OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

WIC Nutrition Assessment and Tailoring Study In-Person Site Visit Data Collection

ICR 202202-0584-001 · OMB 0584-0663 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
SSA - WIC NATS_In-PersonRev Final Revised 2022.03.17.docx Supporting Statement A Uploaded 2022-03-17 Missing upstream
SSB - WIC NATS_In-PersonRev Final 2022.2.1.docx Supporting Statement B Uploaded 2022-02-02 Repair queued
I_FNS Response to NASS Comments.docx Supplementary Document Uploaded 2022-02-02 Repair queued
H_NASS Comments.docx Supplementary Document Uploaded 2022-02-02 Repair queued
G2_Westat IRB Approval Letter.pdf Supplementary Document Uploaded 2022-02-02 Repair queued
G1_Statement of Confidentiality and Non-Disclosure.docx Supplementary Document Uploaded 2022-02-02 Repair queued
F_Expert Review Panel Comments and Responses.pdf Supplementary Document Uploaded 2022-02-02 Repair queued
E_Pretest_Memorandum.docx Supplementary Document Uploaded 2022-02-02 Missing upstream
C5_Clinic Observation Form.docx Supplementary Document Uploaded 2022-02-02 Available
B_WIC NATS OMB Burden Table_In-PersonRev_2021.06.17.xlsx Supplementary Document Uploaded 2022-02-02 Available
A3_WIC NATS Sampling Approach.docx Supplementary Document Uploaded 2022-02-02 Missing upstream
A2_Relevant WIC Policy and Guidance Documents.pdf Supplementary Document Uploaded 2022-02-02 Repair queued
A1_Authorizing Statutes.docx Supplementary Document Uploaded 2022-02-02 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
244260 WIC Participants - Individuals and Households (Non-respondents) Other-Non Respondents Burden Instrument Modified
244259 WIC Participants - Individuals and Households Other-Appendix C2 Nutrition Services Observation Form Modified
244258 Local Agency WIC Clinic Staff - Profit/Non-Profit Businesses (Non-Respondents) Other-Non Respondents Burden Instrument Modified
244257 Local Agency WIC Clinic Staff - Profit/Non-Profit Businesses Other-Appendix C1 Site Director Interview Guide Modified
244255 State and Local Agency WIC Clinic Staff - SLT (Non-respondents) Other-Non Respondents Burden Instrument Modified
244254 State and Local Agency WIC Clinic Staff - SLT Other-Appendix C1 Site Director Interview Guide Modified
ICR Details
0584-0663 202202-0584-001
Received in OIRA 202010-0584-009
USDA/FNS In-Person Site Visit
WIC Nutrition Assessment and Tailoring Study In-Person Site Visit Data Collection
Revision of a currently approved collection   No
Regular 03/22/2022
  Requested Previously Approved
36 Months From Approved 04/30/2024
4,865 6,496
510 867
0 0
This request is for a revision to the approved collection for the WIC Nutrition Assessment and Tailoring Study (WIC NATS) to add data collection from in-person site visits, where the data collection activities currently approved for remote site visits will be replicated for use with 30 selected WIC clinic sites for in-person site visits once those sites safely resume in-person operations.
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
  
None
Not associated with rulemaking
  86 FR 41945 08/04/2021
87 FR 16162 03/22/2022
No
  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 4,865 6,496 0 -1,792 161 0
Annual Time Burden (Hours) 510 867 0 -358 1 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
This information collection is currently approved with 867 burden hours and 6,496 responses. FNS estimates that this proposed revision will reduce the total burden by 357 burden hours and 1,631 responses. The overall reduction in the burden hours and responses is due to program changes and adjustments. The WIC State and local agencies were removed from this study since data will not be collected from these entities as part of the in-person site visits. This removed 358 hours and 1,792 responses from the collection. Changes in the number of WIC participants increased the burden by 1 hour and 161 responses due to an adjustment (this increase, however, was offset by the reductions resulting from the program change). With this revision, FNS estimates that this collection will have 510 burden hours and 4,865 responses.
$611,911
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
No
Christina Sandberg 703 305-2337 [email protected]
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/22/2022