Information Collection

WIC Local Agency Directory

IC 3056 under ICR 200802-0584-002 · OMB 0584-0431.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0431 can be found here:

Documents and Forms

Document Name Document Type
Form FNS-648 WIC Local Agency Directory Form
FNS-648 WIC LOCAL AGENCY DIRECTORY REPORT FNS-648-paper form.pdf Form
FNS-648 WIC Local Agency Directory Report FNS 648 Food Program Reporting System Screenshot Burden Disclosure Statement.pdf Form and Instruction
FNS-648 WIC Local Agency Directory Report FNS 648 Food Program Reporting System Screenshot Page 1.pdf Form and Instruction
FNS-648 WIC Local Agency Directory Report FNS 648 FPRS Screenshot Page Guidance_Instructions 2.pdf Form and Instruction
FNS-648 WIC Local Agency Directory Report FNS 648 FPRS Screenshot Guidance_Instructions continued Page 3.pdf Form and Instruction
FNS-648 WIC Local Agency Directory Report FNS 648 FPRS Screenshot Guidance_Instruction continued Page 4.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	WIC Local Agency Directory	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 246.25 7 CFR 246.4

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-648	WIC LOCAL AGENCY DIRECTORY REPORT	FNS-648-paper form.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FNS-648	WIC Local Agency Directory Report	FNS 648 Food Program Reporting System Screenshot Burden Disclosure Statement.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FNS-648	WIC Local Agency Directory Report	FNS 648 Food Program Reporting System Screenshot Page 1.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FNS-648	WIC Local Agency Directory Report	FNS 648 FPRS Screenshot Page Guidance_Instructions 2.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FNS-648	WIC Local Agency Directory Report	FNS 648 FPRS Screenshot Guidance_Instructions continued Page 3.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FNS-648	WIC Local Agency Directory Report	FNS 648 FPRS Screenshot Guidance_Instruction continued Page 4.pdf	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: 90	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	90	2	88
Annual IC Time Burden (Hours)	15	0	15
Annual IC Cost Burden (Dollars)	0	0	0

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.