OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

WIC Local Agency Applications - Non-Profit Organizations

IC 209947 under ICR 202302-0584-005 · OMB 0584-0591.

Documents and Forms
Document Name
Document Type
Other-Appendix H: Gold Application a
Other-Appendix K: Premiere and Elite
Information Collection (IC) Details

View Information Collection (IC)

WIC Local Agency Applications - Non-Profit Organizations
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix H: Gold Application and Instructions Appendix H Gold Application and Instructions.pdf Yes Yes Fillable Printable
Other-Appendix K: Premiere and Elite Application and Instructions Appendix K Premiere and Elite Application and Instructions.pdf Yes Yes Fillable Printable

Income Security Food and Nutrition Assistance

 

11 11
   
Private Sector Not-for-profit institutions
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 11 0 0 -2 0 13
Annual IC Time Burden (Hours) 22 0 0 -4 0 26
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.