The second Access, Participation, Eligibility and Certification Study (APEC II) included a follow-on report that provided statistically-derived state-level estimates of school meals erroneous payments. However, while APEC II provided a rough indicator of relative risk for groups of states (e.g., higher than average, about average, lower than average), it was not a state-representative direct measure, and creating actual annual measures of such erroneous payments at the state level using APEC methodology is cost-prohibitive. This report explores alternative approaches to developing measurement-based state-specific estimates that are responsive to year-to-year changes in the actual underlying rate in each state. It also provides cost and burden estimates for the implementation of each of these methods.

The WIC Nutrition Education Study (NEST) provides detailed information on WIC nutrition education services and includes the following two phases:

-- Phase I: Comprehensive nationally representative description of WIC nutrition education processes and features.

-- Phase II: Pilot study of the impact of WIC nutrition education on nutrition and other behaviors in six WIC sites.

This report presents the Phase I results of the study.