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Women, Infants, and Children Overseas - Eligibility Determination
Women, Infants, and Children Overseas - Eligibility Determination
OMB: 0720-0030
IC ID: 5606
OMB.report
DOD/DODOASHA
OMB 0720-0030
ICR 202603-0720-002
IC 5606
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
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
Federal Enterprise Architecture Business Reference Module
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 %
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
20,000
0
-9,100
0
0
29,100
Annual IC Time Burden (Hours)
5,000
0
-2,275
0
0
7,275
Annual IC Cost Burden (Dollars)
163,400
0
110,729
0
0
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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