Information Collection

The Integrity Profile (TIP) Data Collection

IC 3052 under ICR 201804-0584-002 · OMB 0584-0401.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-698 The Integrity Profile (TIP) Data Collection	Form and Instruction
FNS-698 and 699 Screen Shot 1.docx wic.fns.usda.gov/wictip/	Other-FNS-698 and 699 Screen Shot 1.
FNS-698 and 699 Screen Shot 2.docx wic.fns.usda.gov/wictip/	Other-FNS-698 and 699 Screen Shot 2.
FNS-700 Screen Shot.docx wic.fns.usda.gov/wictip/	Other-FNS-700 Screen Shot.docx
TIP Home Page Screen Shot (PBS).pdf wic.fns.usda.gov/wictip/	Other-TIP Home Page Screen Shot (PBS
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

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:

table that charts list of 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
Other-FNS-698 and 699 Screen Shot 1.docx			FNS-698 and 699 Screen Shot 1.docx	https://wic.fns.usda.gov/wictip/	Yes	Yes	Fillable Fileable Signable
Other-FNS-698 and 699 Screen Shot 2.docx			FNS-698 and 699 Screen Shot 2.docx	https://wic.fns.usda.gov/wictip/	Yes	Yes	Fillable Fileable Signable
Other-FNS-700 Screen Shot.docx			FNS-700 Screen Shot.docx	https://wic.fns.usda.gov/wictip/	Yes	Yes	Fillable Fileable Signable
Other-TIP Home Page Screen Shot (PBS)			TIP Home Page Screen Shot (PBS).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: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,430	3,160	270
Annual IC Time Burden (Hours)	1,083	1,045	38
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.