Information Collection

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

IC 269061 under ICR 202410-0584-002 · OMB 0584-0611.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0611 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SNAP-Ed Interventions MyPlate Survey_0584-0611 Generic IC_6.25.24 clean.docx	Instruction
Attachment C. SNAP-Ed Interventions MyPlate Survey potential respondent list_6.24.24.xlsx Attachment C-SNAP Ed-My Plate Survey Respondents List	IC Document
Attachment A. SNAP-Ed Interventions MyPlate Survey screen shots 7-29-24 revised.pdf Appendix A SNAP Ed-Interventions MyPlate Survey Screen Shots	IC Document
Attachment B. SNAP-Ed Interventions MyPlate Survey sample email for intervention developers_7-29-24 revised.docx Appendix B SNAP Ed Interventions MyPlate Survey Sample Email for Respondents	IC Document

IC Title:

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

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 272.2

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction					Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment C-SNAP Ed-My Plate Survey Respondents List		07/02/2024
Appendix A SNAP Ed-Interventions MyPlate Survey Screen Shots		07/30/2024
Appendix B SNAP Ed Interventions MyPlate Survey Sample Email for Respondents		07/30/2024

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].