OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

State, Local, or Tribal Government (WIC Directors and Database Administrators)

IC 224821 under ICR 201611-0584-002 · OMB 0584-0627.

Documents and Forms
Document Name
Document Type
Other-Appendix A.4 WIC State Agency
Other-Appendix B.2 Agenda for Confer
Other-Appendix C.1 Administrative Co
Other-Appendix D.1 Instruction Sheet
Other-Appendix D.3 Sample Follow-up
Other-Appendix D.4 FTP Site Instruct
Other-Appendix E.1 Instruction Sheet
Other-Appendix E.3 Sample Follow-Up
Other-Appendix F.1 Instruction Sheet
Other-Appendix F.3 Sample Follow-Up
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

State, Local, or Tribal Government (WIC Directors and Database Administrators)
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix A.4 WIC State Agency Semi-Structured Interview Instrument A.4_WIC SA Interview Instrument_FINAL.docx No   Paper Only
Other-Appendix E.1 Instruction Sheet for Submitting Former WIC Participants Certification Data File E.1_Certification Data Request and Instructions_Former_FINAL.docx Yes Yes Fillable Fileable
Other-Appendix B.2 Agenda for Conference Call with WIC State Agencies B.2_Agenda for Conference Call WIC SA Dec 2016.docx No   Paper Only
Other-Appendix C.1 Administrative Costs of Cost Containment Practices C.1_Administrative Costs of Cost Containment Practices.xlsx Yes No Paper Only
Other-Appendix D.3 Sample Follow-up Email for WIC Participant Certification Data D.3_Sample Follow-Up Email for Participant Certification Data Dec 16.docx No   Paper Only
Other-Appendix D.4 FTP Site Instructions for State Agencies Submitting Data Files D.4_FTP Site Instructions for State Agency Data Files Dec 2016.docx Yes Yes Fillable Fileable
Other-Appendix E.3 Sample Follow-Up Email for Former WIC Participant Certification Data E.3_Sample Follow-Up Email for Former Participant Cert Data Dec 16.docx No   Paper Only
Other-Appendix F.3 Sample Follow-Up Email for WIC EBT Data Submission F.3_Sample Follow-Up Email for EBT Data Dec 2016.docx No   Paper Only
Other-Appendix D.1 Instruction Sheet for Submitting WIC Participant Certification Data Files D.1_Certification Data Request and Instructions_Participants_FINAL.docx Yes Yes Fillable Fileable
Other-Appendix F.1 Instruction Sheet for Submitting EBT Transaction Data Files F.1_EBT Data Submission Request and Instructions_FINAL.docx Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

FNS-8 USDA FNS Studies and Reports  56 FR 19078

86 0
   
State, Local, and Tribal Governments
 
   17 %

  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 446 0 446 0 0 0
Annual IC Time Burden (Hours) 215 0 215 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix A.1 WIC State Agency (58) Advance Letter A.1_WIC SA Census Advance Letter_FINAL.docx 09/25/2017
Appendix A.2 Study of WIC Food Package Costs and Cost Containment Study Information Sheet A.2_Cost Containment Study FAQs_FINAL.docx 09/25/2017
Appendix A.3 Summary of Cost-Containment Practices A.3_Summary of WIC SA Cost Containment_FINAL.docx 09/25/2017
Appendix B.1 WIC State Agency EBT (12) Advance Letter B.1_WIC SA EBT State Advance Letter_FINAL.docx 09/25/2017
Appendix D.2 Sample Reminder Email for WIC Participant Certification Data D.2_Sample Reminder Email for Participant Certification Data.docx 12/14/2016
Appendix E.2 Sample Reminder Email for Former WIC Certification Data E.2_Sample Reminder Email for Former Participant Cert Data.docx 12/16/2016
Appendix F.2 Sample Reminder Email for WIC EBT Data Request F.2_Sample Reminder Email for EBT Data.docx 12/16/2016
Appendix A.5 Spreadsheet of WIC State Agency Cost Containment Practices A.5_Spreadsheet of WIC SA Cost Containment Practices_FINAL.pdf 09/25/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.