Information Collection

WIC PC Longitudinal Feasibility Survey

IC 260594 under ICR 202410-0584-002 · OMB 0584-0611.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0611 can be found here:

Documents and Forms

Document Name Document Type
Recruitment materials - A. email to regional offices.docx Other-Recruitment materials - A. ema
Recruitment materials - B. initial email to state agencies.docx Other-Recruitment materials - B. ini
Recruitment materials - C. follow up email to state agencies.docx Other-Recruitment materials - C. fol
Recruitment Materials D. follow up call to state agencies.docx Other-Recruitment Materials D. follo
Task 5.5 Final State Agency Survey clean.docx Other-Task 5.5 Final State Agency Su
Fast Track Clearance WIC PC22 Longitudinal Survey updated.docx Fast Track Clearance WIC PC22 Longitudinal Survey updated IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	WIC PC Longitudinal Feasibility Survey	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Recruitment materials - A. email to regional offices	Recruitment materials - A. email to regional offices.docx	Yes	Yes	Fillable Printable
Other-Recruitment materials - B. initial email to state agencies	Recruitment materials - B. initial email to state agencies.docx	Yes	Yes	Fillable Printable
Other-Recruitment materials - C. follow up email to state agencies	Recruitment materials - C. follow up email to state agencies.docx	Yes	Yes	Fillable Printable
Other-Recruitment Materials D. follow up call to state agencies	Recruitment Materials D. follow up call to state agencies.docx	Yes	Yes	Fillable Printable
Other-Task 5.5 Final State Agency Survey clean	Task 5.5 Final State Agency Survey clean.docx	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 89	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	356	356
Annual IC Time Burden (Hours)	59	59
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Clearance WIC PC22 Longitudinal Survey updated	Fast Track Clearance WIC PC22 Longitudinal Survey updated.docx	06/08/2023

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