OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

WIC Outreach Campaign – Campaign Logo and Platform Concept Focus Groups

IC 267486 under ICR 202410-0584-002 · OMB 0584-0611.

Documents and Forms
Document Name
Document Type
Other-Attachment A-1 WIC Screener -
Other-Attachment A-2 WIC Eligible Sc
Other-Attachment A-3 WIC Screener -
Other-Attachment A-4 WIC Eligibility
Other-Attachment C-1 Consent Form -
Other-Attachment C-2 Consent Form -
Other-Attachment D-1 WIC Focus Group
Other-Attachment D-2 WIC Platform Lo
Other-F-1 Stimuli for Focus Groups
Other-B-1 Confirmation Form (English
Other-B-2 Confirmation Form (Spanish
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

WIC Outreach Campaign – Campaign Logo and Platform Concept Focus Groups
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A-1 WIC Screener - English Attachment A-1 WIC Screener (English)_050724.docx Yes Yes Fillable Printable
Other-Attachment A-2 WIC Eligible Screener - English Attachment A-2 WIC Eligible Screener (English) 050724.docx Yes Yes Fillable Printable
Other-Attachment A-3 WIC Screener - Spanish Attachment A-3 WIC Screener (Spanish) 050724.docx Yes Yes Fillable Printable
Other-Attachment A-4 WIC Eligibility Screener - Spanish Attachment A-4 WIC Eligible Screener (Spanish) 050724.docx Yes Yes Fillable Printable
Other-Attachment C-1 Consent Form - English Attachment C-1 Consent Form (English) -1.docx Yes Yes Fillable Printable
Other-Attachment C-2 Consent Form - Spanish Attachment C-2 Consent Form (Spanish) -1.docx Yes Yes Fillable Printable
Other-Attachment D-1 WIC Focus Group Guide -English Attachment D-1 WIC Platform Logo FG Guide (English) -1.docx Yes Yes Fillable Printable
Other-Attachment D-2 WIC Platform Logo FG Guide Spanish Attachment D-2 WIC Platform Logo FG Guide (Spanish)-1.docx Yes Yes Fillable Printable
Other-F-1 Stimuli for Focus Groups Attachment F-1 2.1.1.3 WIC Program Logos for Testing.pptx Yes Yes Fillable Printable
Other-B-1 Confirmation Form (English) Attachment B-1 Confirmation Form (English) -1.docx Yes Yes Fillable Printable
Other-B-2 Confirmation Form (Spanish) Attachment B-2 Confirmation Form (Spanish) -1.docx Yes Yes Fillable Printable

Income Security Food and Nutrition Assistance

 

360 0
   
Individuals or Households
 
   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 360 0 0 0 0 360
Annual IC Time Burden (Hours) 186 0 0 0 0 186
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
E-1 IRB Determination Notice Attachment E-1 Determination Notice for Non Human Subjects Research (WIC - Logo and Platform Testing FGs).pdf 05/07/2024
WIC Outreach Campaign – Campaign Logo and Platform Concept Focus Groups Fast Track Clearance WIC National Outreach Campaign Logo and Platform FGs_040524 -1.docx 05/07/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.