Information Collection

Consumer Research for Nutrition Educatoin and Promotion Activities (SLT)

IC 222060 under ICR 201606-0584-008 · OMB 0584-0524.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

Document Name Document Type
Appendix A.1 FNS-781 Team Nutrition School Enrollment Web Form.pdf www.fns.usda.gov/webform/tn-school-enrollment-form Other-Appendix A.1 FNS-781 Team Nutr
Appendix A.2 FNS-807 Power Panther Costume Request and Agreement Form.pdf Other-Research and Nutrition SLT\App
Appendix A.3 FNS-808 Power Panther Costume Event Feedback Form.pdf Other-Appendix A.3 FNS-808 Power Pan
Appendix A.4 FNS-816 Level 1 Event Feedback Form.pdf Other-Appendix A.4 FNS-816 Level 1 E
Appendix A.5 FNS-817 Level 3 Event Feedback Form.pdf Other-Appendix A.5 FNS-817 Level 3 E
Appendix A.6 FNS-854 Attendee Evaluation Form.pdf Other-Appendix A.6 FNS-854 Attendee
Appendix A.7 FNS-779 HUSSCSL2014.pdf Other-Appendix A.7 FNS-779 HUSSCSL20

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consumer Research for Nutrition Educatoin and Promotion Activities (SLT)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix A.1 FNS-781 Team Nutrition School Enrollment Web Form	Appendix A.1 FNS-781 Team Nutrition School Enrollment Web Form.pdf	www.fns.usda.gov/webform/tn-school-enrollment-form	Yes	Yes	Fillable Fileable
Other-Research and Nutrition SLT\Appendix A.2 FNS-807 Power Panther Costume Request and Agreement Form	Appendix A.2 FNS-807 Power Panther Costume Request and Agreement Form.pdf		Yes	No	Fillable Printable
Other-Appendix A.3 FNS-808 Power Panther Costume Event Feedback Form	Appendix A.3 FNS-808 Power Panther Costume Event Feedback Form.pdf		Yes	No	Fillable Printable
Other-Appendix A.4 FNS-816 Level 1 Event Feedback Form	Appendix A.4 FNS-816 Level 1 Event Feedback Form.pdf		Yes	No	Fillable Printable
Other-Appendix A.5 FNS-817 Level 3 Event Feedback Form	Appendix A.5 FNS-817 Level 3 Event Feedback Form.pdf		Yes	No	Fillable Printable
Other-Appendix A.6 FNS-854 Attendee Evaluation Form	Appendix A.6 FNS-854 Attendee Evaluation Form.pdf		Yes	No	Fillable Printable
Other-Appendix A.7 FNS-779 HUSSCSL2014	Appendix A.7 FNS-779 HUSSCSL2014.pdf		Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13,210	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 45 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	13,210	13,210
Annual IC Time Burden (Hours)	3,169	3,169
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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