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State Plan Checklist - CIVIL RIGHTS 8/14/2026 Page 15

D. Data Collection and Reporting

1. Data Collection

a. The State agency ensures the following when collecting civil rights data: [X] All racial/ethnic categories are collected and reported as part of the program participant characteristics report [X] Racial/ethnic data definitions are in accordance with current OMB guidance and clinic procedures are in place to ensure the data is collected accurately [X] Data reported on participant characteristics include the number of persons on WIC master lists or persons listed in WIC operating files who are certified to receive benefits [X] Collected racial/ethnic data and records are accessible only to authorized personnel

b. The State agency maintains a civil rights file which retains collected racial/ethnic data for three years. Yes No ADDITIONAL DETAIL: Civil Rights Appendix and/or Procedure Manual (citation):

AL WIC Procedure Manual Ch. 10, sec. 10.6 Data Collection and Reporting, sec. 10.10.D.1 Collection and Use of Data

2. The State agency instructs its local agencies to obtain a participant s racial/ethnic category by (check all that apply): [X] Allowing self-identification by participant (must be used at participant’s request) [X] Visual identification by participant (must be used at participant’s request) [ ] Local agency staff personally know participant’s racial/ethnic category [X] Other Specify: ADPH-ENC-400, Information Request Form allows applicants/participants to choose race & ethnicity ADDITIONAL DETAIL: Civil Rights Appendix and/or Procedure Manual (citation):

WIC PM Ch. 2 sec. 2.7.B.6 Ethnic and Race Information, Ch. 10, sec. 10.6 Data Collection and Reporting and Attachment 10-3 ADPH Information Request Form ENC-400