OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

WIC Nutrition Assessment and Tailoring Study In-Person Site Visit Data Collection

OMB 0584-0663 · USDA/FNS.

OMB 0584-0663

Latest Forms, Documents, and Supporting Material

Document Name
SSA - WIC NATS_In-PersonRev Final Revised 2022.03.17.docx Supporting Statement A
SSB - WIC NATS_In-PersonRev Final 2022.2.1.docx Supporting Statement B
I_FNS Response to NASS Comments.docx Supplementary Document
H_NASS Comments.docx Supplementary Document
G2_Westat IRB Approval Letter.pdf Supplementary Document
G1_Statement of Confidentiality and Non-Disclosure.docx Supplementary Document
F_Expert Review Panel Comments and Responses.pdf Supplementary Document
E_Pretest_Memorandum.docx Supplementary Document
C5_Clinic Observation Form.docx Supplementary Document
B_WIC NATS OMB Burden Table_In-PersonRev_2021.06.17.xlsx Supplementary Document
A3_WIC NATS Sampling Approach.docx Supplementary Document
A2_Relevant WIC Policy and Guidance Documents.pdf Supplementary Document
A1_Authorizing Statutes.docx Supplementary Document
WIC Participants - Individuals and Households (Non-respondents) Other-Non Respondents Burden Instrument
WIC Participants - Individuals and Households Other-Appendix C2 Nutrition Services Observation Form
Local Agency WIC Clinic Staff - Profit/Non-Profit Businesses (Non-Respondents) Other-Non Respondents Burden Instrument
Local Agency WIC Clinic Staff - Profit/Non-Profit Businesses Other-Appendix C1 Site Director Interview Guide
State and Local Agency WIC Clinic Staff - SLT (Non-respondents) Other-Non Respondents Burden Instrument
State and Local Agency WIC Clinic Staff - SLT Other-Appendix C1 Site Director Interview Guide

All Historical Document Collections

202202-0584-001 Approved without change	Revision of a currently approved collection	2022-03-22
202010-0584-009 Approved with change	New collection (Request for a new OMB Control Number)	2020-12-01