Information Collection

Women, Infants, and Children Overseas - Eligibility Determination

IC 5606 under ICR 202603-0720-002 · OMB 0720-0030.

Documents and Forms

Document Name Document Type
PIMSv4 Data Collection Screenshots.docx Other-System
PIMSv4 Data Collection Screenshots.docx Other-System
WIC PIMS Privacy and OMB Statement.pdf Other-System Privacy Statement
WIC PIMS Privacy and OMB Statement.pdf Other-System Privacy Statement

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Women, Infants, and Children Overseas - Eligibility Determination	Agency IC Tracking Number:	0720-0030

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-System			PIMSv4 Data Collection Screenshots.docx		Yes	Yes	Fillable Fileable
Other-System Privacy Statement			WIC PIMS Privacy and OMB Statement.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20,000	-9,100	29,100
Annual IC Time Burden (Hours)	5,000	-2,275	7,275
Annual IC Cost Burden (Dollars)	163,400	110,729	52,671

Documents for IC

Title	Document	Date Uploaded
No associated records found

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

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