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

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). 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 2021-06-30 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All Historical Document Collections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 TOOLKIT INTERVENTION SUBMISSION FORM	Paper Only	Form and instruction
Form FNS 885	SNAP-ED TOOLKIT INTERVENTION SCORING TOOL	Paper Only	Form and instruction

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