WisP - Waiver Request

Waivers and State Plans (WiSP) - Special Supplemental Nutrition Program for Women, Infants, and Children WIC Farmers’ Market Nutrition Program, and WIC Seniors Farmers’ Market Program

Documents and Forms

Document Name Document Type
Appendix T - WiSP Waiver Training -1.pdf Other-Appendix T - WiSP Waiver Train
Appendix J - Waiver Request Online Form.pdf Other-Appendix J - Waiver Request On

Information Collection (IC) Details

IC Title:	WisP - Waiver Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix T - WiSP Waiver Training			Appendix T - WiSP Waiver Training -1.pdf		Yes	Yes	Fillable Fileable
Other-Appendix J - Waiver Request Online Form			Appendix J - Waiver Request Online Form.pdf		Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	220	220
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.