Third National Survey of WIC Participants (NSWP-III)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NSWP III Revised Part B 9-18-18.docx	Supporting Statement B	Uploaded 2018-09-18	Available
NSWP III Revised Part A 9-18-18.docx	Supporting Statement A	Uploaded 2018-09-18	Available
App H Institutional Review Board Approval Letter.pdf	Supplementary Document	Uploaded 2018-01-31	Available
App G NSWP-III General Data Collection Procedures Revised 2.27.28.docx	Supplementary Document	Uploaded 2018-02-27	Available
App F2 Pretest Revisions Summary.docx	Supplementary Document	Uploaded 2018-01-31	Available
App F1 Pretest Memorandum.docx	Supplementary Document	Uploaded 2018-01-31	Available
App E5 Annualized Cost to Respondents_v3.xlsx	Supplementary Document	Uploaded 2018-09-18	Available
App E4 Estimates of Respondent Burden_v3.xlsx	Supplementary Document	Uploaded 2018-09-18	Available
App E3.2 Response to NASS Comments.docx	Supplementary Document	Uploaded 2018-01-31	Available
App E3.1 NASS Comments.docx	Supplementary Document	Uploaded 2018-01-31	Available
App C1. Notification Email to Regional Offices.docx	Supplementary Document	Uploaded 2018-01-31	Available
App A9. Section 28 of the Richard B Russell National School Lunch Act as amended by the Healthy, Hunger-Free Kids Act of 2010 (HHFKA).docx	Supplementary Document	Uploaded 2018-01-31	Available
App A8. Contractor Confidentiality Forms.docx	Supplementary Document	Uploaded 2018-01-31	Available
App A7. Code of Federal Regulations 246.7 Certification of Participants.docx	Supplementary Document	Uploaded 2018-01-31	Available
App A6. Code of Federal Regulations. 215.11 Special Responsibilities of State Agencies.docx	Supplementary Document	Uploaded 2018-01-31	Available
App A5. NSWP-III Research Questions and Objectives.docx	Supplementary Document	Uploaded 2018-01-31	Available
APP A4. M-18-20- Appendix C.pdf	Supplementary Document	Uploaded 2018-09-18	Available
App A3. OIG FY 2014 Compliance Improper Payment Requirements.pdf	Supplementary Document	Uploaded 2018-01-31	Available
App A2. 2009 Executive Order 13520 Reducing Improper Payments.pdf	Supplementary Document	Uploaded 2018-01-31	Available
App A1. Improper Payment Elimination and Recovery Act of 2012.docx	Supplementary Document	Uploaded 2018-01-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
229850	Current, Former, and Recently Denied WIC Participants - Non-Respondents (Individuals/Households)	Other-Non Respondents Burden Instrument	New
229849	Current, Former, and Recently Denied WIC Participants (Individuals/Households)	Other-Appendix B3.a Certification Survey Version A (Adult) - Eng	New
229848	State and Local WIC Agency Directors - Non-respondents (SLT)	Other-Non Respondents Burden Instrument	New
229847	State and Local WIC Agency Directors (SLT)	Other-Appendix B1.b State Agency Survey - Screenshots	New

ICR Details

OMB Control No: 0584-0641	ICR Reference No: 201801-0584-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Third National Survey of WIC Participants (NSWP-III)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/20/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/13/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2021	36 Months From Approved
Responses	47,779	0	0
Time Burden (Hours)	5,132	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This collection will provide FNS with nationally representative estimates of improper payments from WIC arising from errors in the certification or denial of WIC applicants, in order to fulfill IPERIA requirements. In addition, information on participant experiences and State and local agency policies as they relate to certification will be collected.

---

Authorizing Statute(s): EO: EO 13520 Name/Subject of EO: Reducing Improper Payments
   PL: Pub.L. 112 - 248 3 and 4 Name of Law: Improper Payment Elimination and Recovery Improvement Act of 2012
   US Code: 42 USC 1769i Name of Law: Richard B. Russell National School Lunch Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 44986	09/27/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 10823	03/13/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Current, Former, and Recently Denied WIC Participants (Individuals/Households)
Current, Former, and Recently Denied WIC Participants - Non-Respondents (Individuals/Households)
State and Local WIC Agency Directors (SLT)
State and Local WIC Agency Directors - Non-respondents (SLT)

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	47,779	0	0	47,779	0	0
Annual Time Burden (Hours)	5,132	0	0	5,132	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection request for a study, the Third National Survey of WIC Participants (NSWP-III), which will provide the Food and Nutrition Service with nationally representative estimates of improper payments from the Special Supplemental Program for Women, Infants, and Children (WIC). This new information collection request will add 5,132 burden hours and 47,779 responses as a program change to OMB's inventory.

---

Annual Cost to Federal Government: $694,839

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/13/2018

---