix T1b Birthday Card Respondent Year 4 - Spanish	App_T1b.Birthday card respondent year 4 - Spanish 1-15-16.docx	01/29/2016
Appendix T2a Birthday Card Child Age 4 - English	App_T2a.Birthday card child age 4- English 1-15-16.docx	01/29/2016
Appendix T2b Birthday Card Child Age 4 - Spanish	App_T2b.Birthday card child age 4 - Spanish 1-15-16 .docx	01/29/2016
Appendix T3a Birthday Card Respondent Year 5 - English	App_T3a.Birthday card respondent year 5 - English 1-15-16.docx	01/29/2016
Appendix T3b Birthday Card Respondent Year 5 - Spanish	App_T3b.Birthday card respondent year 5 - Spanish 1-15-16.docx	01/29/2016
Appendix T4a Birthday Card Child Age 5 - English	App_T4a.Birthday card child age 5 - English 1-15-16.docx	01/29/2016
Appendix T4b Birthday Card Child Age 5 - Spanish	App_T4b.Birthday card child age 5 - Spanish 1-15-16.docx	01/29/2016

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