State and Local WIC-Screener, Staff, Personnel

WIC Infant and Toddler Feeding Practices Study-2

OMB: 0584-0580

IC ID: 203582

Documents and Forms
Document Name
Document Type
Other-App.GG_Webinar Presentation- O
Other-App.II_Email Invitation to Sta
Other-App.JJ_Voicemail Invitation to
Other-App.LL.1.State_Key Informant I
Other-App.LL.2.Local_Key Informant I
Other-App.C.1_Eng.Participant Referr
Other-App.C.2_Span Participant Refer
Other-App.D.1_Eng.Participant Referr
Other-App.D.2_Span.Participant Refer
Other-App.MM.1_Eng.Local Staff Onlin
Other-App.MM.2_Span.Local Staff Onli
Other-App.BB_WIC Admin Data Request
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

State and Local WIC-Screener, Staff, Personnel
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-App.GG_Webinar Presentation- Overview of Study App.GG_Webinar Presentation- Overview of Study.V3.pdf Yes Yes Fillable Fileable
Other-App.II_Email Invitation to State & Local WIC Administrators App.II_Email Invitation to State & Local WIC Administrators.docx No   Paper Only
Other-App.JJ_Voicemail Invitation to State & Local WIC Administrators App.JJ_Voicemail Invitation to State & Local WIC Administrators.docx No   Paper Only
Other-App.LL.1.State_Key Informant Interview App.LL.1.State_Key Informant Interview.docx Yes Yes Fillable Fileable
Other-App.LL.2.Local_Key Informant Interview App.LL.2.Local_Key Informant Interview.docx Yes Yes Fillable Fileable
Other-App.C.1_Eng.Participant Referral Script & FAX cover App.C.1_Eng.Participant Referral Script & FAX cover.docx No   Paper Only
Other-App.C.2_Span Participant Referral Script & FAX cover App.C.2_Span Participant Referral Script & FAX cover.docx No   Paper Only
Other-App.D.1_Eng.Participant Referral Form.docx App.D.1_Eng.Participant Referral Form.docx Yes Yes Fillable Fileable
Other-App.D.2_Span.Participant Referral Form.docx App.D.2_Span.Participant Referral Form.docx Yes Yes Fillable Fileable
Other-App.MM.1_Eng.Local Staff Online Survey.V2 App.MM.1_Eng.Local Staff Online Survey.V2.docx Yes Yes Fillable Fileable
Other-App.MM.2_Span.Local Staff Online Survey.V2 App.MM.2_Span.Local Staff Online Survey.V2.docx Yes Yes Fillable Fileable
Other-App.BB_WIC Admin Data Request App.BB_WIC Admin Data Request.docx Yes Yes Fillable Fileable

Income Security Food and Nutrition Assistance

Privacy Act of 1974  5 FR 552

862 0
   
State, Local, and Tribal Governments
 
   99 %

  Approved 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 441 0 0 0 0 441
Annual IC Time Burden (Hours) 418 0 0 0 0 418
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Screen Shots for the Web Survey App.MM.3_Local Staff Online Survey Sample Screen Shots.V2.docx 12/18/2012
App.FF_Feeding My Baby Brochure App.FF_Feeding My Baby Brochure.pdf 12/18/2012
App.HH.Frequently Asked Questions App.HH.Frequently Asked Questions.docx 12/18/2012
App.KK_Thank you letter - State Not Selected App.KK_Thank you letter - State Not Selected.docx 12/18/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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