Information Collection

WIC Participants - Individuals and Households

IC 244259 under ICR 202202-0584-001 · OMB 0584-0663.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
C2_Nutrition Services Observation Form.docx	Other-Appendix C2 Nutrition Services
C2_Nutrition Services Observation Form.docx	Other-Appendix C2 Nutrition Services
C4_WIC Participant Interview Guide.docx	Other-Appendix C4 WIC Participant In
C4_WIC Participant Interview Guide.docx	Other-Appendix C4 WIC Participant In
C4a_WIC Participant Interview Guide-Spanish.docx	Other-Appendix C4a WIC Participant I
C4a_WIC Participant Interview Guide-Spanish.docx	Other-Appendix C4a WIC Participant I
D6_WIC Participant Screener.docx	Other-Appendix D6 WIC Participant Sc
D6_WIC Participant Screener.docx	Other-Appendix D6 WIC Participant Sc
D6a_WIC Participant Screener-Spanish.docx	Other-Appendix D6a WIC Participant S
D6a_WIC Participant Screener-Spanish.docx	Other-Appendix D6a WIC Participant S
D7_Informed Consent for Observation and WIC Participant Interview.docx	Other-Appendix D7 Informed Consent f
D7_Informed Consent for Observation and WIC Participant Interview.docx	Other-Appendix D7 Informed Consent f
D7a_Informed Consent for Observation and WIC Participant Interview-Spanish.docx	Other-Appendix D7a Informed Consent
D7a_Informed Consent for Observation and WIC Participant Interview-Spanish.docx	Other-Appendix D7a Informed Consent
D5_Study Brochure for WIC Participant.pdf Appendix D5 Study Brochure for WIC Participant	IC Document
D5_Study Brochure for WIC Participant.pdf Appendix D5 Study Brochure for WIC Participant	IC Document
D5a_Study Brochure for WIC Participant-Spanish.pdf Appendix D5a Study Brochure for WIC Participant - Spanish	IC Document
D5a_Study Brochure for WIC Participant-Spanish.pdf Appendix D5a Study Brochure for WIC Participant - Spanish	IC Document
D8_Reminder Text for WIC Participant Interview to be Conducted Over the Phone.docx Appendix D8 Reminder Text for WIC Participant Interview to be Conducted Over the Phone	IC Document
D8_Reminder Text for WIC Participant Interview to be Conducted Over the Phone.docx Appendix D8 Reminder Text for WIC Participant Interview to be Conducted Over the Phone	IC Document
D8a_Reminder Text for WIC Participant Interview to be Conducted Over the Phone-Spanish.docx Appendix D8a Reminder Text for WIC Participant Interview to be Conducted Over the Phone - Spanish	IC Document
D8a_Reminder Text for WIC Participant Interview to be Conducted Over the Phone-Spanish.docx Appendix D8a Reminder Text for WIC Participant Interview to be Conducted Over the Phone - Spanish	IC Document
D9_Reminder Call for WIC Participant Interview to be Conducted Over the Phone.docx Appendix D9 Reminder Call for WIC Participant Interview to be Conducted Over the Phone	IC Document
D9_Reminder Call for WIC Participant Interview to be Conducted Over the Phone.docx Appendix D9 Reminder Call for WIC Participant Interview to be Conducted Over the Phone	IC Document
D9a_Reminder Call for WIC Participant Interview to be Conducted Over the Phone-Spanish.docx Appendix D9a Reminder Call for WIC Participant Interview to be Conducted Over the Phone - Spanish	IC Document
D9a_Reminder Call for WIC Participant Interview to be Conducted Over the Phone-Spanish.docx Appendix D9a Reminder Call for WIC Participant Interview to be Conducted Over the Phone - Spanish	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

WIC Participants - Individuals and Households

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Appendix C2 Nutrition Services Observation Form	C2_Nutrition Services Observation Form.docx	No	Paper Only
Other-Appendix C4 WIC Participant Interview Guide	C4_WIC Participant Interview Guide.docx	No	Paper Only
Other-Appendix C4a WIC Participant Interview Guide - Spanish	C4a_WIC Participant Interview Guide-Spanish.docx	No	Paper Only
Other-Appendix D6 WIC Participant Screener	D6_WIC Participant Screener.docx	No	Paper Only
Other-Appendix D6a WIC Participant Screener - Spanish	D6a_WIC Participant Screener-Spanish.docx	No	Paper Only
Other-Appendix D7 Informed Consent for Observation and WIC Participant Interview	D7_Informed Consent for Observation and WIC Participant Interview.docx	No	Paper Only
Other-Appendix D7a Informed Consent for Observation and WIC Participant Interview - Spanish	D7a_Informed Consent for Observation and WIC Participant Interview-Spanish.docx	No	Paper Only

Federal Enterprise Architecture Business Reference Module

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: 510

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,490	-152	2,642
Annual IC Time Burden (Hours)	238	-4	242
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix D5 Study Brochure for WIC Participant	D5_Study Brochure for WIC Participant.pdf	02/02/2022
Appendix D5a Study Brochure for WIC Participant - Spanish	D5a_Study Brochure for WIC Participant-Spanish.pdf	02/02/2022
Appendix D8 Reminder Text for WIC Participant Interview to be Conducted Over the Phone	D8_Reminder Text for WIC Participant Interview to be Conducted Over the Phone.docx	02/02/2022
Appendix D8a Reminder Text for WIC Participant Interview to be Conducted Over the Phone - Spanish	D8a_Reminder Text for WIC Participant Interview to be Conducted Over the Phone-Spanish.docx	02/02/2022
Appendix D9 Reminder Call for WIC Participant Interview to be Conducted Over the Phone	D9_Reminder Call for WIC Participant Interview to be Conducted Over the Phone.docx	02/02/2022
Appendix D9a Reminder Call for WIC Participant Interview to be Conducted Over the Phone - Spanish	D9a_Reminder Call for WIC Participant Interview to be Conducted Over the Phone-Spanish.docx	02/02/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.