Information Collection

WIC ITO Program Staff ARPO ABFA Reporting - Tribal

IC 262007 under ICR 202308-0584-006 · OMB 0584-0687.

Documents and Forms

Document Name Document Type
Appendix E - Waiver Request Online Form.pdf Other-
Appendix E - Waiver Request Online Form.pdf Other-

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	WIC ITO Program Staff ARPO ABFA Reporting - Tribal	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-			Appendix E - Waiver Request Online Form.pdf		Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	365	365
Annual IC Time Burden (Hours)	239	239
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.