Tell Sonny Initiative for Customer Feedback via On-line Web Form

OMB Control No. 0503-XXXX Exp Date:

Tell Sonny Form

USDA would like your feedback, so we can develop better ways to serve you and our Nation.

Tell Sonny is not intended for service of official, case-related or legal documents, or for processing comments pertaining to these matters:

• civil rights and discrimination complaints

• rulemaking

• violations of laws and regulations.

If your comments relate to one of the three topics, please review our comment guidance <link to comment guidance> (attached).

If you have general questions for USDA or need assistance with a specific issue, please go to our Ask USDA Contact Center. < link to the Contact Us page at USDA.gov >

Otherwise, please fill out the questions below.

	Very satisfied		Somewhat satisfied		Neither satisfied or dissatisfied		Somewhat dissatisfied		Very dissatisfied
Overall, how satisfied or dissatisfied are you with USDA?									
		A lot of trust		Some trust		Neither trust or distrust		Some distrust		A lot of distrust
How much trust or distrust do you have in USDA?										

After both questions are answered and only if negative views are selected (some distrust/a lot of distrust and/or somewhat dissatisfied/very dissatisfied) a text box with the following question will appear (pop-up).

We’re sorry that you are currently dissatisfied. Please help us understand what we can do better.

* Any information you provide on this form is voluntary. Please do not include any confidential information such as social security numbers or birth dates in your comments. If you choose to provide us with any personal information, USDA will follow its Privacy Policy found at: https://www.usda.gov/privacy-policy.

After both questions are answered and only if positive views are selected (some trust/a lot of trust and/or somewhat satisfied/very satisfied) a text box with the following question will appear (pop-up).

We’re glad that you are currently satisfied. Please help us understand why you feel this way.

4) Please let us know who you are (you may select multiple):

Farmer/rancher	Forester/logger	Other agricultural industry	Recipient of SNAP, WIC or other nutrition assistance
Researcher/educator	Government employee	Other

5) If you reside in the United States, please enter your zip code: [open text box, 5 characters)

Thank you for your feedback.

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0503-0021. The time required to complete this information collection is estimated to average 4 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.

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