Information Collection

State and Local Agencies

IC 2932 under ICR 202008-0584-006 · OMB 0584-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0043 can be found here:

Documents and Forms

Document Name Document Type
Appendix D WIC State Plan Guidance.docx Other-Appendix D: WIC State Plan Gui
Appendix C WIC-Vendor-Management-Handbook-Public-Version-9.17-508.pdf Appendix C: WIC Vendor Management and Food Delivery Handbook IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State and Local Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 246.5(b) 7 CFR 246.7(i) 7 CFR 246.6 7 CFR 246.7(j)(9) 7 CFR 246.7(k) 7 CFR 246.10(b)(1) 7 CFR 246.10(d)(1) 7 CFR 246.11(d)(2) 7 CFR 246.12(g)(4)(ii)(B) 7 CFR 246.12(h)(1)(i) 7 CFR 246.12(h)(8)(i) 7 CFR 246.12(i)(4) 7 CFR 246.12(j)(6) 7 CFR 246.10(d)(1) 7 CFR 246.12(l)(3) 7 CFR 246.12(j)(6)(ii) 7 CFR 246.23(c)(1) 7 CFR 246.25(a) 7 CFR 246.10(b)(2) 7 CFR 246.12(o) 7 CFR 246.19(a)(2) 7 CFR 246.19(b)(5) 7 CFR 246.12(i)(1) 7 CFR 246.12(q) 7 CFR 246.17(c)(1) 7 CFR 246.12(g)(4)(i) 7 CFR 246.7(f)(2)(iii)(A) 7 CFR 246.12(g)(10) 7 CFR 246.16(d) 7 CFR 246.20(a)(2) 7 CFR 246.4 7 CFR 246.12(j)(4) 7 CFR 246.14(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix D: WIC State Plan Guidance			Appendix D WIC State Plan Guidance.docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,897	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	38,184,453	0	-4,596,970	42,781,423
Annual IC Time Burden (Hours)	2,652,555	-1,047	-351,363	3,004,965
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix C: WIC Vendor Management and Food Delivery Handbook	Appendix C WIC-Vendor-Management-Handbook-Public-Version-9.17-508.pdf	08/30/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.