Information Collection

State WIC Agency Officials

IC 219981 under ICR 202401-0584-003 · OMB 0584-0609.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
C. Guidance for State Agencies Providing Characteristics and EBT Data.docx	Other-C. Guidance for State Agencies
C. Guidance for State Agencies Providing Characteristics and EBT Data.docx	Other-C. Guidance for State Agencies
G. Nutritional Risk Crosswalk.docx	Other-G. Nutritional Risk Crosswalk
G. Nutritional Risk Crosswalk.docx	Other-G. Nutritional Risk Crosswalk
H. Sample Reminder Email to WIC State Agencies.docx H. Sample Reminder Email to WIC State Agencies	IC Document
H. Sample Reminder Email to WIC State Agencies.docx H. Sample Reminder Email to WIC State Agencies	IC Document
I. Sample Follow-Up Email to WIC State Agencies.docx I. Sample Follow-Up Email to WIC State Agencies	IC Document
I. Sample Follow-Up Email to WIC State Agencies.docx I. Sample Follow-Up Email to WIC State Agencies	IC Document
J. Telephone Script for Follow-up Calls After Data Submission.docx J. Telephone Script for Follow-up Calls After Data Submission	IC Document
J. Telephone Script for Follow-up Calls After Data Submission.docx J. Telephone Script for Follow-up Calls After Data Submission	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 246.7(e)(4) 7 CFR 246.25(b)(3)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-C. Guidance for State Agencies Providing Characteristics and EBT Data			C. Guidance for State Agencies Providing Characteristics and EBT Data.docx		Yes	Yes	Fillable Fileable
Other-G. Nutritional Risk Crosswalk			G. Nutritional Risk Crosswalk.docx		Yes	Yes	Fillable Fileable

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: 356

Number of Respondents for Small Entity: 33

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,556	1,556
Annual IC Time Burden (Hours)	6,067	6,067
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
H. Sample Reminder Email to WIC State Agencies	H. Sample Reminder Email to WIC State Agencies.docx	02/14/2024
I. Sample Follow-Up Email to WIC State Agencies	I. Sample Follow-Up Email to WIC State Agencies.docx	02/14/2024
J. Telephone Script for Follow-up Calls After Data Submission	J. Telephone Script for Follow-up Calls After Data Submission.docx	02/14/2024

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