Local Agency WIC Clinic Staff - Profit/Non-Profit Businesses (Non-Respondents)

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

Documents and Forms

Document Name Document Type
NON RESPONDENTS BURDEN INSTRUMENT.docx Other-Non Respondents Burden Instrum
NON RESPONDENTS BURDEN INSTRUMENT.docx Other-Non Respondents Burden Instrum

Information Collection (IC) Details

IC Title:	Local Agency WIC Clinic Staff - Profit/Non-Profit Businesses (Non-Respondents)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Non Respondents Burden Instrument			NON RESPONDENTS BURDEN INSTRUMENT.docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS-8 USDA/FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 29	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-157	157
Annual IC Time Burden (Hours)	-3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.