Information Collection

WIC PC Longitudinal Feasibility Survey

IC 260594 under ICR 202311-0584-004 · OMB 0584-0611.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0611 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Recruitment materials - A. email to regional offices.docx	Other-Recruitment materials - A. ema
Recruitment materials - B. initial email to state agencies.docx	Other-Recruitment materials - B. ini
Recruitment materials - C. follow up email to state agencies.docx	Other-Recruitment materials - C. fol
Recruitment Materials D. follow up call to state agencies.docx	Other-Recruitment Materials D. follo
Task 5.5 Final State Agency Survey clean.docx	Other-Task 5.5 Final State Agency Su
Fast Track Clearance WIC PC22 Longitudinal Survey updated.docx Fast Track Clearance WIC PC22 Longitudinal Survey updated	IC Document

IC Title:

WIC PC Longitudinal Feasibility Survey

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Recruitment materials - A. email to regional offices	Recruitment materials - A. email to regional offices.docx	Yes	Yes	Fillable Printable
Other-Recruitment materials - B. initial email to state agencies	Recruitment materials - B. initial email to state agencies.docx	Yes	Yes	Fillable Printable
Other-Recruitment materials - C. follow up email to state agencies	Recruitment materials - C. follow up email to state agencies.docx	Yes	Yes	Fillable Printable
Other-Recruitment Materials D. follow up call to state agencies	Recruitment Materials D. follow up call to state agencies.docx	Yes	Yes	Fillable Printable
Other-Task 5.5 Final State Agency Survey clean	Task 5.5 Final State Agency Survey clean.docx	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: 89

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	356	356
Annual IC Time Burden (Hours)	59	59
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Clearance WIC PC22 Longitudinal Survey updated	Fast Track Clearance WIC PC22 Longitudinal Survey updated.docx	06/08/2023

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