Information Collection

WIC Outreach Campaign Texting Usage Focus Groups

IC 264419 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⚠️ Notice: This information collection may be referencing outdated material.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
Attachment A-1 WIC Texting FG Screener -English.docx	Other-Attachment A-1 WIC Texting FG
Attachment A-2 WIC Texting FG Screener - Spanish.docx	Other-Attachment A-2 WIC Texting FG
Attachment B-1 WIC Texting Confirmation Form - English.docx	Other-Attachment B-1 WIC Texting Con
Attachment B-2 WIC Texting Confirmation Form -Spanish.docx	Other-Attachment B-2 WIC Texting Con
Attachment C-1 WIC Texting Consent Form -English.docx	Other-Attachment C-1 WIC Texting Con
Attachment C-2 WIC Texting Consent Form -Spanish.docx	Other-Attachment C-2 WIC Texting Con
Attachment D-1 WIC FG Guide Participants - English.docx	Other-Attachment D-1 WIC FG Guide Pa
Attachment D-2 WIC FG Guide Participants - Spanish.docx	Other-Attachment D-2 WIC FG Guide Pa
Attachment D-3 WIC FG Guide NonParticipants -English.docx	Other-Attachment D-3 WIC FG Guide No
Attachment D-4 WIC FG Guide NonParticipants -Spanish.docx	Other-Attachment D-4 WIC FG Guide No
Cover Memo Fast Track Clearance WIC Texting FGs-20240112.docx WIC Memo Fast Track Clearance WIC Testing	IC Document
Attachment E-1 WIC Texting FGs - FHI 360 IRB Human Subject Research Determination -1.pdf Attachment E-1 - IRB Determination	IC Document

IC Title:

WIC Outreach Campaign Texting Usage Focus Groups

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment A-1 WIC Texting FG Screener - English	Yes	Yes	Fillable Printable
Other-Attachment A-2 WIC Texting FG Screener	Yes	Yes	Fillable Printable
Other-Attachment B-1 WIC Texting Confirmation Form - English	Yes	Yes	Fillable Printable
Other-Attachment B-2 WIC Texting Confirmation Form - Spanish	Yes	Yes	Fillable Printable
Other-Attachment C-1 WIC Texting Consent Form -English	Yes	Yes	Fillable Printable
Other-Attachment C-2 WIC Texting Consent Form - Spanish	Yes	Yes	Fillable Printable
Other-Attachment D-1 WIC FG Guide Participants - English	Yes	Yes	Fillable Printable
Other-Attachment D-2 WIC FG Guide Participants - Spanish	Yes	Yes	Fillable Printable
Other-Attachment D-3 WIC FG Guide Nonparticipants - English	Yes	Yes	Fillable Printable
Other-Attachment D-4 WIC FG Guide Non-Participants - Spanish	Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 480

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	480	480
Annual IC Time Burden (Hours)	202	202
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
WIC Memo Fast Track Clearance WIC Testing		01/12/2024
Attachment E-1 - IRB Determination		01/17/2024

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

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