WIC Participant Diaries and IDIs
FNS Fast Track Clearance for the Collection of Routine Customer Feedback
OMB: 0584-0611
IC ID: 263785
Documents and Forms
Document Name Document Type |
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Other-A-1 WIC Participant Screener (English) |
Other-A-2 WIC Participant Screener (Spanish) |
Other-B-1 Diary Confirmation Form (English) |
Other-B-2 Diary Confirmation Form (Spanish) |
Other-C-1 Diary Consent Form (English) |
Other-C-2 Diary Consent Form (Spanish) |
Other-D-1 WIC Participant Diary Activity List (English) |
Other-D-2 WIC Participant Diary Activity List (Spanish) |
Other-E-1 IDI Confirmation Form (English |
Other-E-2 IDI Confirmation Form (Spanish) |
Other-F-1 IDI Consent Form (English) |
Other-F-2 IDI Consent Form (Spanish) |
Other-G-1 WIC Participant In-Depth Interview (IDI) Moderator’s Guide (English) |
Other-G-2 WIC Participant In-Depth Interview (IDI) Moderator’s Guide (Spanish) |
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IC Document |
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IC Document |
Information Collection (IC) Details
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