State and Local Agency WIC Clinic Staff - SLT

WIC Nutrition Assessment and Tailoring Study In-Person Site Visit Data Collection

OMB: 0584-0663

IC ID: 244254

Documents and Forms
Document Name
Document Type
Other-Appendix C1 Site Director Inte
Other-Appendix C1 Site Director Inte
Other-Appendix C2a Identified Risks
Other-Appendix C2a Identified Risks
Other-Appendix C3 Staff Interview Gu
Other-Appendix C3 Staff Interview Gu
Other-Appendix D2 Telephone Call wit
Other-Appendix D2 Telephone Call wit
Other-Appendix D3 Informed Consent f
Other-Appendix D3 Informed Consent f
Other-Appendix D4 Informed Consent f
Other-Appendix D4 Informed Consent f
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

State and Local Agency WIC Clinic Staff - SLT
 
No Modified
 
Voluntary
 
7 CFR 246.7(e)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix C1 Site Director Interview Guide C1_Site Director Interview Guide.docx No   Paper Only
Other-Appendix C2a Identified Risks Data Collection Form C2a_Identified Risks Data Collection Form.docx No   Paper Only
Other-Appendix C3 Staff Interview Guide C3_Staff Interview Guide.docx No   Paper Only
Other-Appendix D2 Telephone Call with WIC Clinic D2_Telephone Call with WIC Clinic.docx No   Paper Only
Other-Appendix D3 Informed Consent for Site Director Interview D3_Informed Consent for Site Director Interview.docx No   Paper Only
Other-Appendix D4 Informed Consent for Observation and Staff Interview D4_Informed Consent for Observation and Staff Interview.docx No   Paper Only

Income Security Food and Nutrition Assistance

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

21 21
   
State, Local, and Tribal Governments
 
   0 %

  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 441 0 -971 0 0 1,412
Annual IC Time Burden (Hours) 170 0 -261 0 0 431
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix D1 Site Visit Email to WIC Clinic and Schedule Call D1_Site Visit Email to WIC Clinic and Schedule Call.docx 02/01/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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