OMB control number

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

OMB 0584-0639 · USDA/FNS.

OMB 0584-0639

SNAP-Ed State and Implementing Agencies can and will identify and choose evidence-based activities (interventions) using the SNAP-Ed Strategies and Interventions: An Obesity Prevention Toolkit for States (Toolkit) FNS 885 and FNS 886. The Toolkit is a publicly-available online searchable database of interventions which have been peer-reviewed to confirm that they are evidence-based for use in SNAP-Ed nutrition education and physical activity promotion activities.

The latest form for SNAP-Ed Toolkit Submission Form and Scoring Tool (FNS 885 and FNS 886) w/ Screenshots expires 2027-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FNS 885 Business for (130) and not for profit (16) Form and Instruction
Appendix D. FNS-885 Intervention Scoring Tool 9.30.24.xlsx Supplementary Document
Appendix C1. FNS-886 Intervention Submission Form Online Survey Screenshot.pdf Supplementary Document
Appendix C. FNS-886_Intervention_Submission_Form 09.30.24.pdf Supplementary Document
Appendix E. Excel_Burden_Table_(FNS-885 and FNS-886).xlsx Supplementary Document
App. B - 7 CFR 272.2(d)(2) - Nutrition Education Plan OMB Control Number 0584-0639.pdf Supplementary Document
App. A - Food and Nutrition Act (FNA), Section 28, as amended by the Agriculture Improvement Act of 2018 (7 U.S.C. 2036a) OMB Control Number 0584-062.pdf Supplementary Document
SNAP-Ed Intervention Submission Form and Scoring Tool - Supporting Statement Part A_9.30.24 final clean.docx Supporting Statement A
Business for (130) and not for profit (16) Form and Instruction
State, Local and Tribal Agencies Other-Appendix 1 FNS 885 Screenshot

All Historical Document Collections

202409-0584-001	Revision of a currently approved collection	2024-09-30
202110-0584-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-10-06
202106-0584-004 Approved without change	Revision of a currently approved collection	2021-06-30
201801-0584-001 Approved with change	New collection (Request for a new OMB Control Number)	2018-03-08

OMB Details

State, Local and Tribal Agencies

Federal Enterprise Architecture: Income Security - Food and Nutrition Assistance

Form FNS 886	SNAP Ed Intervention Submission Form	Fillable Printable	Form and instruction
Form FNS 885	SNAP Ed Toolkit Intervention Scoring Tool	Fillable Printable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.