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 phase I interim report, is the second of three reports. The first report, the Evaluation of White Potatoes in the Cash Value Voucher: Letter Report, recommended allowing white potatoes for purchase with the cash value voucher. This second report presents the evidence, analyses, and framework that will be applied to develop the final report (phase II), which will include recommendations for potential modifications to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food packages.

This report is a supplement to the WIC Participant and Program Characteristics 2014 biennial report. It describes the content of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food packages for packages or prescriptions issued to WIC participants in April 2014.

In 2006, FNS asked the Institute of Medicine to review the WIC food packages. The IOM proposed major changes to improve nutrition and encourage breastfeeding but also expressed the concern that changes related to partial breastfeeding may have unintended consequences. The IOM recommended that FNS conduct an impact study evaluating the birth month breastfeeding changes to the WIC food packages.