Privacy Act Statement
 
Consent Form
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OMB Burden Statement
 
Welcome
 
 
Questions 1 & 2
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If “Local” is selected...
 
Question 3
 
 
Question 5
 
Question 6
 
Question 7
 
Section 2 – CAMPAIGN ADOPTION/ADAPTATION/INTEGRATION (FOR WIC STATE AGENCIES ONLY)
 
Question 8
 
Question 9
 
Question 10
 
Question 11
 
Question 12
 
Question 13
 
Question 14
 
Question 15
 
Question 16
 
Question 17
 
Question 18
 
Question 19
 
Question 20
 
Question 21
 
Question 22
 
Question 23
 
Question 24
 
Question 25
 
Question 26
 
Question 27
 
Question 28
 
Question 29
 
SECTION 5: ADDITIONAL SHARING OF EXPERIENCES
Question 30 & 31
 
Closing
 
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Ngoc Huynh | 
| File Modified | 0000-00-00 | 
| File Created | 2024-10-26 |