Information Collection

State and Local WIC Staff (SLT)

IC 203582 under ICR 202103-0584-002 · OMB 0584-0580.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0580 can be found here:

Documents and Forms

Document Name Document Type
App_P.Participant contact information request 8.24.18.docx Other-Appendix P Participant Contact
App_P.Participant contact information request 8.24.18.docx Other-Appendix P Participant Contact
App_F1.72-month HW measurement card - English 10-8-18.docx Other-Appendix F1 72-month H/W Measu
App_F1.72-month HW measurement card - English 10-8-18.docx Other-Appendix F1 72-month H/W Measu
App_F2.72-month HW measurement card - Spanish 10-8-18.docx Other-Appendix F2 72-month H/W Measu
App_F2.72-month HW measurement card - Spanish 10-8-18.docx Other-Appendix F2 72-month H/W Measu
App_L1.Extension announcement to WIC State agencies 10-8-18.docx Appendix L1 Announcement of Study Extension to WIC State Agencies IC Document
App_L1.Extension announcement to WIC State agencies 10-8-18.docx Appendix L1 Announcement of Study Extension to WIC State Agencies IC Document
App_L2.Extension announcement to WIC sites 10-8-18.docx Appendix L2 Announcement of Study Extension to WIC Sites IC Document
App_L2.Extension announcement to WIC sites 10-8-18.docx Appendix L2 Announcement of Study Extension to WIC Sites IC Document
App_M.Extension to age 6 webinar 8.24.18.pptx Appendix M Study Extension Webinar Slides IC Document
App_M.Extension to age 6 webinar 8.24.18.pptx Appendix M Study Extension Webinar Slides IC Document
App_N.Agenda conference call on extension 10-8-18.docx Appendix N Agenda for Conference Call on Extension with State Agency and Sites IC Document
App_N.Agenda conference call on extension 10-8-18.docx Appendix N Agenda for Conference Call on Extension with State Agency and Sites IC Document
App_O1.Study extension summary and agreement 10-8-18.docx Appendix O1 Study Extension Summary and Agreement - Correspondence to State Agency with Copy to Site POC IC Document
App_O1.Study extension summary and agreement 10-8-18.docx Appendix O1 Study Extension Summary and Agreement - Correspondence to State Agency with Copy to Site POC IC Document
App_O2.Addendum A to study extension summary 10-8-18.docx Appendix O2 Addendum A to Study Extension Summary IC Document
App_O2.Addendum A to study extension summary 10-8-18.docx Appendix O2 Addendum A to Study Extension Summary IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State and Local WIC Staff (SLT)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Appendix P Participant Contact Information Request	App_P.Participant contact information request 8.24.18.docx	No	Paper Only
Other-Appendix F1 72-month H/W Measurement Card - English	App_F1.72-month HW measurement card - English 10-8-18.docx	No	Paper Only
Other-Appendix F2 72-month H/W Measurement Card - Spanish	App_F2.72-month HW measurement card - Spanish 10-8-18.docx	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS-8 USDA/FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 107	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,261	1,261
Annual IC Time Burden (Hours)	352	352
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix L1 Announcement of Study Extension to WIC State Agencies	App_L1.Extension announcement to WIC State agencies 10-8-18.docx	10/12/2018
Appendix L2 Announcement of Study Extension to WIC Sites	App_L2.Extension announcement to WIC sites 10-8-18.docx	10/12/2018
Appendix M Study Extension Webinar Slides	App_M.Extension to age 6 webinar 8.24.18.pptx	11/20/2018
Appendix N Agenda for Conference Call on Extension with State Agency and Sites	App_N.Agenda conference call on extension 10-8-18.docx	10/12/2018
Appendix O1 Study Extension Summary and Agreement - Correspondence to State Agency with Copy to Site POC	App_O1.Study extension summary and agreement 10-8-18.docx	10/12/2018
Appendix O2 Addendum A to Study Extension Summary	App_O2.Addendum A to study extension summary 10-8-18.docx	10/12/2018

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