Information Collection

State, Local, or Tribal Government Responsive

IC 274504 under ICR 202606-0584-006 · OMB 0584-0702.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix L.1. WIC local agency case study recruitment email from State agency_Jan2025.docx Other-Appendix L.1. WIC local agency
Appendix L.1. WIC local agency case study recruitment email from State agency_Jan2025.docx Other-Appendix L.1. WIC local agency
Appendix G.2. State study notification email from regional office_Jan2025-updatedFeb2025.docx Other-Appendix G.2. State study noti
Appendix G.2. State study notification email from regional office_Jan2025-updatedFeb2025.docx Other-Appendix G.2. State study noti
Appendix K.2. WIC State agency staff interview scheduling email_Jan2025-updatedFeb2025.docx Other-Appendix K.2. WIC State agency
Appendix K.2. WIC State agency staff interview scheduling email_Jan2025-updatedFeb2025.docx Other-Appendix K.2. WIC State agency
Appendix I. USDA endorsement letter for WIC State agencies_Jan2025-updatedFeb2025.docx Other-Appendix I. USDA endorsement l
Appendix I. USDA endorsement letter for WIC State agencies_Jan2025-updatedFeb2025.docx Other-Appendix I. USDA endorsement l
Appendix F.1 WIC State agency staff interview protocol_5-20-2025.docx Other-Appendix F.1 WIC State agency
Appendix F.1 WIC State agency staff interview protocol_5-20-2025.docx Other-Appendix F.1 WIC State agency
Appendix F.3. WIC local agency case study interview protocol_5-20-2025.docx Other-Appendix F.3. WIC local agency
Appendix F.3. WIC local agency case study interview protocol_5-20-2025.docx Other-Appendix F.3. WIC local agency
Appendix H. WIC State agency webinar invitation email and webinar_5-21-2025.docx Other-Appendix H. WIC State agency w
Appendix H. WIC State agency webinar invitation email and webinar_5-21-2025.docx Other-Appendix H. WIC State agency w
Appendix J. Study description for WIC State agencies_5-21-2025.docx Other-Appendix J. Study description
Appendix J. Study description for WIC State agencies_5-21-2025.docx Other-Appendix J. Study description
Appendix K.1. WIC State agency recruitment email from the research study team_5-20-2025.docx Other-Appendix K.1. WIC State agency
Appendix K.1. WIC State agency recruitment email from the research study team_5-20-2025.docx Other-Appendix K.1. WIC State agency
Appendix L.2. WIC local agency case study planning call recruitment email from the research study team_5-20-2025.docx Other-Appendix L.2. WIC local agency
Appendix L.2. WIC local agency case study planning call recruitment email from the research study team_5-20-2025.docx Other-Appendix L.2. WIC local agency
Appendix L.3. WIC local agency staff case study interview scheduling email_5-21-2025.docx Other-Appendix L.3. WIC local agency
Appendix L.3. WIC local agency staff case study interview scheduling email_5-21-2025.docx Other-Appendix L.3. WIC local agency
Appendix L.4. Study description for WIC local agencies_5-21-2025.docx Other-Appendix L.4. Study descriptio
Appendix L.4. Study description for WIC local agencies_5-21-2025.docx Other-Appendix L.4. Study descriptio
Appendix R.1. Research study team request to WIC State agencies for WIC program staff contact list for experience survey_5-20-20 Other-Appendix R.1. Research study t
Appendix R.1. Research study team request to WIC State agencies for WIC program staff contact list for experience survey_5-20-20 Other-Appendix R.1. Research study t
Appendix R.2. WIC program staff experience survey invitation email from the research study team_5-20-2025.docx Other-Appendix R.2. WIC program staf
Appendix R.2. WIC program staff experience survey invitation email from the research study team_5-20-2025.docx Other-Appendix R.2. WIC program staf
Appendix S.1 Research study team request to WIC State agencies for WIC & FMNP vendor_outlet staff contact list for experience su Other-Appendix S.1 Research study te
Appendix S.1 Research study team request to WIC State agencies for WIC & FMNP vendor_outlet staff contact list for experience su Other-Appendix S.1 Research study te
Appendix T.1. Research study team request to WIC State agencies for WIC participant contact list for experience survey_5-20-2025 Other-Appendix T.1. Research study t
Appendix T.1. Research study team request to WIC State agencies for WIC participant contact list for experience survey_5-20-2025 Other-Appendix T.1. Research study t
Appendix O_WIC program staff experience survey (Web).docx Other-Appendix O_WIC program staff e
Appendix O_WIC program staff experience survey (Web).docx Other-Appendix O_WIC program staff e
Appendix O.1_WIC program staff experience survey (Paper).docx Other-Appendix O.1_WIC program staff
Appendix O.1_WIC program staff experience survey (Paper).docx Other-Appendix O.1_WIC program staff
Appendix L.5. WIC local agency staff case study interview reminder email_Jan2025.docx
Appendix L.5. WIC local agency staff case study interview reminder email_Jan2025
IC Document
Appendix L.5. WIC local agency staff case study interview reminder email_Jan2025.docx
Appendix L.5. WIC local agency staff case study interview reminder email_Jan2025
IC Document
Appendix L.6. WIC local agency staff case study interview thank you email_Jan2025.docx
Appendix L.6. WIC local agency staff case study interview thank you email_Jan2025
IC Document
Appendix L.6. WIC local agency staff case study interview thank you email_Jan2025.docx
Appendix L.6. WIC local agency staff case study interview thank you email_Jan2025
IC Document
Appendix R.3. WIC program staff experience survey reminder email_Jan2025.docx
Appendix R.3. WIC program staff experience survey reminder email_Jan2025
IC Document
Appendix R.3. WIC program staff experience survey reminder email_Jan2025.docx
Appendix R.3. WIC program staff experience survey reminder email_Jan2025
IC Document
Appendix R.4. WIC program staff experience survey thank you email_Jan2025.docx
Appendix R.4. WIC program staff experience survey thank you email_Jan2025
IC Document
Appendix R.4. WIC program staff experience survey thank you email_Jan2025.docx
Appendix R.4. WIC program staff experience survey thank you email_Jan2025
IC Document
Appendix K.3. WIC State agency staff interview reminder email_Jan2025.docx
Appendix K.3. WIC State agency staff interview reminder email_Jan2025
IC Document
Appendix K.3. WIC State agency staff interview reminder email_Jan2025.docx
Appendix K.3. WIC State agency staff interview reminder email_Jan2025
IC Document
Appendix K.4. WIC State agency staff interview thank you email_Mar11_2025.docx
Appendix K.4. WIC State agency staff interview thank you email_Mar11_2025
IC Document
Appendix K.4. WIC State agency staff interview thank you email_Mar11_2025.docx
Appendix K.4. WIC State agency staff interview thank you email_Mar11_2025
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 L.1. WIC local agency case study recruitment email from State agency_Jan2025 Yes Yes Printable Only
Other-Appendix G.2. State study notification email from regional office_Jan2025-updatedFeb2025 Yes Yes Printable Only
Other-Appendix K.2. WIC State agency staff interview scheduling email_Jan2025-updatedFeb2025 Yes Yes Printable Only
Other-Appendix I. USDA endorsement letter for WIC State agencies_Jan2025-updatedFeb2025 Yes Yes Printable Only
Other-Appendix F.1 WIC State agency staff interview protocol_5-20-2025 No   Paper Only
Other-Appendix F.3. WIC local agency case study interview protocol_5-20-2025 No   Printable Only
Other-Appendix H. WIC State agency webinar invitation email and webinar_5-21-2025 Yes Yes Printable Only
Other-Appendix J. Study description for WIC State agencies_5-21-2025 Yes No Printable Only
Other-Appendix K.1. WIC State agency recruitment email from the research study team_5-20-2025 Yes Yes Printable Only
Other-Appendix L.2. WIC local agency case study planning call recruitment email from the research study team_5-20-2025 Yes Yes Printable Only
Other-Appendix L.3. WIC local agency staff case study interview scheduling email_5-21-2025 Yes Yes Printable Only
Other-Appendix L.4. Study description for WIC local agencies_5-21-2025 Yes Yes Printable Only
Other-Appendix R.1. Research study team request to WIC State agencies for WIC program staff contact list for experience survey_5-20-2025 Yes Yes Printable Only
Other-Appendix R.2. WIC program staff experience survey invitation email from the research study team_5-20-2025 Yes Yes Printable Only
Other-Appendix S.1 Research study team request to WIC State agencies for WIC & FMNP vendor_outlet staff contact list for experience survey_5-20-2025 Yes Yes Printable Only
Other-Appendix T.1. Research study team request to WIC State agencies for WIC participant contact list for experience survey_5-20-2025 Yes Yes Printable Only
Other-Appendix O_WIC program staff experience survey (Web) Yes Yes Fillable Fileable
Other-Appendix O.1_WIC program staff experience survey (Paper) No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved 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 37,468 0 0 0 0 37,468
Annual IC Time Burden (Hours) 2,794 0 0 0 0 2,794
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Appendix L.5. WIC local agency staff case study interview reminder email_Jan2025 03/21/2025
Appendix L.6. WIC local agency staff case study interview thank you email_Jan2025 03/21/2025
Appendix R.3. WIC program staff experience survey reminder email_Jan2025 03/21/2025
Appendix R.4. WIC program staff experience survey thank you email_Jan2025 03/21/2025
Appendix K.3. WIC State agency staff interview reminder email_Jan2025 03/21/2025
Appendix K.4. WIC State agency staff interview thank you email_Mar11_2025 03/21/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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