Electronic Mailing List Subscription Form - Nutritions and Food Safety

Electronic Mailing List Subscription Form - Nutritions and Food Safety

NAL - Electronic Mailing List Sign Form

Electronic Mailing List Subscription Form - Nutritions and Food Safety

OMB: 0518-0036

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Electronic Mailing List Sign-up Form


How would you like to receive messages from the list?

Regular Subscription - you will receive each message as it is sent to the list.

Digest - receive all messages sent to the list combined into one file that is sent one time each day.


Your full name:

______________________________________________________________________


E-mail address:

______________________________________________________________________


Job Title (be specific):

______________________________________________________________________


Employer (agency, organization, company):

______________________________________________________________________


Mailing Address (street, city, state, ZIP code):

______________________________________________________________________

______________________________________________________________________


Telephone:

______________________________________________________________________



Persons that work with certain U.S. Department of Agriculture Food and Nutrition

Service programs may join this list. Please describe how you are eligible to join this list:

______________________________________________________________________

_________­_____________________________________________________________




According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is PARA#0518-0036. The time required to complete this information will very based upon one’s relationship to the resource being submitted. It is estimated to take 1 minute to complete the entire survey. This includes time for reviewing instruction, researching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection information. If you need help with this form, please contact us. E-Mail address: [email protected]. Telephone number: (301) 504-6047.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authoryvette.anderson
File Modified0000-00-00
File Created2021-02-03

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