Agency Information Collection Activities: Proposed Collection; Comments Request-Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Health Outcomes and Participant Experience (HOPE) Study, 76787-76793 [2024-21453]

Download as PDF Federal Register / Vol. 89, No. 182 / Thursday, September 19, 2024 / Notices Food and Nutrition Service Agency Information Collection Activities: Proposed Collection; Comments Request—Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Health Outcomes and Participant Experience (HOPE) Study Food and Nutrition Service (FNS), U.S. Department of Agriculture (USDA). ACTION: 60-Day notice and request for comments. AGENCY: In accordance with the Paperwork Reduction Act of 1995, this notice invites the general public and other public agencies to comment on this proposed information collection for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Health Outcomes and Participant Experience (HOPE) Study. This new information collection will provide the U.S. Department of Agriculture, Food and Nutrition Service (FNS) with current information about the population WIC serves, how well WIC services align with participants’ needs, and how WIC influences participants’ health outcomes. This information will help policymakers and program administrators address service gaps and reduce potential disparities in health outcomes. DATES: Written comments must be received on or before November 18, 2024. ADDRESSES: Comments may be sent to the WIC HOPE Study Team, Office of Policy Support, Food and Nutrition Service, USDA, 1320 Braddock Place, Alexandria, VA 22314. Comments may also be submitted via email to sm.fn.wic.hope@usda.gov or by phone at 709–905–2732. Comments will also be accepted through the Federal eRulemaking Portal. Go to https:// www.regulations.gov and follow the online instructions for submitting comments electronically. All responses to this notice will be summarized and included in the request for Office of Management and Budget approval. All comments will be a matter of public record. FOR FURTHER INFORMATION CONTACT: Requests for additional information on or copies of this information collection should be directed to the WIC HOPE Study Team at sm.fn.wic.hope@ usda.gov or the current Contracting Officer Representative for the study, Amanda Reat at Amanda.Reat@ usda.gov, 709–905–2732. lotter on DSK11XQN23PROD with NOTICES1 SUMMARY: VerDate Sep<11>2014 16:59 Sep 18, 2024 Jkt 262001 Comments are invited on: (a) whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden on the proposed collection of information, including the validity of the methodology and assumptions that were used; (c) ways to enhance the quality, utility, and clarity of the information collected; and (d) ways to minimize the burden of the collection of information on those who are to respond, including use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology. Title: WIC Health Outcomes and Participant Experience Study. Form Number: Not applicable. OMB Number: 0584–NEW. Expiration Date: Not yet determined. Type of Request: New collection. Abstract: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides nutritious supplemental foods, nutrition education and counseling, breastfeeding promotion and support, and referrals to healthcare, social services, and other community providers to pregnant, breastfeeding, and postpartum women, and infants and children up to age 5 who are at nutritional risk and in households with a low income. As a preventive public health nutrition program, WIC aims to improve the feeding practices, diet, and health of participants. The first comprehensive national study assessing WIC participants, the WIC Infant Feeding Practices Study (IFPS), began collecting data in August 1994 and followed infants from birth to age 1.1 The subsequent and most recent study, the Infant and Toddler Feeding Practices Study-2 (ITFPS–2), began collecting data in 2013 and has followed children from birth through age 9. WIC has experienced several notable changes since the last major study was launched. WIC currently serves a more diverse population using more modernized service delivery approaches, such as Electronic Benefits Transfer (EBT) cards, online shopping, and virtual visits. WIC has also aligned its nutrition education with the 2020– SUPPLEMENTARY INFORMATION: DEPARTMENT OF AGRICULTURE 1 Baydar, N., McCann, M., Williams, R., and Vesper, E. (1997). Final report: WIC Infant Feeding Practices Study (for the U.S. Department of Agriculture, Food and Consumer Service). Seattle, WA: Battelle, Centers for Public Health Research and Evaluation. Available at: https://fnsprod.azureedge.us/sites/default/files/WICIFPS.pdf. PO 00000 Frm 00002 Fmt 4703 Sfmt 4703 76787 2025 Dietary Guidelines for Americans (DGA) and invested in new breastfeeding promotion and support resources, like the WIC Breastfeeding Support: Learn Together. Grow Together. campaign. Additional substantial program changes are forthcoming. For example, WIC has proposed changes to the WIC food packages to better serve participants’ dietary needs and preferences and ensure equitable access to supplemental foods. WIC is also investing in a national strategy to diversify the WIC workforce so it mirrors the diversity of WIC families, culturally sensitive outreach strategies to increase enrollment and retention rates, and technology enhancements to streamline enrollment and provide a modern WIC experience.2 The WIC Health Outcomes and Participant Experience (WIC HOPE) Study will provide the U.S. Department of Agriculture (USDA), Food and Nutrition Service (FNS) with current information about the population WIC serves, how well WIC services align with participants’ needs, and how WIC influences participants’ health outcomes. This information will help policymakers and program administrators address service gaps and reduce potential disparities in health outcomes. The five study objectives are: (1) conduct new data collection to update the information in WIC IFPS–1 and WIC ITFPS–2 on the feeding practices and behaviors of WIC infants and children, and compare and contrast findings with previous studies; (2) describe participants’ WIC site experiences and engagement with WIC technologies such as text messaging, mobile apps, online appointment scheduling, video calling, online nutrition education, shopping assistance apps, and online shopping tools; (3) assess the extent to which WIC benefits used by participants (including food packages, nutrition education and breastfeeding promotion and support, and referrals) are independently associated with feeding practices, diet, and health over time; (4) describe maternal diet, birth, and health outcomes from the pregnancy and postpartum period throughout the study period; and (5) examine the independent association between duration of WIC participation and diet and health outcomes as well as nutrition security. 2 U.S. Department of Agriculture, Food and Nutrition Service (USDA, FNS). (2024a, February 13). WIC modernization. Alexandria, VA: Author. Available at: https://www.fns.usda.gov/wic/ modernization. Retrieved on: February 23, 2024. E:\FR\FM\19SEN1.SGM 19SEN1 76788 Federal Register / Vol. 89, No. 182 / Thursday, September 19, 2024 / Notices lotter on DSK11XQN23PROD with NOTICES1 WIC HOPE is a prospective cohort study that will follow a nationally representative sample of mother-child dyads who enroll in WIC prenatally or shortly after the child is born through the child’s fifth birthday. Pregnant women or caregivers of newborns will be recruited through 80 WIC local agencies sampled from across the country. The study will collect data on participants’ experiences with WIC, use of WIC benefits, feeding practices, diet, and health at multiple points. Because the study child is the focal member of the mother-child dyad, mothers (i.e., caregivers) may change over the course of the study, but the study child will remain the same. Based on data from the ITFPS–2, we anticipate about 96 percent of caregivers will be the child’s mother throughout the study. Study participants will be followed for the duration of the study regardless of their continued participation in WIC. Capturing different patterns of WIC participation over time will enable the comparison of study participants with different durations of program exposure. However, because WIC HOPE does not include a randomized comparison group of infants who did not enroll in WIC, the study will examine relationships and associations between program predictors and outcomes rather than establish causality. Affected Public: Respondent groups identified include: (1) individuals consisting of mother-child dyads (adult WIC participants and their study child); (2) WIC State agencies; (3) WIC local agencies; and (4) WIC sites. Estimated Number of Respondents: The total estimated number of respondents is 8,825 (8,093 responsive and 1,512 nonresponsive). This includes 81 respondents for the pretest (81 respondents and 0 nonrespondents), composed of 9 WIC participants per data collection instrument. The main study respondents include 8,130 WIC participants, 54 WIC State agency staff, VerDate Sep<11>2014 16:59 Sep 18, 2024 Jkt 262001 160 WIC local agency staff, and 400 WIC site staff. Estimated Number of Responses per Respondent: Based on the estimated 438,325 total annual responses (263,905 responsive and 174,420 nonresponsive) to be made by the 8,825 respondents, the study team expects 50 responses per respondent. See Table 1 for the estimated number of responses per respondent for each type of respondent. The breakout follows: WIC participants: The estimated number of responses per WIC participant is 51 (32 per respondent and 115 per nonrespondent). For the pretest, 81 WIC participants will be asked to participate in a cognitive interview. For the main study, WIC participants will be asked to respond to one study brochure; complete one screener; one study consent; and one enrollment survey. After enrollment, they will be asked to respond to 14 caregiver surveys and 5 maternal dietary recall interviews, provide study child measurements at 7 points, and provide contact information updates 2 times a year for 3 years. They will also be asked to review upcoming survey notifications, study reminders, child birthday cards, and caregiver birthday greetings. WIC State agencies: The estimated number of responses per WIC State agency participant is six. The WIC State agencies will be asked to review one email from the Regional Office notifying them of the study selection, attend one informational webinar, review one email from the study to schedule a meeting, participate in one meeting to discuss study implementation, and notify the WIC local agency of their study selection. WIC local agencies: The estimated number of responses per WIC local agency participant is 12. WIC local agencies will be asked to review one email from the WIC State agency notifying them of the study selection, review the study factsheet, notify their PO 00000 Frm 00003 Fmt 4703 Sfmt 4703 sites of the study selection, attend one training webinar, communicate with Westat regarding WIC participant recruitment planning and implementation, communicate with sites regarding WIC participant recruitment planning and implementation, and assist with locating study participants. WIC sites: The estimated number of responses per WIC site participant is 57. WIC sites will be asked to review communications from the WIC local agency regarding the study selection, participate in an informational call, attend a training webinar, communicate with Westat and sites regarding WIC participant recruitment planning and implementation, introduce the study to the WIC participant, complete the referral form, and take length/height and weight measurements of study children. Estimated Total Annual Responses: The estimated total number of annual responses is 438,325. This includes 263,905 for respondents and 174,420 for nonrespondents. Estimated Time per Response: The estimated average response time is 6.2 hours for all respondents (6.4 hours for responsive participants and 1.4 hours for nonresponsive participants). The estimated time of response varies from 0.50 minutes (0.008 hours) to 1 hour depending on the respondent group and activity, as shown in Table 1. The average estimated time per response across all respondents is 0.12 hours (equal to 54,308 total annual burden hours for both respondents and nonrespondents) divided by 438,325 (total responses for both respondents and nonrespondents), as shown in Table 1. Estimated Total Annual Burden on Respondents: The total public reporting burden for this collection of information is estimated at 54,308 hours (annually). See Table 1 for estimated total annual burden for each type of respondent. BILLING CODE 3410–30–P E:\FR\FM\19SEN1.SGM 19SEN1 lotter on DSK11XQN23PROD with NOTICES1 VerDate Sep<11>2014 Table 1. Total Public Burden I I g, ~ I ii I ! "g ll ~ 111 E !:o ,l:; IV U O Cl. GI ::I GI 'tJ g Jkt 262001 C. GICI. ~ ~ 111 I C GI I ~ - Respondents Pretest "' 8. g '-"iii o::I ~ ~ ~ - .!!!. ii GI 5: .... "' C. ClJGI-"' .!::! ... c "' E "g GI GIGI a. E ~ ::,0 GI ii ~ ~ K1 0 C. c ::, ID C:-ra c a c. t er iii f ::::, o ~ ra .. ... I- :i:: {:. - ~ o I!! 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I- ;) O+' I- li'- 0 .C "'ii-; IV 81 81 1.00 81 1.000 81.0 0 3.00 0 0.000 0.0 81 81.0 8,130 7,398 1.00 7,398 0.050 369.9 732 1.00 732 0.050 36.6 8,130 406.5 7,398 7,398 1.00 7,398 0.050 369.9 0 1.00 0 0.017 0.0 7,398 369.9 Study invitation (by text or email or letter or in person) Frm 00004 Screener reminders (b) (by text or email ii or letter or phone) 7,398 6,618 2.00 13,236 0.008 110.3 780 6.00 4,680 0.008 39.0 17,916 149.3 Screener (web) 7,398 3,659 1.00 3,659 0.083 304.9 702 1.00 702 0.017 11.7 4,361 316.6 7,398 2,959 1.00 2,959 0.117 345.2 78 1.00 78 0.017 1.3 3,037 346.5 5,000 4,500 1.00 4,500 0.083 375.0 500 1.00 500 0.083 41.7 5,000 416.7 ~ Enrollment survey (web) 4,500 2,700 1.00 2,700 0.200 540.0 0 1.00 0 0.000 0.0 2,700 540.0 3:... Enrollment survey (telephone or inperson) 4,500 1,800 1.00 1,800 0.250 450.0 0 1.00 0 0.000 0.0 1,800 450.0 5l ,.E Study welcome packet 4,500 4,500 1.00 4,500 0.117 525.0 0 1.00 0 0.000 0.0 4,500 525.0 ::I 'tJ i Prenatal survey 3,918 3,330 1.00 3,330 0.500 1,665.0 588 1.00 588 0.017 9.8 3,918 1,674.8 !:! YR1: Maternal dietary recalls 1,000 900 4.45 4,005 0.500 2,002.5 100 4.50 450 0.017 7.7 4,455 2,010.2 1,000 280 6.00 1,680 0.033 56.0 100 18.00 1,800 0.008 15.0 3,480 71.0 Fmt 4703 Screener (telephone or in-person) Consent form ;g.c Sfmt 4725 111 "tJ 0 .c E:\FR\FM\19SEN1.SGM ~ ~ ~ ... 19SEN1 _; ! '6 .!: -~ ~ YRl: Maternal dietary recall advance letter and text/email notification (c) 1,000 950 2.00 1,900 0.067 126.7 50 2.00 100 0.000 0.0 2,000 126.7 i YRl: Measurement card - Birth 4,167 3,334 1.00 3,334 0.250 833.4 833 1.00 833 0.050 41.7 4,167 875.1 3,959 2,573 1.90 4,889 0.750 3,666.5 833 1.90 1,583 0.050 79.2 6,472 3,745.7 IV ,s'5 0 f GI GI £ 0 :ii: YR1: Maternal dietary recall survey reminders (b) 1 - - - - - - - .- - - - - - - - + - - - t - - - - - - - l - - - - + - - - - + - - - - - - l - - - + - - - + - - - + - - - - - - - - l t - - - - - - - 1 - - - - + - - - - t - - - - - - t YRl: Measurement cards - 6 and 12 months YRl: Survey advance letter and 4,167 3,542 4.80 17,001 0.067 1,133.4 625 4.80 3,000 0.000 0.0 20,002 1,133.4 1-month survey 4,167 3,442 1.00 3,442 0.500 1,721.0 725 1.00 725 0.017 12.1 4,167 1,733.1 3-month survey 4,167 3,525 1.00 3,525 0.500 1,762.5 642 1.00 642 0.017 10.7 4,167 1,773.2 5-month survey 3,959 3,318 1.00 3,318 0.500 1,659.0 641 1.00 641 0.017 10.7 3,959 1,669.7 YRl: Measurement reminders (b) 3,959 1,029 3.79 3,901 0.033 130.0 1,386 6.33 8,770 0.017 146.2 12,671 276.2 7-month survey 3,879 3,193 1.00 3,193 0.500 1,596.5 686 1.00 686 0.017 11.4 3,879 1,607.9 76789 EN19SE24.054</GPH> text/email notification (c) Federal Register / Vol. 89, No. 182 / Thursday, September 19, 2024 / Notices 16:59 Sep 18, 2024 ~ lotter on DSK11XQN23PROD with NOTICES1 16:59 Sep 18, 2024 3,841 2,945 1.00 2,945 0.500 1,472.5 896 1.00 896 0.017 14.9 3,841 1,487.4 3,841 1,485 10.95 16,257 0.033 541.9 896 25.56 22,894 0.008 190.8 39,151 732.7 1-year child birthday card 3,841 3,265 1.00 3,265 0.033 108.8 576 1.00 576 0.000 0.0 3,841 108.8 3,841 3,265 1.00 3,265 0.017 54.4 576 1.00 576 0.000 0.0 3,841 54.4 text/email notification (c) 3,687 3,134 2.92 9,151 0.067 610.1 553 2.92 1,615 0.000 0.0 10,766 610.1 13-month survey 3,687 2,820 1.00 2,820 0.667 1,880.0 867 1.00 867 0.017 14.5 3,687 1,894.5 YR2: Survey reminders (b) 3,687 2,950 2.04 6,017 0.033 200.6 867 20.28 17,584 0.008 146.5 23,601 347.1 417 282 1.00 282 0.250 70.5 135 1.00 135 0.017 2.3 417 72.8 letter and text/email notification (c) 1,000 850 1.00 850 0.067 56.7 50 1.00 50 0.000 0.0 900 56.7 YR2: Maternal dietary recalls 1,000 900 1.48 1,332 0.500 666.0 100 1.50 150 0.017 2.6 1,482 668.6 YRl: Mother birthday greeting (email or text) Jkt 262001 13-month 2nd day dietary recall (child) YR2: Maternal dietary recall advance PO 00000 Frm 00005 ~ "' "' C f :!2 :!2 :E :E u u u u YR2: Maternal dietary recall survey reminders (b) 1,000 280 1.00 280 0.033 9.3 100 6.00 600 0.008 5.0 880 14.3 18-month survey 3,613 2,530 1.00 2,530 0.583 1,475.8 1,083 1.00 1,083 0.000 0.0 3,613 1,475.8 18-month 2nd day dietary recall (child) Fmt 4703 o o j j 24-month survey "'0::, "'0::, .. .. EE 24-month 2nd dietary recall (child) "tJ "tJ .c .c cu cu Sfmt 4725 :i::: :i::: "tJ C "tJ C "' "' cu cu .s .s "tJ C ro "tJ C ro 164 0.000 0.0 417 63.3 981 0.017 16.3 3,469 1,675.0 64.8 E:\FR\FM\19SEN1.SGM 1.00 248 0.250 62.0 169 1.00 169 0.017 2.8 417 2,948 0.017 49.1 520 1.00 520 0.000 0.0 3,469 49.1 Measurement Card -24 months 3,469 1,734 1.00 1,734 0.750 1,300.8 1,734 1.00 1,734 0.050 86.7 3,469 1,387.5 3,469 694 1.00 694 0.033 23.1 1,734 3.00 5,203 0.008 43.4 5,897 66.5 3,469 2,948 1.00 2,948 0.008 24.6 520 1.00 520 0.000 0.0 3,469 24.6 YR2: Mother birthday greeting (email or .. .. 1.00 1.00 1.00 YR2: Measurement reminders (b) f 164 981 248 j j ~ 63.3 1,658.7 2,948 0 0 -~ -~ 253 0.250 2,488 0.667 417 "tJ .!: .!: 1.00 1.00 3,469 u u :ii: :ii: "tJ "tJ 253 2,488 2-year child birthday card "' iii"' iii ::, ::, "tJ 417 3,469 text) 19SEN1 8i° 8i° YR3: Survey advance letter and ro u text/email notifications (c) 3,365 2,860 1.88 5,377 0.067 358.5 505 1.97 994 0.000 0.0 6,371 358.5 30-month survey 3,365 2,613 1.00 2,613 0.417 1,088.8 752 1.00 752 0.000 0.0 3,365 1,088.8 YR3: Survey reminders (b) 3,365 1,274 1.95 2,485 0.033 82.8 752 8.77 6,593 0.008 54.9 9,077 137.8 3,365 2,860 1.00 2,860 0.033 95.3 505 1.00 505 0.000 0.0 3,365 95.3 text) 3,365 2,860 1.00 2,860 0.017 47.7 505 1.00 505 0.000 0.0 3,365 47.7 36-month survey 3,264 2,571 1.00 2,571 0.667 1,714.0 693 1.00 693 0.000 0.0 3,264 1,714.0 "'u ~~ cu cu .c .c oo :iE :iE 3-year child Birthday Card YR3: Mother birthday greeting (email or 36-month 2nd dietary recall (child) 417 257 1.00 257 0.333 85.7 160 1.00 160 0.017 2.7 417 88.3 Measurement card -36 months 3,264 1,632 1.00 1,632 0.750 1,223.9 1,632 1.00 1,632 0.050 81.6 3,264 1,305.5 YR3: Measurement reminders (b) 3,264 653 1.00 653 0.033 21.8 1,632 3.00 4,896 0.008 40.8 5,548 62.6 text/email notifications (c) 3,166 2,691 1.98 5,328 0.067 355.2 475 1.98 940 0.000 0.0 6,268 355.2 42-month survey 3,166 2,571 1.00 2,571 0.667 1,714.0 595 1.00 595 0.017 9.9 3,166 1,723.9 YR4: Survey reminders (b) 3,166 1,109 3.94 4,370 0.033 145.7 595 26.41 15,710 0.008 130.9 20,080 276.6 YR4: Survey advance letter and Federal Register / Vol. 89, No. 182 / Thursday, September 19, 2024 / Notices YR2: Survey advance letter and C EN19SE24.055</GPH> 76790 VerDate Sep<11>2014 I 11-month survey YRl: Survey reminders (b) lotter on DSK11XQN23PROD with NOTICES1 VerDate Sep<11>2014 YR4: Maternal dietary recall advance I I letter and texVemail notification (c) 1,000 950 1.00 950 0.067 63.3 50 1.00 50 0.000 0.0 1,000 63.3 42-month dietary recall (mother) 1,000 900 1.48 1,332 0.500 666.0 100 1.50 150 0.000 0.0 1,482 666.0 16:59 Sep 18, 2024 YR4: Maternal dietary recall survey 1,000 280 2.00 560 0.033 18.7 100 6.00 600 0.008 5.0 1,160 23.7 3,103 2,530 1.00 2,530 0.667 1,686.7 2,024 1.00 2,024 0.000 0.0 4,554 1,686.7 48-month 2nd dietary recall (child) 4-yea r chi Id birthday card Jkt 262001 253 1.00 253 0.333 84.3 164 1.00 164 0.017 2.7 417 87.1 2,637 1.00 2,637 0.017 44.0 465 1.00 465 0.000 0.0 3,103 44.0 3,103 2,637 1.00 2,637 0.008 22.0 465 1.00 465 0.000 0.0 3,103 22.0 YR4: Mother birthday greeting (email or C 2! text) PO 00000 Frm 00006 :5! :cu Measurement Card - 48 months 3,103 1,551 1.00 1,551 0.750 1,163.5 1,551 1.00 1,551 0.050 77.6 3,103 1,241.0 u YR4: Measurement reminders (b) 3,103 621 1.00 621 0.033 20.7 1,551 6.00 9,308 0.008 77.6 9,928 98.2 §: text/email notifications (c) 3,040 2,584 1.98 5,117 0.067 341.1 456 1.98 903 0.000 0.0 6,020 341.1 :I 0 ... E .e'tJ YRS: Survey advance letter and 54-month survey 3,040 2,488 1.00 2,488 0.500 1,244.0 552 1.00 552 0.017 9.2 3,040 1,253.2 YRS: Survey reminders (b) 3,040 1,050 1.94 2,037 0.033 67.9 552 8.34 4,608 0.017 76.8 6,645 144.7 'tJ u 60-month survey 2,980 2,488 1.00 2,488 0.667 1,658.7 492 1.00 492 0.000 0.0 2,980 1,658.7 II) 'tJ (II 0 .c (II II) ::c C !U C !U Fmt 4703 §: II) '5 'ii :I 'tJ Sfmt 4725 5-yea r chi Id birthday card ·t2! YRS: Mother birthday greeting (email or (II :i!: 'tJ C 60-month 2nd dietary recall (child) ..."' 249 1.00 249 0.333 83.0 168 1.00 168 0.017 2.8 417 85.8 2,533 1.00 2,533 0.017 42.2 447 1.00 447 0.000 0.0 2,980 42.2 1.00 2,533 0.008 21.1 447 1.00 447 0.000 0.0 2,980 21.1 2,980 2,533 "? 2,980 1,490 1.00 1,490 0.750 1,117.4 1,490 1.00 1,490 0.050 74.5 2,980 1,191.9 .c YRS: Measurement reminders (b) 2,980 596 1.00 596 0.033 19.9 1,490 6.00 8,939 0.008 74.5 9,535 94.4 :ii: Contact information updates (child age 3,542 1,063 2.00 2,125 0.050 106.3 2,479 2.00 4,959 0.017 82.6 7,084 188.9 3,542 1,063 2.00 2,125 0.050 106.3 2,479 2.00 4,959 0.017 82.6 7,084 188.9 3,542 1,063 2.00 2,125 0.050 106.3 2,479 2.00 4,959 0.017 82.6 7,084 188.9 3,542 1,063 2.00 2,125 0.050 106.3 2,479 2.00 4,959 0.017 82.6 7,084 188.9 3,542 1,063 2.00 2,125 0.050 106.3 2,479 2.00 .. 4,959 0.017 82.6 7,084 188.9 u text) 417 2,980 Measurement Card -60 months !U (II E:\FR\FM\19SEN1.SGM 0 <12 months) Contact information updates (child age 12 months - 24 months) (d) Contact information updates (child age 2 years - 3 years) (d) 19SEN1 Contact information updates (child age 3 years - 4 years) (d) Contact information updates (child age 4 years - 5 years) (d) lli11il~;f.lil.::· : I Email from RO to SA I state, I WIC State Introductory Letter from WIC Director to SA Local, or ' 27 54 1 54 0.050 2.7 0 0 0 0.000 0.0 54 27 54 1 54 0.050 2.7 0 0 0 0.000 0.0 54 2.7 27 54 1 54 0.083 4.5 0 0 0 0.000 0.0 54 4.5 Contact initiation email from Westat 27 54 1 54 0.050 2.7 0 0 0 0.000 0.0 54 2.7 Study webinar 27 54 1 54 1.000 54.0 0 0 0 0.000 0.0 54 54.0 Agency (SA) Study Factsheet I - 2.7 76791 Tribal EN19SE24.056</GPH> 417 3,103 Federal Register / Vol. 89, No. 182 / Thursday, September 19, 2024 / Notices reminders (bl 48-month survey lotter on DSK11XQN23PROD with NOTICES1 76792 VerDate Sep<11>2014 Recruitment planning activities with Govern I ! Westat {e) ,··,;r1w~.1Sw,1:~~-'• . • . - •. • ,., ··" -'Ai*/-X1\'. ;.rs· ,,.· • ... ,, •. -. , , ~ ·< • t¾-. Introductory Email from SA to sampled LAS 80 160 1 160 0.050 8.0 0 0 0 0.000 0.0 160 8.0 Study Factsheet 80 160 1 160 0.083 13.3 0 0 0 0.000 0.0 160 13.3 Jkt 262001 Westat Email to local agency 80 160 1 160 0.050 8.0 0 0 0 0.000 0.0 160 8.0 Westat informational call (e) 80 160 1 160 0.333 53.3 0 0 0 0.000 0.0 160 53.3 I 801 1601 11 1601 4.0001 640.0I 01 01 01 0.0001 0.01 1601 640.0 I SOI 1601 11 160112.0001 1,920.01 01 01 01 0.0001 0.01 1601 1,920.0 I 801 1601 11 1601 2.0001 320.01 01 01 01 0.0001 0.01 1601 320.0 (e) I 801 1601 51 8001 0.0501 40.0I 01 01 DI 0.0001 0.01 8001 40.0 Training webinar I 4001 8001 11 8001 0.7501 600.01 01 01 01 0.0001 0.01 8001 600.0 I 4001 8001 11 8001 0.3331 266.71 01 01 DI 0.0001 0.01 8001 266.7 Agency 400 800 1 800 0.333 266.7 0 0 0 0.000 0.0 800 266.7 Study Introduction Script 400 400 21 8,400 0.050 420.0 0 0 0 0.000 0.0 8,400 420.0 Recruitment planning and WIC Local implementation activities with Westat PO 00000 Agency (LA) (e) Recruitment planning and implementation activities with sites (e) Frm 00007 Recruitment progress communications with Westat {e) Assistance to locate study participants Fmt 4703 Sfmt 4725 Recruitment Planning and E:\FR\FM\19SEN1.SGM Implementation activities with Westat WICClinic Recruitment Planning and Implementation activities with Local Referral forms 400 400 20 8,000 0.083 666.7 0 0 0 0.000 0.0 8,000 666.7 Measurement Card 400 400 8 3,200 0.167 533.3 0 0 0 0.000 0.0 3,200 533.3 19SEN1 (a) Estimated based on WIC Infant Toddler Feeding Practices Study-2 (ITFPS-2) (b) EN19SE24.057</GPH> Assumed 80 percent of survey respondents and 60 percent of measurement respondents will complete the task before the reminder protocol starts. The remaining respondents will receive an average of 2 reminders and the non-respondents will receive an average of 6 reminders. (c) Assumed 85 percent of participants will review notifications and 15% do not (d) Assumed 85 percent of participants reporting a live birth will remain eligible for contact information updates (e) No instrument associated with these activities Federal Register / Vol. 89, No. 182 / Thursday, September 19, 2024 / Notices 16:59 Sep 18, 2024 ment Federal Register / Vol. 89, No. 182 / Thursday, September 19, 2024 / Notices Tameka Owens, Acting Administrator and Assistant Administrator, Food and Nutrition Service. [FR Doc. 2024–21453 Filed 9–18–24; 8:45 am] BILLING CODE 3410–30–C DEPARTMENT OF AGRICULTURE Rural Housing Service [DOCKET #: RHS–24–NONE–0033] Notice of Request for Revision of a Currently Approved Information Collection Rural Housing Service, USDA. Notice; request for comments. AGENCY: ACTION: In accordance with the Paperwork Reduction Act of 1995, the Rural Housing Service’s (RHS) announces its intention to request a revision for a currently approved information collection in support of the program for the Guaranteed Rural Rental Housing Program, for which approval from the Office of Management and Budget (OMB) will be requested. DATES: Comments on this Notice must be received by November 18, 2024 to be assured consideration. FOR FURTHER INFORMATION CONTACT: Adyam Negasi, RD Innovation Center— Regulations Management Division, U.S. Department of Agriculture, 1400 Independence Ave. SW, Washington, DC 20250; Tel: 202–221–9298; Email: Adyam.Negasi@usda.gov. SUPPLEMENTARY INFORMATION: OMB regulation (5 CFR part 1320) implementing provisions of the Paperwork Reduction Act of 1995 (Pub. L. 104–13) requires that interested members of the public and affected agencies have an opportunity to comment on information collection and recordkeeping activities (see 5 CFR 1320.8(d)). This notice identifies an information collection that the Agency is submitting to OMB for renewal and approval. Comments are invited on (a) whether the proposed collection of information is necessary for the proper performance of the functions of the Agency, including whether the information will have practical utility; (b) the accuracy of the Agency’s estimate of the burden of the proposed collection of information including the validity of the methodology and assumptions used; (c) ways to enhance the quality, utility and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information on those who are to respond, including through the use of appropriate lotter on DSK11XQN23PROD with NOTICES1 SUMMARY: VerDate Sep<11>2014 16:59 Sep 18, 2024 Jkt 262001 automated, electronic, mechanical, or other technological collection techniques or other forms of information technology. Comments may be sent through the Federal eRulemaking Portal: Go to https://www.regulations.gov and, in the ‘‘Search’’ box, type in the Docket No. RHS–24–NONE–0033. A link to the Notice will appear. You may submit a comment here by selecting the ‘‘Comment’’ button or you can access the ‘‘Docket’’ tab, select the ‘‘Notice,’’ and go to the ‘‘Browse & Comment on Documents’’ tab. Here you may view comments that have been submitted as well as submit a comment. To submit a comment, select the ‘‘Comment’’ button, complete the required information, and select the ‘‘Submit Comment’’ button at the bottom. Information on using regulations.gov, including instructions for accessing documents, submitting comments, and viewing the docket after the close of the comment period, is available through the site’s ‘‘FAQ’’ link at the bottom. Title: Guaranteed Rural Rental Housing Program. OMB Control Number: 0575–0174. Expiration Date of Approval: 01/31/ 2025. Type of Request: Revision of a Currently Approved Information Collection. Abstract: On March 28, 1996, President Clinton signed the ‘‘Housing Opportunity Program Extension Act of 1996.’’ One of the provisions of the Act was the authorization of the section 538 Guaranteed Rural Rental Housing Loan Program, adding the program to the Housing Act of 1949. The program has been designed to increase the supply of affordable Multi-Family Housing (MFH) through partnerships between RHS and major lending sources, as well as State and local housing finance agencies and bond issuers. Qualified lenders will be authorized to originate, underwrite, and close loans for MFH projects. To be considered, these projects must be either new construction or acquisition with rehabilitation with at least $6,500 per unit. The Secretary is authorized under section 510 (k) of the Housing Act of 1949 to prescribe regulations to ensure that these federally funded loans are made to eligible applicants for authorized purposes. The lender must evaluate the eligibility, cost, benefits, feasibility, and financial performance of the proposed project. The Agency collects this information from the lender to determine if funds are being used to meet the goals and mission of Rural Development. The information submitted by the lender to the Agency PO 00000 Frm 00008 Fmt 4703 Sfmt 4703 76793 is used by the Agency to manage, plan, evaluate, and account for Government resources. Estimate of Burden: Public reporting burden for this collection of information is estimated to be 0.7 hours. Respondents: Non-profit and forprofit lending corporations and public bodies. Estimated Number of Respondents: 150. Estimated Number of Responses per Respondent: 20.55. Estimated Number of Responses: 3082. Estimated Total Annual Burden on Respondents: 2,162 hours. Copies of this information collection can be obtained from Adyam Negasi, Innovation Center, Regulations Management Division, at 202–221–9298, or adyam.negasi@usda.gov. All responses to this notice will be summarized and included in the request for OMB approval. All comments will also become a matter of public record. Joaquin Altoro, Administrator, Rural Housing Service. [FR Doc. 2024–21455 Filed 9–18–24; 8:45 am] BILLING CODE 3410–XV–P U.S. COMMITTEE ON THE MARINE TRANSPORTATION SYSTEM [Docket No. DOT–OST–2024–0044] Request for Information To Identify Barriers to Planning for Climate Resilience in U.S. Ports; Reopening of Comment Period U.S. Committee on the Marine Transportation System. ACTION: Notice; request for information (RFI); reopening of comment period. AGENCY: On July 15, 2024, the CMTS published in the Federal Register an RFI seeking information to identify what types of planning guidance, documents, datasets, and Federal funding opportunities are currently being utilized in planning for long-term environmental change in U.S. Ports, and to identify barriers to action. The information received from this RFI will be analyzed to assess whether the needs for this type of planning are being met and identify where improvements could be made. Information is requested from anyone who works in or adjacent to climate resilience planning and execution in ports (public and private), as well as any interested members of the public. That RFI established a 45-day comment period closing on August 29, 2024. CMTS is reopening the public SUMMARY: E:\FR\FM\19SEN1.SGM 19SEN1

Agencies

[Federal Register Volume 89, Number 182 (Thursday, September 19, 2024)]
[Notices]
[Pages 76787-76793]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-21453]



[[Page 76787]]

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DEPARTMENT OF AGRICULTURE

Food and Nutrition Service


Agency Information Collection Activities: Proposed Collection; 
Comments Request--Special Supplemental Nutrition Program for Women, 
Infants, and Children (WIC) Health Outcomes and Participant Experience 
(HOPE) Study

AGENCY: Food and Nutrition Service (FNS), U.S. Department of 
Agriculture (USDA).

ACTION: 60-Day notice and request for comments.

-----------------------------------------------------------------------

SUMMARY: In accordance with the Paperwork Reduction Act of 1995, this 
notice invites the general public and other public agencies to comment 
on this proposed information collection for the Special Supplemental 
Nutrition Program for Women, Infants, and Children (WIC) Health 
Outcomes and Participant Experience (HOPE) Study. This new information 
collection will provide the U.S. Department of Agriculture, Food and 
Nutrition Service (FNS) with current information about the population 
WIC serves, how well WIC services align with participants' needs, and 
how WIC influences participants' health outcomes. This information will 
help policymakers and program administrators address service gaps and 
reduce potential disparities in health outcomes.

DATES: Written comments must be received on or before November 18, 
2024.

ADDRESSES: Comments may be sent to the WIC HOPE Study Team, Office of 
Policy Support, Food and Nutrition Service, USDA, 1320 Braddock Place, 
Alexandria, VA 22314. Comments may also be submitted via email to 
[email protected] or by phone at 709-905-2732. Comments will also 
be accepted through the Federal eRulemaking Portal. Go to https://www.regulations.gov and follow the online instructions for submitting 
comments electronically.
    All responses to this notice will be summarized and included in the 
request for Office of Management and Budget approval. All comments will 
be a matter of public record.

FOR FURTHER INFORMATION CONTACT: Requests for additional information on 
or copies of this information collection should be directed to the WIC 
HOPE Study Team at [email protected] or the current Contracting 
Officer Representative for the study, Amanda Reat at 
[email protected], 709-905-2732.

SUPPLEMENTARY INFORMATION: Comments are invited on: (a) whether the 
proposed collection of information is necessary for the proper 
performance of the functions of the agency, including whether the 
information shall have practical utility; (b) the accuracy of the 
agency's estimate of the burden on the proposed collection of 
information, including the validity of the methodology and assumptions 
that were used; (c) ways to enhance the quality, utility, and clarity 
of the information collected; and (d) ways to minimize the burden of 
the collection of information on those who are to respond, including 
use of appropriate automated, electronic, mechanical, or other 
technological collection techniques or other forms of information 
technology.
    Title: WIC Health Outcomes and Participant Experience Study.
    Form Number: Not applicable.
    OMB Number: 0584-NEW.
    Expiration Date: Not yet determined.
    Type of Request: New collection.
    Abstract:
    The Special Supplemental Nutrition Program for Women, Infants, and 
Children (WIC) provides nutritious supplemental foods, nutrition 
education and counseling, breastfeeding promotion and support, and 
referrals to healthcare, social services, and other community providers 
to pregnant, breastfeeding, and postpartum women, and infants and 
children up to age 5 who are at nutritional risk and in households with 
a low income. As a preventive public health nutrition program, WIC aims 
to improve the feeding practices, diet, and health of participants. The 
first comprehensive national study assessing WIC participants, the WIC 
Infant Feeding Practices Study (IFPS), began collecting data in August 
1994 and followed infants from birth to age 1.\1\ The subsequent and 
most recent study, the Infant and Toddler Feeding Practices Study-2 
(ITFPS-2), began collecting data in 2013 and has followed children from 
birth through age 9.
---------------------------------------------------------------------------

    \1\ Baydar, N., McCann, M., Williams, R., and Vesper, E. (1997). 
Final report: WIC Infant Feeding Practices Study (for the U.S. 
Department of Agriculture, Food and Consumer Service). Seattle, WA: 
Battelle, Centers for Public Health Research and Evaluation. 
Available at: https://fns-prod.azureedge.us/sites/default/files/WICIFPS.pdf.
---------------------------------------------------------------------------

    WIC has experienced several notable changes since the last major 
study was launched. WIC currently serves a more diverse population 
using more modernized service delivery approaches, such as Electronic 
Benefits Transfer (EBT) cards, online shopping, and virtual visits. WIC 
has also aligned its nutrition education with the 2020-2025 Dietary 
Guidelines for Americans (DGA) and invested in new breastfeeding 
promotion and support resources, like the WIC Breastfeeding Support: 
Learn Together. Grow Together. campaign. Additional substantial program 
changes are forthcoming. For example, WIC has proposed changes to the 
WIC food packages to better serve participants' dietary needs and 
preferences and ensure equitable access to supplemental foods. WIC is 
also investing in a national strategy to diversify the WIC workforce so 
it mirrors the diversity of WIC families, culturally sensitive outreach 
strategies to increase enrollment and retention rates, and technology 
enhancements to streamline enrollment and provide a modern WIC 
experience.\2\
---------------------------------------------------------------------------

    \2\ U.S. Department of Agriculture, Food and Nutrition Service 
(USDA, FNS). (2024a, February 13). WIC modernization. Alexandria, 
VA: Author. Available at: https://www.fns.usda.gov/wic/modernization. Retrieved on: February 23, 2024.
---------------------------------------------------------------------------

    The WIC Health Outcomes and Participant Experience (WIC HOPE) Study 
will provide the U.S. Department of Agriculture (USDA), Food and 
Nutrition Service (FNS) with current information about the population 
WIC serves, how well WIC services align with participants' needs, and 
how WIC influences participants' health outcomes. This information will 
help policymakers and program administrators address service gaps and 
reduce potential disparities in health outcomes.
    The five study objectives are: (1) conduct new data collection to 
update the information in WIC IFPS-1 and WIC ITFPS-2 on the feeding 
practices and behaviors of WIC infants and children, and compare and 
contrast findings with previous studies; (2) describe participants' WIC 
site experiences and engagement with WIC technologies such as text 
messaging, mobile apps, online appointment scheduling, video calling, 
online nutrition education, shopping assistance apps, and online 
shopping tools; (3) assess the extent to which WIC benefits used by 
participants (including food packages, nutrition education and 
breastfeeding promotion and support, and referrals) are independently 
associated with feeding practices, diet, and health over time; (4) 
describe maternal diet, birth, and health outcomes from the pregnancy 
and postpartum period throughout the study period; and (5) examine the 
independent association between duration of WIC participation and diet 
and health outcomes as well as nutrition security.

[[Page 76788]]

    WIC HOPE is a prospective cohort study that will follow a 
nationally representative sample of mother-child dyads who enroll in 
WIC prenatally or shortly after the child is born through the child's 
fifth birthday. Pregnant women or caregivers of newborns will be 
recruited through 80 WIC local agencies sampled from across the 
country. The study will collect data on participants' experiences with 
WIC, use of WIC benefits, feeding practices, diet, and health at 
multiple points.
    Because the study child is the focal member of the mother-child 
dyad, mothers (i.e., caregivers) may change over the course of the 
study, but the study child will remain the same. Based on data from the 
ITFPS-2, we anticipate about 96 percent of caregivers will be the 
child's mother throughout the study. Study participants will be 
followed for the duration of the study regardless of their continued 
participation in WIC. Capturing different patterns of WIC participation 
over time will enable the comparison of study participants with 
different durations of program exposure. However, because WIC HOPE does 
not include a randomized comparison group of infants who did not enroll 
in WIC, the study will examine relationships and associations between 
program predictors and outcomes rather than establish causality.
    Affected Public: Respondent groups identified include: (1) 
individuals consisting of mother-child dyads (adult WIC participants 
and their study child); (2) WIC State agencies; (3) WIC local agencies; 
and (4) WIC sites.
    Estimated Number of Respondents: The total estimated number of 
respondents is 8,825 (8,093 responsive and 1,512 nonresponsive). This 
includes 81 respondents for the pretest (81 respondents and 0 
nonrespondents), composed of 9 WIC participants per data collection 
instrument. The main study respondents include 8,130 WIC participants, 
54 WIC State agency staff, 160 WIC local agency staff, and 400 WIC site 
staff.
    Estimated Number of Responses per Respondent: Based on the 
estimated 438,325 total annual responses (263,905 responsive and 
174,420 nonresponsive) to be made by the 8,825 respondents, the study 
team expects 50 responses per respondent. See Table 1 for the estimated 
number of responses per respondent for each type of respondent. The 
breakout follows:
    WIC participants: The estimated number of responses per WIC 
participant is 51 (32 per respondent and 115 per nonrespondent). For 
the pretest, 81 WIC participants will be asked to participate in a 
cognitive interview. For the main study, WIC participants will be asked 
to respond to one study brochure; complete one screener; one study 
consent; and one enrollment survey. After enrollment, they will be 
asked to respond to 14 caregiver surveys and 5 maternal dietary recall 
interviews, provide study child measurements at 7 points, and provide 
contact information updates 2 times a year for 3 years. They will also 
be asked to review upcoming survey notifications, study reminders, 
child birthday cards, and caregiver birthday greetings.
    WIC State agencies: The estimated number of responses per WIC State 
agency participant is six. The WIC State agencies will be asked to 
review one email from the Regional Office notifying them of the study 
selection, attend one informational webinar, review one email from the 
study to schedule a meeting, participate in one meeting to discuss 
study implementation, and notify the WIC local agency of their study 
selection.
    WIC local agencies: The estimated number of responses per WIC local 
agency participant is 12. WIC local agencies will be asked to review 
one email from the WIC State agency notifying them of the study 
selection, review the study factsheet, notify their sites of the study 
selection, attend one training webinar, communicate with Westat 
regarding WIC participant recruitment planning and implementation, 
communicate with sites regarding WIC participant recruitment planning 
and implementation, and assist with locating study participants.
    WIC sites: The estimated number of responses per WIC site 
participant is 57. WIC sites will be asked to review communications 
from the WIC local agency regarding the study selection, participate in 
an informational call, attend a training webinar, communicate with 
Westat and sites regarding WIC participant recruitment planning and 
implementation, introduce the study to the WIC participant, complete 
the referral form, and take length/height and weight measurements of 
study children.
    Estimated Total Annual Responses: The estimated total number of 
annual responses is 438,325. This includes 263,905 for respondents and 
174,420 for nonrespondents.
    Estimated Time per Response: The estimated average response time is 
6.2 hours for all respondents (6.4 hours for responsive participants 
and 1.4 hours for nonresponsive participants). The estimated time of 
response varies from 0.50 minutes (0.008 hours) to 1 hour depending on 
the respondent group and activity, as shown in Table 1. The average 
estimated time per response across all respondents is 0.12 hours (equal 
to 54,308 total annual burden hours for both respondents and 
nonrespondents) divided by 438,325 (total responses for both 
respondents and nonrespondents), as shown in Table 1.
    Estimated Total Annual Burden on Respondents: The total public 
reporting burden for this collection of information is estimated at 
54,308 hours (annually). See Table 1 for estimated total annual burden 
for each type of respondent.
BILLING CODE 3410-30-P

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[GRAPHIC] [TIFF OMITTED] TN19SE24.057



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Tameka Owens,
Acting Administrator and Assistant Administrator, Food and Nutrition 
Service.
[FR Doc. 2024-21453 Filed 9-18-24; 8:45 am]
BILLING CODE 3410-30-C


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