Information Collection

Retail Vendors (WIC-Authorized Food Stores) and Businesses (Non-Profit WIC Local Agencies) (Private)

IC 186765 under ICR 202211-0584-001 · OMB 0584-0043.

⚠️ Notice: This information collection may be referencing outdated material.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

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Information Collection (IC) Details

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IC Title:	Retail Vendors (WIC-Authorized Food Stores) and Businesses (Non-Profit WIC Local Agencies) (Private)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 246.12(h)(1)(i) 7 CFR 246.10(b)(2)(i) 7 CFR 246.7(i)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 41,556	Number of Respondents for Small Entity: 5,489

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,232,050	2,061,531	3,079,777	90,742
Annual IC Time Burden (Hours)	1,007,076	326,269	513,296	167,511
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

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