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☐ Yes ☐ No

2. Does the State agency estimate the average percent of State staff time devoted to fulfilling the following functions? ☐ Yes ☐ No

Function Percent of Total Staff Time Certification, including nutrition risk determination Click or tap here to enter text. Breastfeeding training/promotion and support Click or tap here to enter text. Nutrition education Click or tap here to enter text. State food list Click or tap here to enter text. Monitoring of local agencies Click or tap here to enter text. Fiscal reporting Click or tap here to enter text. Food delivery system management Click or tap here to enter text. Vendor management, including vendor training Click or tap here to enter text. Staff training and continuing education Click or tap here to enter text. (MIS/EBT) system development and maintenance Click or tap here to enter text. Civil Rights Click or tap here to enter text.

Coordination with and referrals to other assistance Click or tap here to enter text.

programs and social service agencies

Other (specify): Click or tap here to enter text.

Total staff time Click or tap here to enter text. 3. Drug-Free Workplace (7 CFR 246.4(a)(25)) a. Does the State agency have a plan to achieve a drug-free workplace? ☐ Yes ☐ No

B. Evaluation and Selection of Local Agencies

☐ Does not apply because the State agency has only one location or no local agency(ies). (PROCEED TO NEXT SECTION)

1. Local Agencies Authorized

Number of local agencies authorized to provide WIC services last fiscal year Click or tap here to enter text. Number of local agencies planned to provide WIC services this fiscal year Click or tap here to