Appendix 5 - Updated Burden Narrative_SNAP-Ed Toolkit Intervention Submission Form Scoring Tool 6-30-2021

Appendix 5 - Updated Burden Narrative_SNAP-Ed Toolkit Intervention Submission Form Scoring Tool 6-30-2021.docx

SNAP-Ed Toolkit Submission Form and Scoring Tool (FNS 885 and FNS 886) w/ Screenshots

Appendix 5 - Updated Burden Narrative_SNAP-Ed Toolkit Intervention Submission Form Scoring Tool 6-30-2021.docx

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Appendix 6: Burden Narrative


Reporting Requirements--Part 272

Reporting Requirements for Participating State Agencies


272.2(d)(2)(D), Planning Documents, SNAP-Ed Activities. Developers of nutrition education and obesity prevention interventions may submit an Intervention Submission Form (FNS-886) to have their interventions reviewed by intervention reviewers using the Scoring Tool (FNS-885) to determine if their interventions are sufficiently evidence-based for entry into the Supplemental Nutrition Assistance Program Education (SNAP-Ed) SNAP-Ed Strategies and Interventions: An Obesity Prevention Toolkit for States(Toolkit).


In 2019, 66 respondents completed the Scoring Tool (FNS-885). Twenty (20) respondents completed FNS-885 in 2020. For the Burden Table, the average number of respondents in 2019 and 2020 was used, or a total of 43 respondents. Responses reflected a larger number of respondents from non-profit businesses and a smaller number of respondents from State, local, and Tribal governments than initially expected, which is reflected in the Burden Table. Three respondents from non-profit businesses, and two respondents who are employees of the Federal government pilot-tested the revised FNS-885 and spent an average of two hours to complete the revised form. The three respondents from non-profit businesses are reflected in the Burden Table. The Burden Table for the Scoring Tool (FNS-885) reflects two hours for each completion of the form. Each respondent to FNS-885 also completes a one-hour training webinar, which has been included in the Burden Table. FNS predicts that the total annual burden hours for the Scoring Tool (FNS-885) will be 235 hours per year. The names, titles, and organizations of employment for pilot-testers of the Scoring Tool (FNS-885) are listed in the table below.


Name

Title

Organization

Kakul Joshi, MPH

PhD Candidate

Department of Population and Quantitative Health Sciences, Case Western Reserve University

Judith Dodd, MS, RDN, LDN, FAND

Assistant Professor

University of Pittsburgh

Jenna Seymour, PhD

Senior Policy Advisor

Division of Nutrition, Physical Activity, and Obesity,

National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention

Marci Scott, PhD, RDN

Vice President of Programs

Michigan Fitness Foundation

Deborah Young Hyman, PhD

Health Scientist Administrator


Office of Behavioral and Social Science Research

Office of the Director, NIH

In 2019, 75 respondents completed the FNS-886, or Intervention Submission Form. 22 respondents completed FNS-886 in 2020. For the Burden Table, the average number of respondents in 2019 and 2020 was used, or 49 total respondents. Responses reflected a larger number of respondents from non-profit businesses and a smaller number of respondents from State, local, and Tribal governments than initially expected, which is reflected in the Burden Table. Three respondents from non-profit businesses pilot-tested the revised FNS-886 and reported an average of six hours to complete the revised form. The Burden Table for the Intervention Submission Form (FNS-886) reflects six hours for each completion of the form. Each respondent to the FNS-886 also completes a one-hour training webinar, which has been included in the Burden Table. FNS predicts that the total annual burden hours for the Intervention Submission Form (FNS-886) will be 315 hours per year. The names, titles, and organizations of employment for pilot-testers of the Intervention Submission Form (FNS-886) are listed in the table below.


Name

Title

Organization

Name of Intervention

Amanda S. Hege

Project Manager, Sustainable Food Systems

Academy of Nutrition and Dietetics Foundation

Farm Fresh

Erin Croom

Co-Founder

Small Bites Adventure Club

Taste Test Box (Small Bites Adventure Club)

Staci K Emm

Extension Educator

Mineral County Cooperative Extension, University of Nevada, Reno

Veggies for Kids Grow Strong


Recordkeeping Requirements—There are no Recordkeeping Requirements for this Information Collection


Public Disclosure Requirements—There are no Public Disclosure Requirements for this Information Collection




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