Information Collection

WIC Local Agency Directory

IC 3056 under ICR 201403-0584-002 · OMB 0584-0431.

Documents and Forms

Document Name Document Type
Form FNS-648 WIC Local Agency Directory Form
FNS-648 Instructions.pdf fprs.fns.usda.gov/ Instruction
FNS-648 WIC Local Agency Directory Report FNS-648.pdf fprs.fns.usda.gov/ Form

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 246.4 7 CFR 246.25

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-648	WIC Local Agency Directory Report	FNS-648.pdf	https://fprs.fns.usda.gov/	Yes	Yes	Fillable Fileable
Instruction			FNS-648 Instructions.pdf	https://fprs.fns.usda.gov/	Yes	Yes	Fillable Fileable

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: 23

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	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.