WIC PC Longitudinal Feasibility Survey

FNS Fast Track Clearance for the Collection of Routine Customer Feedback

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	WIC PC Longitudinal Feasibility Survey	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.