OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

State and Local WIC Agency Directors (SLT)

IC 229847 under ICR 201801-0584-002 · OMB 0584-0641.

Documents and Forms
Document Name
Document Type
Other-Appendix B1.b State Agency Sur
Other-Appendix B2.a Local Agency Sur
Other-Appendix B2.b Local Agency Sur
Other-Appendix B7.a Denied Applicant
Other-Appendix B7.b Denied Applicant
Other-Appendix B7.d Denied Applicant
Other-Appendix B8 State Agency Admin
Other-Appendix C6 State Agency Surve
Other-Appendix C10 Local Agency Surv
Other-Appendix C24 WIC Administrativ
Other-Appendix C25 State Agency Admi
Other-Appendix C26 State Agency Admi
Other-Appendix D4 Certification End
Other-Appendix B1.a State Agency Sur
IC Document
IC Document
IC Document
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)

State and Local WIC Agency Directors (SLT)
 
No New
 
Mandatory
 
7 CFR 215.11 7 CFR 246.7

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix B1.b State Agency Survey - Screenshots App B1.b State Agency Survey (Screenshots)_revised.docx Yes Yes Fillable Fileable
Other-Appendix B1.a State Agency Survey App B1.a State Agency Survey Revised 9.18.18.docx Yes Yes Fillable Fileable
Other-Appendix D4 Certification End Date Verification Reminder Telephone Script App D4. Certification End Date Verification Reminder Telephone Script.docx Yes Yes Fillable Fileable
Other-Appendix C24 WIC Administrative Data Request to States from Regions App C24 WIC Administrative Data Request to States from Regions.docx Yes Yes Fillable Fileable
Other-Appendix C25 State Agency Administrative Data Request Reminder Email App C25 State Agency Administrative Data Request Reminder Email.docx Yes Yes Fillable Fileable
Other-Appendix C26 State Agency Administrative Data Request Reminder Telephone Script App C26 State Agency Administrative Data Request Reminder Telephone Script.docx Yes Yes Fillable Fileable
Other-Appendix B2.a Local Agency Survey App B2.a Local Agency Survey.docx Yes Yes Fillable Fileable
Other-Appendix B2.b Local Agency Survey - Screenshots App B2.b Local Agency Survey (Screenshots).docx Yes Yes Fillable Fileable
Other-Appendix B7.a Denied Applicant Log Request Email App B7.a Denied Applicant Log Request Email.docx Yes Yes Fillable Fileable
Other-Appendix B7.b Denied Applicant Log App B7.b Denied Applicant Log.xlsx Yes Yes Fillable Fileable
Other-Appendix B7.d Denied Applicant Log Request Reminder Telephone Script App B7.d Denied Applicant Log Reminder Telephone Script.docx Yes Yes Fillable Fileable
Other-Appendix B8 State Agency Administrative Data Request Email App B8. State Agency Administrative Data Request Email.docx Yes Yes Fillable Fileable
Other-Appendix C6 State Agency Survey Reminder Telephone Script App C6. State Agency Survey Reminder Telephone Script.docx Yes Yes Fillable Fileable
Other-Appendix C10 Local Agency Survey Reminder Telephone Script App C10. Local Agency Survey Reminder Telephone Script.docx Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

900 0
   
State, Local, and Tribal Governments
 
   100 %

  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 4,814 0 4,814 0 0 0
Annual IC Time Burden (Hours) 1,121 0 1,121 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix B7.c Denied Applicant Log Request Reminder Email App B7.c Denied Applicant Log Request Reminder.docx 01/29/2018
Appendix C2 Letter to State Agencies from Regional Offices App C2. Letter to State Agencies from Regional Offices.docx 01/29/2018
Appendix C3 State Agency Survey Invitation Email App C3. State Agency Survey Invitation Email.docx 01/29/2018
Appendix C4 State Agency Survey Invitation Letter with Instrument App C4. State Agency Survey Invitation Letter with Instrument.docx 01/29/2018
Appendix C5 State Agency Survey Reminder Email App C5. State Agency Survey Reminder Email.docx 01/29/2018
Appendix C7 Local Agency Survey Invitation Email App C7. Local Agency Survey Invitation Email.docx 01/29/2018
Appendix C8 Local Agency Survey Invitation Letter with Instrument App C8. Local Agency Survey Invitation Letter with Instrument.docx 01/29/2018
Appendix C9 Local Agency Survey Reminder Email App C9. Local Agency Survey Reminder Email.docx 01/29/2018
Appendix D1 Study Description for State and Local WIC Agencies App D1. Study Description for State and Local WIC Agencies.docx 01/30/2018
Appendix D2 State Agency Survey Thank You Letter App D2. State Agency Survey Thank You Letter.docx 01/30/2018
Appendix D3 Certification End Date Verification Email App D3. Certification End Date Verification Email.docx 01/30/2018
Appendix D5 Local Agency Survey Thank You Letter App D5. Local Agency Survey Thank You Letter.docx 01/30/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.