Information Collection

WIC Customer Experience Landscape Assessment

IC 262187 under ICR 202410-0584-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Appendix C Email invitation to WIC SAs_2023.docx	Other-Appendix C Email invitation to
Attachment A_WIC CX Landscape Analysis Survey_2023 11 21.docx	Other-Attachment A_WIC CX Landscape
Attachment B WIC SA Contacts_.xlsx Attachment B WIC SA Contacts_	IC Document
Fast Track Clearance_WIC CX Landscape Analysis_2023 09 14 CLEAN.docx Fast Track Clearance_WIC CX Landscape Analysis_2023 09 14 CLEAN	IC Document

IC Title:

WIC Customer Experience Landscape Assessment

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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-Appendix C Email invitation to WIC SAs_2023					Yes	Yes	Fillable Fileable
Other-Attachment A_WIC CX Landscape Analysis Survey_2023 11 21					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: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	178	178
Annual IC Time Burden (Hours)	34	34
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment B WIC SA Contacts_		09/15/2023
Fast Track Clearance_WIC CX Landscape Analysis_2023 09 14 CLEAN		09/15/2023

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

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