Women, Infant & Children (WIC) ⁄ 

Immunization Collaboration Project


Submit the “Certified Affidavit of Expenditures.” refer to the Fiscal Reporting Section. Submit to Kevin Shaughnessy kshaughnessy@kdheks.gov

BI-Annually (October 15 and April 15)

Submit a statistical progress report and actions/revisions/etc to ensure achievement of the objective by the end of the contractual period. Submit to Patti Kracht, RN pkracht@kdheks.gov

      WIC/ICP Reporting Schedule SFY 15

Grant Reporting Period

Due Date

Form Due

7/1 to 9/30

October 15

Affidavit of Expenditures & Progress Report

10/1 to 12/31

January 15

Affidavit of Expenditures

10/1 to 3/31

April 15

Progress Report

1/1 to 3/31

April 15

Affidavit of Expenditures

4/1 to 6/30

July 15

Affidavit of Expenditures


Program Contact Person

Patti Kracht, Professional Education/AFIX Manager, Immunization Program
Bureau of Disease Control & Prevention


Form Required:

Certified Affidavit of Expenditures


Bi–Annual Progress Reports