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National Outreach Campaign Needs Assessment for WIC State and Local Agencies
FNS Fast Track Clearance for the Collection of Routine Customer Feedback
OMB: 0584-0611
IC ID: 267826
OMB.report
USDA/FNS
OMB 0584-0611
ICR 202410-0584-002
IC 267826
( )
Documents and Forms
Document Name
Document Type
CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_About_Final_5.8.24.docx
Other-WIC Needs Assessment
CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_Email_Invitation_Final_5.8.24.docx
Other-Needs Assessment Email Invitat
CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_Instrument_Final-5.8.24.docx
Other-Needs Assessment Instrument
CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_Screenshots_Final_5.8.24.docx
Other-Needs Assessment Screenshots
CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_Human_Subjects_Determination_Final_5.8.24.pdf
Needs Assessment Human Subjects Determination
IC Document
WIC_SA_LA_Needs_Assessment_FAST_TRACK_CLEARANCE_FORM_Final_5.8.24.docx
WIC_SA_LA Needs Assessment Fast Track Clearnce
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Outreach Campaign Needs Assessment for WIC State and Local Agencies
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-WIC Needs Assessment
CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_About_Final_5.8.24.docx
Yes
Yes
Fillable Printable
Other-Needs Assessment Email Invitation
CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_Email_Invitation_Final_5.8.24.docx
Yes
Yes
Fillable Fileable
Other-Needs Assessment Instrument
CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_Instrument_Final-5.8.24.docx
Yes
Yes
Fillable Printable
Other-Needs Assessment Screenshots
CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_Screenshots_Final_5.8.24.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Food and Nutrition Assistance
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,989
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,989
0
0
0
0
1,989
Annual IC Time Burden (Hours)
415
0
0
0
0
415
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Needs Assessment Human Subjects Determination
CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_Human_Subjects_Determination_Final_5.8.24.pdf
05/21/2024
WIC_SA_LA Needs Assessment Fast Track Clearnce
WIC_SA_LA_Needs_Assessment_FAST_TRACK_CLEARANCE_FORM_Final_5.8.24.docx
06/06/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.