WIC Nutrition Assessment and Tailoring Study

OMB Control No:	ICR Reference No: 202010-0584-009
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: WIC Nutrition Assessment and Tailoring Study
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/01/2020

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	6,659	0
Time Burden (Hours)	870	0
Cost Burden (Dollars)	0	0

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Abstract: Following key policy changes, the WIC Nutrition Assessment and Tailoring Study will provide FNS with a comprehensive, detailed description of the WIC nutrition risk assessment process, and explore the ways in which WIC clinics tailor participant benefits to address the results of the assessment. It will also evaluate the relationship between this process and participant program satisfaction.

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Authorizing Statute(s): US Code: 42 USC 1769i (Section 28) Name of Law: Richard B. Russell National School Lunch Act (NSLA)    PL: Pub.L. 111 - 296 305 Name of Law: Healthy, Hunger-Free Kids Act (HHFKA) of 2010

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 34849	07/19/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 76515	11/30/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

IC Title Form No. Form Name State and Local Agency WIC Directors and WIC Clinic Staff - SLT (Non-respondents) WIC Local Agency Directors and WIC Clinic Staff - Profit/Non-Profit Businesses WIC Local Agency Directors and WIC Clinic Staff - Profit/Non-Profit Businesses (Non-Respondents) State and Local Agency WIC Directors and WIC Clinic Staff - SLT WIC Participants - Individuals and Households WIC Participants - Individuals and Households (Non-respondents)

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	6,659	0	0	6,659	0	0
Annual Time Burden (Hours)	870	0	0	870	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection request that will provide FNS with a comprehensive, detailed description of the WIC nutrition risk assessment process. FNS estimates that this new information collection will add 6,659 responses and 870 burden hours to OMB's inventory due to a program change.

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Annual Cost to Federal Government: $610,165

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Christina Sandberg 703 305-2337 [email protected]

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(i) Why the information is being collected;
			(ii) Use of information;
			(iii) Burden estimate;
			(iv) Nature of response (voluntary, required for a benefit, or mandatory);
			(v) Nature and extent of confidentiality; and
			(vi) Need to display currently valid OMB control number;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date: 12/01/2020

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