Information Collection

State and Local Agencies

IC 2932 under ICR 202404-0584-004 · OMB 0584-0043.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Appendix E - State_Plan_Guidance_Documents.pdf Other-Appendix E: WIC State Plan Gui
Appendix E - State_Plan_Guidance_Documents.pdf Other-Appendix E: WIC State Plan Gui
Appendix C WIC-Vendor-Management-Handbook-Public-Version-9.17-508.pdf Appendix C: WIC Vendor Management and Food Delivery Handbook IC Document
Appendix C WIC-Vendor-Management-Handbook-Public-Version-9.17-508.pdf Appendix C: WIC Vendor Management and Food Delivery Handbook IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State and Local Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 246.12(j)(4),(6) 7 CFR 246.12(k)(5) 7 CFR 246.4 7 CFR 246.5(b) 7 CFR 246.5(c)(2) 7 CFR 246.5(e)(3)(ii) 7 CFR 246.6 7 CFR 246.7(d) 7 CFR 246.7(f)(2)(iii)(A) 7 CFR 246.7(b),(i),(n) 7 CFR 246.7(i) 7 CFR 246.7(j)(9) 7 CFR 246.7(k) 7 CFR 246.8 7 CFR 246.9 (c) 7 CFR 246.9 (h) 7 CFR 246.10(b)(1) 7 CFR 246.10(b(2) 7 CFR 246.10(d)(1) 7 CFR 246.10(i) 7 CFR 246.11(d)(1), 246.7(b) 7 CFR 246.11(d)(2) 7 CFR 246.12(f)(3) 7 CFR 246.12(f)(4) 7 CFR 246.12(g)(4)(i) 7 CFR 246.12(g)(4)(ii)(B) 7 CFR 246.12(g)(4)(ii)(B) 7 CFR 246.12(g)(4)(iii) 7 CFR 246.12(g)(5) 7 CFR 246.12(g)(8) 7 CFR 246.12(h) 7 CFR 246.12(i)(1) 7 CFR 246.12(i)(1) 7 CFR 246.12(j)(2),(6) 7 CFR 246.12(l)(3) 7 CFR 246.16(e)(2)(i) & (ii) 7 CFR 246.16a 7 CFR 246.16a(f) 7 CFR 246.16a(g)(1)-(4) 7 CFR 246.17(c)(1) 7 CFR 246.18 7 CFR 246.19(a)(2) 7 CFR 246.19(a)(2) 7 CFR 246.19(b)(3) 7 CFR 246.19(b)(5) 7 CFR 246.20(a)(2) 7 CFR 246.20(b) 7 CFR 246.22(b)(2) 7 CFR 246.23(a)(3) 7 CFR 246.26(h)(3) 7 CFR 246.4(a)(30) 7 CFR 246.16a(j)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix E: WIC State Plan Guidance			Appendix E - State_Plan_Guidance_Documents.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: 1,356	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	18,085,663	104	18,085,559
Annual IC Time Burden (Hours)	3,552,850	7,394	3,545,456
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix C: WIC Vendor Management and Food Delivery Handbook	Appendix C WIC-Vendor-Management-Handbook-Public-Version-9.17-508.pdf	08/30/2020

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