FNS-811 User Response Card

OMB APPROVED NO. 0584-0524
Expiration Date: XX/XX/XXXX

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User Response Card
Help us serve you better! Complete this form and fax to 703-305-2576, Attention: NSS. We will use
you suggestions and feedback to improve our materials and continue to provide you the resources
that you need.
Who is using this Staff Support Kit? (check all that apply)
SNAP State Agency Staff

SNAP Nutrition Education Local Coordinator

SNAP Nutrition Education State Coordinator

Other Food and Nutrition Service Program

SNAP Program Local Agency Staff

Other

Please tell us which components you found most useful.
Components Used
(check)

More Useful

to

5

3

4

Less Useful

2

1

Educators Handbook
Discussion Sessions
English Handouts
Spanish Handouts
English Brochure
Spanish Brochure
English Participant Guidebook
Spanish Participant Guidebook
English Reproducibles
Spanish Reproducibles
Overall Theme and Kit
Tell us what other materials would be useful to you.

Anything else we should know?

Thank you for answering these questions!
Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it
displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to: U.S. Department of Agriculture, Food and Nutrition Services, Office of Research
and Analysis, Room 1014, Alexandria, VA 22302 ATTN: PRA (0584-0524). Do not return the completed form to this address.
Form FNS-811 (03/10) Previous Editions are Obsolete

SBU

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