Women, Infants, and Children Overseas - Eligibility Determination

Forms and Documents

Document Name	Status
WIC Overseas PASSBACK_Revised 12.23.2016.doc Supporting Statement A	2016-12-27
SSN Justification.PDF Supplementary Document	2016-09-28

IC Document Collections

IC ID	Document Title	Status
5606	Women, Infants, and Children Overseas - Eligibility Determination Other-Screenshots	Modified

ICR Details

OMB Control No: 0720-0030	ICR Reference No: 201609-0720-001
Status: Historical Active	Previous ICR Reference No: 201307-0720-001
Agency/Subagency: DOD/DODOASHA	Agency Tracking No:
Title: Women, Infants, and Children Overseas - Eligibility Determination
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/29/2016
	Date Received in OIRA: 09/29/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	12/31/2016
Responses	29,100	0	31,672
Time Burden (Hours)	7,275	0	7,918
Cost Burden (Dollars)	52,671	0	57,326

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Abstract: The collection instrument is used to collect information from dependents of members of the armed forces, dependents of a civilian employee of a military department, and DoD Contractors and their dependents stationed overseas to determine eligibility to receive WIC Overseas benefits. The collection instrument is used by contractor staff assigned to WIC Overseas offices.

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Authorizing Statute(s): US Code: 10 USC 1060a Name of Law: Special Supplemental Food Program
   US Code: 42 USC 13A Name of Law: Child Nutrition
   US Code: 42 USC 290dd-2 Name of Law: Confidentiality of Records
   EO: EO 9397 Name/Subject of EO: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 19152	04/04/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 66641	09/28/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Women, Infants, and Children Overseas - Eligibility Determination

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	29,100	31,672	0	-2,572	0	0
Annual Time Burden (Hours)	7,275	7,918	0	-643	0	0
Annual Cost Burden (Dollars)	52,671	57,326	0	-4,655	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There was a decrease in the overall number of burden hours because the WIC Overseas program does not have as many participants as it did in the previous OMB submission. We have less people that are requesting WIC Overseas services, which is less respondents to our information collection.

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Annual Cost to Federal Government: $228,092

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/29/2016

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