Information Collection

Consumer Research for Nutrition Educatoin and Promotion Activities (SLT)

IC 222060 under ICR 201606-0584-008 · OMB 0584-0524.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A.1 FNS-781 Team Nutrition School Enrollment Web Form.pdf www.fns.usda.gov/webform/tn-school-enrollment-form	Other-Appendix A.1 FNS-781 Team Nutr
Appendix A.2 FNS-807 Power Panther Costume Request and Agreement Form.pdf	Other-Research and Nutrition SLT\App
Appendix A.3 FNS-808 Power Panther Costume Event Feedback Form.pdf	Other-Appendix A.3 FNS-808 Power Pan
Appendix A.4 FNS-816 Level 1 Event Feedback Form.pdf	Other-Appendix A.4 FNS-816 Level 1 E
Appendix A.5 FNS-817 Level 3 Event Feedback Form.pdf	Other-Appendix A.5 FNS-817 Level 3 E
Appendix A.6 FNS-854 Attendee Evaluation Form.pdf	Other-Appendix A.6 FNS-854 Attendee
Appendix A.7 FNS-779 HUSSCSL2014.pdf	Other-Appendix A.7 FNS-779 HUSSCSL20

IC Title:

Consumer Research for Nutrition Educatoin and Promotion Activities (SLT)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix A.1 FNS-781 Team Nutrition School Enrollment Web Form	Appendix A.1 FNS-781 Team Nutrition School Enrollment Web Form.pdf	www.fns.usda.gov/webform/tn-school-enrollment-form	Yes	Yes	Fillable Fileable
Other-Research and Nutrition SLT\Appendix A.2 FNS-807 Power Panther Costume Request and Agreement Form	Appendix A.2 FNS-807 Power Panther Costume Request and Agreement Form.pdf		Yes	No	Fillable Printable
Other-Appendix A.3 FNS-808 Power Panther Costume Event Feedback Form	Appendix A.3 FNS-808 Power Panther Costume Event Feedback Form.pdf		Yes	No	Fillable Printable
Other-Appendix A.4 FNS-816 Level 1 Event Feedback Form	Appendix A.4 FNS-816 Level 1 Event Feedback Form.pdf		Yes	No	Fillable Printable
Other-Appendix A.5 FNS-817 Level 3 Event Feedback Form	Appendix A.5 FNS-817 Level 3 Event Feedback Form.pdf		Yes	No	Fillable Printable
Other-Appendix A.6 FNS-854 Attendee Evaluation Form	Appendix A.6 FNS-854 Attendee Evaluation Form.pdf		Yes	No	Fillable Printable
Other-Appendix A.7 FNS-779 HUSSCSL2014	Appendix A.7 FNS-779 HUSSCSL2014.pdf		Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13,210

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 45 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	13,210	13,210
Annual IC Time Burden (Hours)	3,169	3,169
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.