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State Plan Checklist - NUTRITION SERVICES AND ADMINISTRATION EXPENDITURES 8/14/2026 Page 8
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b. The State agency last evaluated its time documentation protocol on . If available, please attach a copy of the protocol to this section or cite Procedure Manual reference.
2. Please indicate below the services that are entirely supported by WIC funds: [X] Anthropometric measurements [X] Nutrition counseling/education [X] Breastfeeding promotion/support [X] Immunization status assessments [X] Referrals to health and/or social services [X] Hematological assessments [X] Other Specify: Outreach and training ADDITIONAL DETAIL: SA/LA Spending Plan Appendix and/or Procedure Manual (citation):
3. Local Agency Report Forms
a. The State agency specifies standard forms and/or procedures for local agencies to use in reporting monthly local-level expenditures. Yes No Not Applicable (Proceed to next section) ADDITIONAL DETAIL: NSA Expenditures Appendix and/or Procedure Manual (citation):