Produce Educational Needs Assesment Submission template 2023.xlsx

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Overview

Coversheet
Needs Assessment

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Sheet 1: Coversheet

OMB Number: 0910-0909 Exp Date: XX/XX/XXXX See bottom of page for PRA statement

Standard Name

0

OPEI

0

Recipent Name (Select)

Select

State

Select Recipient Name

Federal Award Identification Number

Select Recipient Name

Program Path

Select Recipient Name

Report Author (if not PI)

Date Completed

Project Period Start Date

7/1/2021

Project End Date

6/30/2026

Principal Investigator (PI)

PI Email

PI Phone

Is your contact and admin spreadsheet current in ORAPP?

Select

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Sheet 2: Needs Assessment

Educational Needs Assessment Submission Instructions: An educational needs assessment is required to be completed prior to the development of any new trainings and/or materials to conduct education, outreach, and/or technical assistance using funding under this CAP. The grantee should inform their FDA Project Manager before initiating an educational needs assessment. Once it is determined to submit an Educational Needs Assessment, you will complete this excel sheet as your educational needs assessment. When completing this sheet, please do not make any changes to Rows 1-3. Row 3 contains examples of responses or format for the corresponding column's question. Please fill in your responses in Row 4. If you are resubmitting an Educational Needs Assessment for a project that was previously not approved, keep your original submission information in Row 4 and add your revised submission information in Row 5. Upload your completed educational needs assessment to your ORAPP folder in the designated folder for educational needs assessment submissions, along with any supporting materials, and notify your Project Manager. Within 30 work days of submission of a completed Educational Needs Assessment, you will receive a response from your OP Project Manager as to whether your proposed project was approved. For transparency, a log of submitted Educational Needs Assessments will be maintained on FoodSHIELD (https://www.foodshield.org/member/workgroups/file.cfm?template=fileshow&fileID=111256). If you have any questions, please contact your FDA OP Project Manager.

Submission Date (MM/DD/YYYY)

State/Territory (abbreviation)

Project POC

Proposed project

List all collaborating agencies/entities for project and describe role(s):

Include a link or attach to submission any existing materials or resources that will be used in the development of your project.

What need does this project address?

Target audience

Provide details on how will you use use this project to accomplish CAP objectives once it's developed.

Mechanism for project dissemination to target audience

Mechanism for sharing the project externally for other produce programs to use

What subpart(s) (A-Q) of the PSR does the project address?

If applicable, what citation number of the PSR does the project address?

What data do you have that supports the need for this project?

Did you search/research existing resources that may address your need?

If Column O = yes, what existing resource(s) did you review that did not meet your need?

How will your project be reviewed for PSR alignment prior and during development?

What is the proposed date your project will be complete? Note: It is expected that completed projects will be available for broad sharing with CAP partners.

Project Budget and Budget Justification

How will you evaluate the effectiveness of the project?

MM/DD/YYYY

state abbreviation

enter name and email

material translation/ equipment purchase/ development of video publication, factsheet, pamphlet, flyer, postcard, advertisement, training, or workshop

FDA - provide content Extension (name) - delivery/presenter CAP Agency - organize content for delivery etc...

enter description of existing material and link or attachment

ie: audience/why/how it ties to PSR sectiion for example: plain farmers need access to non electromic source in the form of a fact sheet that describes application of biological soil amendment application in the Fall months

commodity specific/ covered farm or business size/ culturally adapted/ regionally specific

ex: Subawardee will develop written training curriculum and demonstration will be used to train regional extension personnel and farmers on the techniques, frequency and documentation for cleaning and saintizing of wet packline equipment. Tomatoes, apples, cantaloupes will all be highlighted. Contractor will be used to video the trainings for broad sharing/availability.

email/ mailed/ website/ phone/ in person (1:1)/ in person (group setting)/ virtual offering

email/ mailed/ website/ phone/ in person (1:1)/ in person (group setting)/ virtual offering

include PSR subpart

include PSR citation

feedback/questions/observations from PSA trainings, or OFRRs, or Inspections, Technical Assistance, etc.

yes no

reviewed clearinghouse/ reviewed websites (FDA, PSA,regional center, etc.)/ contacted PSN, extension, regional center, etc.

PSN/ Other peer review/ Regional Center

mm/yyyy

personnel costs/material cost

inspection data/ OFRR data/ technical assistance inquiry