OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Web Survey

IC 203557 under ICR 201307-0584-004 · OMB 0584-0574.

Documents and Forms
Document Name
Document Type
Other-Web Survey
Other-Screenshots for the Web Survey
Other-Screenshots for the Web Survey
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Web Survey
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Web Survey WICBPI_App_A (final v2).docx Yes Yes Fillable Fileable
Other-Screenshots for the Web Survey WIC BPI part 1 screenshots 2013.02.08.pdf Yes Yes Fillable Fileable
Other-Screenshots for the Web Survey Part 2 WIC BPI Part 2 Screenshots 2013 07 26.pdf Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

 

1,672 0
   
State, Local, and Tribal Governments
 
   90 %

  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 3,353 0 0 0 0 3,353
Annual IC Time Burden (Hours) 2,889 0 0 0 0 2,889
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix B: Example Screenshots of Web Survey WICBPI_App_B (final v2).docx 08/02/2012
Appendix C: Regional Field Office Advance Letter WICBPI_App_C (final v2).docx 08/02/2012
Appendix D: Respondent Advance Letter WICBPI_App_D (final v2).docx 08/02/2012
Appendix E: Respondent Frequently Asked Questions WICBPI_App_E (final v2).docx 08/02/2012
Appendix F: Respondent Email Invitations WICBPI_App_F (final v2).docx 08/02/2012
Appendix G: Respondent Reminder Email WICBPI_App_G (final v2).docx 08/02/2012
Appendix H: Respondent Reminder Post Card WICBPI_App_H (final v2).docx 08/02/2012
Appendix I : Respondent Reminder Telephone Call WICBPI_App_I (final v2).docx 08/02/2012
Appendix J: Respondent Thank You Email WICBPI_App_J (final v2).docx 08/02/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.