Current, Former, and Recently Denied WIC Participants (Individuals/Households)

Third National Survey of WIC Participants (NSWP-III)

OMB: 0584-0641

IC ID: 229849

Documents and Forms
Document Name
Document Type
Other-Appendix B3.a Certification Su
Other-Appendix B3.b Ceritfication Su
Other-Appendix B3.c Certification Su
Other-Appendix B3.d Certification Su
Other-Appendix B4.a Denied Applicant
Other-Appendix B4.b Denied Applicant
Other-Appendix B4.c Denied Applicant
Other-Appendix B4.d Denied Applicant
Other-Appendix B5.a Program Experien
Other-Appendix B5.b Program Experien
Other-Appendix B5.c Program Experien
Other-Appendix B5.d Program Experien
Other-Appendix B6.a Former WIC Parti
Other-Appendix B6.b Former WIC Parti
Other-Appendix C11.a Certifcation Su
Other-Appendix C11.b Certification S
Other-Appendix C12.a Certification S
Other-Appendix C12.b Certification S
Other-Appendix C14.a Telephone Remin
Other-Appendix C14.b Telephone Remin
Other-Appendix C15.a Denied WIC Appl
Other-Appendix C15.b Denied WIC Appl
Other-Appendix C16.a Denied WIC Appl
Other-Appendix C16.b Denied WIC Appl
Other-Appendix C18.a Telephone Remin
Other-Appendix C18.b Telephone Remin
Other-Appendix C19.a Program Experie
Other-Appendix C19.b Program Experie
Other-Appendix C22.a Program Experie
Other-Appendix C22.b Program Experie
Other-Appendix C23.a Former WIC Part
Other-Appendix C23.b Former WIC Part
Other-Appendix D7.a Participant Cons
Other-Appendix D7.b Participant Cons
Other-Appendix D9.a Participant Cons
Other-Appendix D9.b Participant Cons
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
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IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Current, Former, and Recently Denied WIC Participants (Individuals/Households)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix C15.a Denied WIC Applicant Survey Recruitment Telephone Script - English App C15.a Denied WIC Applicant Survey Recruitment Telephone Script - English.docx Yes Yes Fillable Fileable
Other-Appendix C15.b Denied WIC Applicant Survey Recruitment Telephone Script - Spanish App C15.b Denied WIC Applicant Survey Recruitment Telephone Script - Spanish.docx Yes Yes Fillable Fileable
Other-Appendix C16.a Denied WIC Applicant Survey Recruitment In-Person Script - English App C16.a Denied WIC Applicant Survey Recruitment In-Person Script - English.docx No   Paper Only
Other-Appendix C16.b Denied WIC Applicant Survey Recruitment In-Person Script - Spanish App C16.b Denied WIC Applicant Survey Recruitment In-Person Script - Spanish.docx No   Paper Only
Other-Appendix C18.a Telephone Reminder for Scheduled Denied Applicant Survey - English App C18.a Telephone Reminder for Scheduled Denied Applicant Survey - English.docx Yes Yes Fillable Fileable
Other-Appendix C18.b Telephone Reminder for Scheduled Denied Applicant Survey - Spanish App C18.b Telephone Reminder for Scheduled Denied Applicant Survey- Spanish.docx Yes Yes Fillable Fileable
Other-Appendix C19.a Program Experiences Survey Invitation Telephone Script - English App C19.a Program Experiences Survey Invitation Telephone Script-English.docx Yes Yes Fillable Fileable
Other-Appendix D7.a Participant Consent Form - Certification Survey - English App D7.a Participant Consent Form Certification Survey - English.docx No   Paper Only
Other-Appendix D7.b Participant Consent Form - Certification Survey-Spanish App D7.b Participant Consent Form Certification Survey - Spanish.docx No   Paper Only
Other-Appendix C12.a Certification Survey recruitment In-Person Script - English App C12.a Certification Survey Recruitment In-Person Script-English.docx No   Paper Only
Other-Appendix C12.b Certification Survey Recruitment In-Person Script - Spanish App C12.b Certification Survey Recruitment In-Person Script - Spanish.docx No   Paper Only
Other-Appendix C14.a Telephone Reminder for Scheduled Certification Survey - English App C14.a Telephone Reminder for Scheduled Certification Survey - English.docx Yes Yes Fillable Fileable
Other-Appendix C14.b Telephone Reminder for Scheduled Certification Survey - Spanish App C14.b Telephone Reminder for Scheduled Certification Survey - Spanish.docx Yes Yes Fillable Fileable
Other-Appendix C19.b Program Experiences Survey Invitation Telephone Script - Spanish App C19.b Program Experiences Survey Invitation Telephone Script - Spanish.docx Yes Yes Fillable Fileable
Other-Appendix C22.a Program Experiences Survey Invitaton In-Person Script - English App C22.a Program Experiences Survey Invitation In-Person Script - English.docx No   Paper Only
Other-Appendix C22.b Program Experiences Survey Invitation In-Person Script - Spanish App C22.b. Program Experiences Survey Invitation In-Person Script - Spanish.docx No   Paper Only
Other-Appendix C23.a Former WIC Participant Case Study Interview Invitation Telephone Script - English App C23.a FormerWICParticipantCaseStudyInterviewInvitationTelephoneScript_English.docx Yes Yes Fillable Fileable
Other-Appendix C23.b Former WIC Participant Case Study Interview Invitation Telephone Script - Spanish App C23.b FormerWICPartCaseStudyIntervInviteTelScript - Spanish.docx Yes Yes Fillable Fileable
Other-Appendix B3.a Certification Survey Version A (Adult) - English App B3.a Certification Survey Version A (Adult) - English.docx Yes Yes Fillable Fileable
Other-Appendix B3.b Ceritfication Survey Version B (Infant/Child) - English App B3.b Certification Survey Version B (Infant_Child) - English.docx Yes Yes Fillable Fileable
Other-Appendix B3.c Certification Survey Version A (Adult) - Spanish App B3.c Certification Survey Version A (Adult) - Spanish.docx Yes Yes Fillable Fileable
Other-Appendix B3.d Certification Survey Version B (Infant/Child) - Spanish App B3.d Certification Survey Version B (Infant_Child) - Spanish.docx Yes Yes Fillable Fileable
Other-Appendix B4.a Denied Applicant Survey Version A (Adult) - English App B4.a Denied Applicant Survey Version A (Adult) - English.docx Yes Yes Fillable Fileable
Other-Appendix B4.b Denied Applicant Survey Version B (Infant/Child) - English App B4.b Denied Applicant Survey Version B (Infant_Child)- English.docx Yes Yes Fillable Fileable
Other-Appendix B4.c Denied Applicant Survey: Version A (Adult) - Spanish App B4.c Denied Applicant Survey Version A (Adult) - Spanish.docx Yes Yes Fillable Fileable
Other-Appendix B4.d Denied Applicant Survey Version B (Infant/Child) - Spanish App B4.d Denied Applicant Survey Version B (Infant_Child) - Spanish.docx Yes Yes Fillable Fileable
Other-Appendix B5.a Program Experiences Survey Version A (Adult) - English App B5.a Program Experiences Survey Version A (Adult) - English.docx Yes Yes Fillable Fileable
Other-Appendix B5.b Program Experiences Survey Version B (Infant/Child) - English App B5.b Program Experiences Survey Version B (Infant_Child) - English.docx Yes Yes Fillable Fileable
Other-Appendix B5.c Program Experiences Survey Version A (Adult) - Spanish App B5.c Program Experiences Survey Version A (Adult).docx Yes Yes Fillable Fileable
Other-Appendix B5.d Program Experiences Survey Version B (Infant/Child) - Spanish App B5.d Program Experiences Survey Version B (Infant_Child).docx Yes Yes Fillable Fileable
Other-Appendix B6.a Former WIC Participant Case Study Interview Guide - English App B6.a Former WIC Participant Case Study Interview Guide.docx No   Paper Only
Other-Appendix B6.b Former WIC Participant Case Study Interview Guide - Spanish App B6.b Former WIC Participant Case Study Interview Guide.docx No   Paper Only
Other-Appendix C11.a Certifcation Survey Recruitment Telephone Script - English App C11.a Certification Survey Recruitment Telephone Script - English.docx Yes Yes Fillable Fileable
Other-Appendix C11.b Certification Survey Recruitment Telephone Script - Spanish App C11.b Certification Survey Recruitment Telephone Script-Spanish.docx Yes Yes Fillable Fileable
Other-Appendix D9.a Participant Consent Form - Denied Applicant Survey - English App D9.a Participant Consent Form Denied Applicant Survey.docx No   Paper Only
Other-Appendix D9.b Participant Consent Form - Denied Applicant Survey - Spanish App D9.b Participant Consent Form Denied Applicant Survey - Spanish.docx No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

3,475 0
   
Individuals or Households
 
   57 %

  Approved 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 16,727 0 16,727 0 0 0
Annual IC Time Burden (Hours) 3,474 0 3,474 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix C13.a Text Message Reminder for Scheduled Certification Survey - English App C13.a Text Message Reminder for Scheduled Certification Survey - English.docx 01/30/2018
Appendix C13.b Text Message Reminder for Scheduled Certification Survey - Spanish App C13.b Text Message Reminder for Scheduled Certification Survey - Spanish.docx 01/30/2018
Appendix C17.a Text Message Reminder for Scheduled Denied Applicant Survey - English App C17.a Text Message Reminder for Scheduled Denied Applicant Survey - English.docx 01/30/2018
Appendix C17.b Text Message Reminder for Scheduled Denied Applicant Survey - Spanish App C17.b Text Message Reminder for Scheduled Denied Applicant Survey- Spanish.docx 01/30/2018
Appendix C20.a Program Experiences Survey Invitation Letter - English App C20.a. Program Experiences Survey Invitation Letter - English.docx 01/30/2018
Appendix C20.b Program Experiences Survey Invitation Letter - Spanish App C20.b. Program Experiences Survey Invitation Letter - Spanish.docx 01/30/2018
Appendix C21.a Program Experiences Survey Invitation Email - English App C21.a. Program Experiences Survey Invitation Email - English.docx 01/30/2018
Appendix C21.b Program Experiences Survey Invitation Email - Spanish App C21.b. Program Experiences Survey Invitation Email - Spanish.docx 01/30/2018
Appendix D6.a Certification Survey Information Letter from State Agencies - English App D6.a Certification Survey Information Letter from State Agencies - English.docx 01/30/2018
Appendix D6.b Certification Survey Information Letter from State Agencies - Spanish App D6.b Certification Survey Information Letter from State Agencies- Spanish.docx 01/30/2018
Appendix D8.a Denied WIC Applicant Information Letter from State Agencies - English App D8.a Denied WIC Applicant Information Letter from State Agencies - English.docx 01/30/2018
Appendix D8.b Denied WIC Applicant Information Letter from State Agencies - Spanish App D8.b. Denied WIC Applicant Information Letter from State Agencies - Spanish.docx 01/30/2018
Appendix D10.a Program Experiences Survey Invitation Postcard - English App D10.a. Program Experiences Survey Invitation Postcard.docx 01/31/2018
Appendix D10.b Program Experiences Survey Invitation Postcard - Spanish App D10.b. Program Experiences Survey Invitation Postcard - Spanish.docx 01/31/2018
Appendix D11.a Participant Information Brochure - English App D11.a Participant Information Brochures.docx 01/31/2018
Appendix D11.b Participant Information Brochure - Spanish App D11.b Participant Information Brochure - Spanish.docx 01/31/2018
Appendix D12.a Program Experiences Servey Thank You Letter and Visa Debit Card - English App D12.a PES Thank You Letter and Gift Card - English.docx 01/31/2018
Appendix D12.b Program Experiences Survey Thank You Letter and Visa Debit Card - Spanish App D12.b PES Thank You Letter and Gift Card - Spanish.docx 01/31/2018
Appendix D13.a Former WIC Participant Case Study Interview Thank You Letter and Visa Debit Card - English App D13.a FormerWICParticipantCaseStudyInterviewThankYouLetterandGiftCard - English.docx 01/31/2018
Appendix D13.b Former WIC Participant Case Study Interview Thank You Letter and Visa Debit Card - Spanish App D13.b FormerWICPartCaseStudyInterview_ThankYou_GiftCard_Spanish.docx 01/31/2018
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