Information Collection

Perform Research for Loving Support Campaign Update (Phase 1)

IC 215913 under ICR 201606-0584-004 · OMB 0584-0524.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment A - WIC Peer Counselor In-Depth Interview Guide draft_3-24-15 PRAO recommnedations 3-25.docx Other-Attachment A - WIC Peer Counse
Attachment B - WIC State Breastfeeding Coordinators In-Depth Interview Guide draft _3-24-15 PRAO recommendations 3-26.docx Other-Attachment B - WIC State Breas
Attachment C - WIC Local Breastfeeding Coordinators and Staff In-Depth Interview Guide draft _3-24-15 PRAO recommendations 3-28. Other-Attachment C - WIC Local Breas
Attachment D - Breastfeeding Subject Matter Experts In-Depth Interview Guide draft _3-24-15 PRAO recommendations 3-26.docx Other-Attachment D - Breastfeeding S
Attachment E - Home-Visiting Nurses Midwives Doulas In-Depth Interview Guide draft _3-24-15 PRAO recommendations 3-27.docx Other-Attachment E - Home-Visiting N
OMB Memorandum Request Approval to Perform Research 4-21-15.docx
OMB Justification Memo
IC Document
Attachment F - WIC Peer Counselor Recruitment Email Invitation with Screening Criteria v2.docx
Attachment F - WIC Peer Counselor Recruitment Email Invitation with Screening Criteria
IC Document
Attachment G - WIC State Breastfeeding Coordinators Recruitment Email Invitation with Screening Criteria.docx
Attachment G - WIC State Breastfeeding Coordinators Recruitment Email Invitation with Screening Criteria
IC Document
Attachment H - WIC Local Breastfeeding Coordinators and Staff Recruitment Email Invitation with Screening Criteria.docx
Attachment H - WIC Local Breastfeeding Coordinators and Staff Recruitment Email Invitation with Screening Criteria
IC Document
Attachment I - Breastfeeding Subject Matter Experts Recruitment Email Invitation with Screening Criteria.docx
Attachment I - Breastfeeding Subject Matter Experts Recruitment Email Invitation with Screening Criteria
IC Document
Attachment J - Home-Visiting Nurses Midwives Doulas Recruitment Email Invitation with Screening Criteria (2).docx
Attachment J - Home-Visiting Nurses Midwives Doulas Recruitment Email Invitation with Screening Criteria (2)
IC Document
Incentive Justification.docx
Attachment K Incentive Justification
IC Document

Information Collection (IC) Details

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layout table

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
Other-Attachment A - WIC Peer Counselor In-Depth Interview Guide Attachment A - WIC Peer Counselor In-Depth Interview Guide draft_3-24-15 PRAO recommnedations 3-25.docx No   Paper Only
Other-Attachment B - WIC State Breastfeeding Coordinators In-Depth Interview Guide Attachment B - WIC State Breastfeeding Coordinators In-Depth Interview Guide draft _3-24-15 PRAO recommendations 3-26.docx No   Paper Only
Other-Attachment C - WIC Local Breastfeeding Coordinators and Staff In-Depth Interview Guide draft _3-24-15 PRAO recommendations 3-28 Attachment C - WIC Local Breastfeeding Coordinators and Staff In-Depth Interview Guide draft _3-24-15 PRAO recommendations 3-28.docx No   Paper Only
Other-Attachment D - Breastfeeding Subject Matter Experts In-Depth Interview Guid Attachment D - Breastfeeding Subject Matter Experts In-Depth Interview Guide draft _3-24-15 PRAO recommendations 3-26.docx No   Paper Only
Other-Attachment E - Home-Visiting Nurses Midwives Doulas In-Depth Interview Guide Attachment E - Home-Visiting Nurses Midwives Doulas In-Depth Interview Guide draft _3-24-15 PRAO recommendations 3-27.docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 108 0 0 0 0 108
Annual IC Time Burden (Hours) 31 0 0 0 0 31
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
OMB Justification Memo OMB Memorandum Request Approval to Perform Research 4-21-15.docx 04/21/2015
Attachment F - WIC Peer Counselor Recruitment Email Invitation with Screening Criteria Attachment F - WIC Peer Counselor Recruitment Email Invitation with Screening Criteria v2.docx 05/04/2015
Attachment G - WIC State Breastfeeding Coordinators Recruitment Email Invitation with Screening Criteria Attachment G - WIC State Breastfeeding Coordinators Recruitment Email Invitation with Screening Criteria.docx 04/21/2015
Attachment H - WIC Local Breastfeeding Coordinators and Staff Recruitment Email Invitation with Screening Criteria Attachment H - WIC Local Breastfeeding Coordinators and Staff Recruitment Email Invitation with Screening Criteria.docx 04/21/2015
Attachment I - Breastfeeding Subject Matter Experts Recruitment Email Invitation with Screening Criteria Attachment I - Breastfeeding Subject Matter Experts Recruitment Email Invitation with Screening Criteria.docx 04/21/2015
Attachment J - Home-Visiting Nurses Midwives Doulas Recruitment Email Invitation with Screening Criteria (2) Attachment J - Home-Visiting Nurses Midwives Doulas Recruitment Email Invitation with Screening Criteria (2).docx 04/21/2015
Attachment K Incentive Justification Incentive Justification.docx 04/21/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.