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State Nutrition Action Plans

Take Action: Make a Difference!
Web Resource Feedback Form

Tell us what you think! Please take a moment to review the USDA/FNS TAKE ACTION web resource, Take Action: Promote and Support Breastfeeding Across FNS Programs, and then transmit your comments to FNS by pushing the "Submit" button.

OMB BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-0524. The time required to complete this information collection is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. If you have any comments concerning the accuracy of time estimates or suggestions for improving this form, please contact: U. S. Department of Agriculture, Food and Nutrition Service, ORA, Alexandria, VA 22302.

I am employed at:

State level FNS Program office
Local level FNS program office

Would you like FNS to develop web resources on other topics?

Yes
No

If "Yes," list the topic(s):

1.  Are you planning to use the tips on the web resource:

Yes
No

2.  If Yes, how will you use the web resource (choose one or more)?

Share it with my colleagues
Use ideas to plan events and programs in my setting to promote breastfeeding
To encourage other staff to plan events and programs to promote breastfeeding
Use in planning SNAP
Other (explain):

3.  If No, why not?

4. How useful are the supporting links to other resources on the web resource?

Very Useful
Moderately Useful
Slightly Useful
Not Useful at All

5. What do you like best about this web resource?

6. What did you like least about this web resource?

7. Other comments:

 

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