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☐ Comparative analyses of local agency/clinic costs ☐ Other

5. Does the State agency have a formal written agreement or contract with each local agency? (7 CFR 246.6) ☐ Yes (list the contract duration):Click or tap here to enter text. ☐ No

6. Does the State agency have statewide fair hearing procedures for local agency appeals? (7 CFR 246.4(a)(18)) ☐ Yes, attach local agency fair hearing procedures or specify the location in the Procedure Manual and reference below: ☐ No

7. Does the State agency maintain a list of clinic sites that include the following information? If available, please attach and/or reference the location of the listing: Click or tap here to enter text.

☐ Location

☐ Type of site (e.g., hospital, health department, community action program)

☐ Service area ☐ Hours of operation ☐ Days of operation ☐ Health services provided on-site ☐ Social services provided on-site ☐ Participation ☐ Other (specify): Click or tap here to enter text.

C. Local Agency Staffing

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

1. Staffing Standards (7 CFR 246.3(e)) a. Which local agency staffing standards are prescribed by the State agency?

☐ Credentials

☐ Staff levels

☐ Staff-to-participant ratio standards

☐ Time spent on WIC functions

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