Business for (130) and not for profit (16)

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

Documents and Forms

Document Name Document Type
Form FNS 885 Business for (130) and not for profit (16) Form and Instruction
Appendix 2.1 FNS 886 Final Draft 10-6-2021.rtf snapedtoolkit.org/interventions/submit-an-intervention. Other-Appendix 2.1 FNS 886
Appendix C1. FNS-886 Intervention Submission Form Online Survey Screenshot 10.03.24.pdf Other-FNS 886 Qualtrics Screenshot
FNS 885 SNAP-ED TOOLKIT INTERVENTION SCORING TOOL Appendix 1 - FNS 885 SNAP-Ed Toolkit Scoring Tool Qualtrics Screenshot Version_01Oct2021.docx snapedtoolkit.org/interventions/submit-an-intervention. Form and Instruction
FNS 886 SNAP-ED TOOLKIT INTERVENTION SUBMISSION FORM Appendix 2 - FNS 886 Qualtrics Version .docx snapedtoolkit.org/interventions/submit-an-intervention. Form and Instruction
FNS 885 SNAP-ED TOOLKIT INTERVENTION SCORING TOOL Appendix 1.1 FNS 885 Final Draft 10-6-2021.rtf Form and Instruction
FNS 886 Intervention Submission Form FNS-886 Intervention Submission Form 11.25.24.pdf Form and Instruction
FNS 885 Interventi Intervention Scoring Tool FNS-885 Intervention Scoring Tool 11.25.24.xlsx Form and Instruction

Information Collection (IC) Details

IC Title:	Business for (130) and not for profit (16)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR § 272.2(2)(d) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS 886	Intervention Submission Form	FNS-886 Intervention Submission Form 11.25.24.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FNS 885 Intervention Scoring Tool	Intervention Scoring Tool	FNS-885 Intervention Scoring Tool 11.25.24.xlsx	Yes	Yes	Fillable Printable
Other-FNS 886 Qualtrics Screenshot			Appendix C1. FNS-886 Intervention Submission Form Online Survey Screenshot 10.03.24.pdf	Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS-8 USDA/FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 13	Number of Respondents for Small Entity: 3

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	27	-151	178
Annual IC Time Burden (Hours)	86	-328	414
Annual IC Cost Burden (Dollars)	0	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.