OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

National Survey of WIC Participants

IC 3087 under ICR 200810-0584-001 · OMB 0584-0484.

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Survey
Other-Callback Script
Other-Survey
Other-Survey
IC Document
Information Collection (IC) Details

View Information Collection (IC)

National Survey of WIC Participants
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey APPENDIX E(A) - PREG BF PP 2-20-09.pdf No   Paper Only
Other-Survey APPENDIX E(B) - INFANTS CHILDREN 2-20-09.pdf No   Paper Only
Other-Survey APPENDIX F - DENIALS 1-30-09.pdf Yes Yes Fillable Fileable
Other-Survey APPENDIX G - TERMINATIONS 1-30-09.pdf Yes Yes Fillable Fileable
Other-Callback Script APPENDIX H - CALLBACK SCRIPT 2-03-09.pdf No   Paper Only

Income Security Food and Nutrition Assistance

FNS Studies and Reports  56 FR 19078

2,400 0
   
Individuals or Households
 
   0 %

  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 2,400 0 -2,180 0 4,580 0
Annual IC Time Burden (Hours) 1,760 0 -976 0 2,736 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consent Form - Participants APPENDIX A-1 A-2 CONFID CONSENT 1-30-09.pdf 03/12/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.