Survey to Collect Information on the use of MyPlate Materials in the Supplemental Nutrition Assistance Program Education (SNAP-Ed) Clearinghouse

FNS Fast Track Clearance for the Collection of Routine Customer Feedback

OMB: 0584-0611

IC ID: 269061

Documents and Forms
Document Name
Document Type
Instruction
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Survey to Collect Information on the use of MyPlate Materials in the Supplemental Nutrition Assistance Program Education (SNAP-Ed) Clearinghouse
 
Unchanged
 
Voluntary
 
7 CFR 272.2

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction SNAP-Ed Interventions MyPlate Survey_0584-0611 Generic IC_6.25.24 clean.docx Yes Yes Fillable Printable

Income Security Food and Nutrition Assistance

 

20 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 20 0 0 0 0 20
Annual IC Time Burden (Hours) 5 0 0 0 0 5
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment C-SNAP Ed-My Plate Survey Respondents List Attachment C. SNAP-Ed Interventions MyPlate Survey potential respondent list_6.24.24.xlsx 07/02/2024
Appendix A SNAP Ed-Interventions MyPlate Survey Screen Shots Attachment A. SNAP-Ed Interventions MyPlate Survey screen shots 7-29-24 revised.pdf 07/30/2024
Appendix B SNAP Ed Interventions MyPlate Survey Sample Email for Respondents Attachment B. SNAP-Ed Interventions MyPlate Survey sample email for intervention developers_7-29-24 revised.docx 07/30/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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