Appendix 1: DATA NEGOTIATION PROTOCOL
Data Negotiation Protocol - by telephone (or personal visit for large districts) |
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Date:______________________ |
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Project Staff:________________ |
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SFA#______________________ |
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Name of School District:______________________________________ |
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City, State, Zip:______________________________________________ |
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Name of Contact Person:______________________________________
E-mail Address: _____________________________________ |
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Phone:______________________ Time of Call: __________ |
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I hope you had a chance to look over the introductory letter we sent describing what you will need to send us. I'd like to go through the information with you now to determine the easiest way for you to assemble the information to be sent to us. |
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I have a couple of general questions, then some specific questions to ask you about the commodities you receive, the foods you purchase and your meal program. I don’t expect that you will need any records in front of you to answer most of these questions. If you do need to look something up we can take a break, or I can call you back later. |
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Public reporting burden for this collection of information is estimated to average 45 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. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Department of Agriculture, Food and Nutrition Service Office of Research and Analysis, Room 1014, Alexandria, VA 22302 ATTN: PRA (0584-0471*). Do not return the completed form to this address.
I. General questions |
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First, the general questions |
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1.1 Do you belong to a buying cooperative? |
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Yes ____ |
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No ____ |
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If YES, Describe______________________________________________________ |
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__________________________________________________________________ |
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__________________________________________________________________ |
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1.2 Do you purchase pre-plated meals? |
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Yes ____ |
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No ____ |
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If YES, Describe______________________________________________________ |
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__________________________________________________________________ |
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__________________________________________________________________ |
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1.3 Do you have written bid specs and bid solicitations, or informal specs? |
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Written ____ |
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Informal ____ |
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If WRITTEN, are they the same for all of your kitchens or are some specs decentralized? |
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_________________________________________________________________ |
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_________________________________________________________________ |
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If WRITTEN, will you please send us a copy? |
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Yes ____ |
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No ____ |
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1.4 What was the total number of reimbursable lunches served in October 2008? |
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_______________________ |
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1.5 Can you send us copies of menus for a complete menu cycle? |
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Yes ____ |
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No ____ |
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1.6 Do you do any deep frying of french fries or other foods? |
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Yes ____ |
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No ____ |
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We will be sending you a check at the beginning of the data collection period to help defray your out-of-pocket expenses. To whom should the check be made payable? |
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________________________________________________________________________ |
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(calculation of check is 1¢ per reimbursable meal in October 2008 with a minimum of $100 and a maximum of $400) |
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II Donated commodities |
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Now, I will ask about the USDA-donated foods you receive. |
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How are USDA-donated foods delivered to you? |
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Direct shipped by USDA |
______ |
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Delivered by your State |
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Delivered by commercial distributors |
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Who? ________________________________________________________ |
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Will they be clearly marked on the invoice or summary? ________________________________________________________ |
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You pick them up |
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Other (Specify) _____________________________ |
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How often do you normally receive USDA-donated foods? |
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Monthly |
______ |
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More frequently than monthly |
______ |
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Less frequently than monthly |
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Comments:________________________________________________________ |
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________________________________________________________ |
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How many drop locations? _______ |
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Do you receive processed products containing USDA commodities? |
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Yes ____ |
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No ____ |
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If YES, complete the following: |
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Commodity |
Processed product |
Rebate/Discount/NPA/SFA,NOI |
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____________________ |
___________________ |
______________________ |
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____________________ |
___________________ |
______________________ |
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____________________ |
___________________ |
______________________ |
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____________________ |
___________________ |
______________________ |
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____________________ |
___________________ |
______________________ |
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____________________ |
___________________ |
______________________ |
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How are these identified on your purchase records?__________________________________ |
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What is the easiest way of providing us with information on the volume of donated foods received by your school district for the three months we are interested in? (Note - we need receipts only, not offers.) |
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Copies of delivery slips/invoices |
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A State report or summary |
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Perpetual inventory cards |
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Your own computer printout |
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Other (Specify) _______________________________ _______________________________ _______________________________ _______________________________ |
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III. Food purchases |
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Now, we need to decide on the easiest way for you to provide us with a record of your food purchases for the three months. |
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Are your commercial orders placed centrally, decentrally, or in some combination? |
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Centrally |
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Decentrally |
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Combination (Describe) ________________ |
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If DECENTRALIZED, are purchase records available centrally? |
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Yes ____ |
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No ____ |
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Begin vendor summary here - do first column for number of vendors and their names. |
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How many of your vendors do you think are able to provide monthly/quarterly summaries of the products you purchase from them? |
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List response on Vendor Profile/Summary (following) |
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Verify that summaries will include product name, unit size, brand, unit price or total cost, number of cases delivered during the month and all delivery sites. |
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(Note: It’s important to note that the summaries run from the beginning of the month to the end – or the beginning of the quarter to the end. Adjustments will be needed if they run from the 15th of the month to the 15th of the following month.) |
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Offer to send draft letter that they can send to their vendors. |
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For vendors that cannot provide summaries, be sure to record the number of deliveries/month (column 2) that represents the total for all delivery sites. (i.e. deliveries/SFA/vendor/month/kitchen). Clarify that this is the number of invoices we should expect to receive. If it is not, make a note on the bottom of the vendor profile/summary form. |
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Discuss use of tally sheets for those vendors with few products and many deliveries (milk, snacks, etc.). |
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Discuss perpetual inventory cards if necessary. Make sure all needed data elements are contained - product description, case size, case price, number of cases received, and date of receipt. |
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Do you have a school garden that provides foods for you to use? ______ Any other sources of food? ______ |
SFA NAME_____________________ SFA #____________ |
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Food Type |
Vendor(s) |
# Deliveries Per Month |
Document Type |
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Summary |
Invoices |
Electronic Version |
Tally Sheets |
Perpetual Inventory |
Other |
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Canned Goods/Staples |
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Frozen Meats/Poultry/ Entrees/Seafood |
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Fresh Meats/Poultry/ Seafood |
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Milk |
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Non-dairy beverages |
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Ice Cream |
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Bread |
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Fresh Produce – (e.g. from commercial vendors/local farmers/school gardens etc.) |
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Frozen Vegetables/ Fruits |
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Pre-Plated Meals |
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Candy |
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Snack/Cakes |
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Chips |
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Component Kits or Branded Sandwiches, Tacos, Pizza, Etc. |
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Other food types |
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IV. A la carte food sales |
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Now, I have a few questions on a la carte sales: |
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Do you have any a la carte sales other than milk? |
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Yes ____ |
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No ____ |
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If YES, briefly describe your a la carte operation. |
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_________________________________________________________________ |
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_________________________________________________________________ |
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_________________________________________________________________ |
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If YES, could you send us a copy of your a la carte menu and price list? |
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If YES, and your a la carte sales are restricted to a relatively small number of items (say the top 10), identify each and indicate which grade levels may purchase each item. |
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Items |
What grade levels may purchase this a la carte item? |
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Elementary Secondary All |
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1. |
______________________________ |
_____ _____ _____ |
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2. |
______________________________ |
_____ _____ _____ |
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3. |
______________________________ |
_____ _____ _____ |
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4. |
______________________________ |
_____ _____ _____ |
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5. |
______________________________ |
_____ _____ _____ |
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6. |
______________________________ |
_____ _____ _____ |
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7. |
______________________________ |
_____ _____ _____ |
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8. |
______________________________ |
_____ _____ _____ |
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9. |
______________________________ |
_____ _____ _____ |
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10. |
______________________________ |
_____ _____ _____ |
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V. Product recalls |
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Finally, I have one last concern regarding product recalls: |
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We will need to capture any product recalls that occur during your three month period on foods you have acquired (whether they were acquired during this same time span or earlier). What is the best way for us to collect information on product recalls? (E.g. will they be on invoices as returns, or on separate documents?) |
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OK. That’s it for now. Let’s take a look back at what we have decided on for the easiest way for you to send us the data elements needed for the study. |
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For the months of _______________, __________________, and _________________ you will send us: |
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____________ Bid specs |
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____________ Commodities |
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____________ Vendor summaries (identify vendors) |
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____________ Invoices (identify vendors) |
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____________ Tally sheets (identify products) |
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____________ Monthly menus |
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____________ A la carte menus |
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____________ Price list |
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We will need the first month’s data by the middle of the second month. If you can’t get it to us by then please call and let us know. |
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If you have questions at any point in the study, please call us at the 1-800-XXX.XXXX |
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Thanks again for all of your help. |
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Time call ended:________________ |
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Schedule for another if necessary:________________ |
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Appendix 2: SCHOOL FOOD PURCHASE AND COMMODITY DONATION DATA
There is no standard form used to collect the food purchase data. School districts will be asked to provide source documents that provide detailed information about the foods purchased and USDA donated commodities received during a specified 3-month time period. Negotiations will take place during recruitment to determine the least burdensome approach to obtaining this information.
Districts can choose one of the following methods or a combination of methods to keep the burden to a minimum:
Vendor Summaries
Copies of Invoices
Tally Sheets
Bid Specifications
Regardless of the method the school district elects to use, the following data elements associated with food purchases and commodity donations must be included on the source documents:
Type of product purchased (e.g., turkey burger, cheese pizza, canned tomatoes)
Brand name, if a branded product
Product Code Number
Unit Size (pack size, case size, etc.)
Number of cases (units) purchased
Unit price
Total Cost
Fuel or other additional charges
Rebates/discounts or credits
Appendix 3: DATA SUMMARY FORM AND OILS AND FATS PURCHASES SUMMARY FORM
Data Summary Form (Part A) and Oils And Fats Purchases Summary Form (Part B) |
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Name of School District:______________________________________ |
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City, State, Zip:______________________________________________ |
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Name of Contact Person:______________________________________
E-mail Address: _____________________________________ |
OMB Clearance Number: 0584-0471
Expiration Date: XX/XX/20XX
Public reporting burden for this collection of information is estimated to average 30 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. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Department of Agriculture, Food and Nutrition Service Office of Research and Analysis, Room 1014, Alexandria, VA 22302 ATTN: PRA (0584-xxxx*). Do not return the completed form to this address.
Part
A: Instructions for completing the Data Summary Form
Please
find attached on the Data Summary Form a summary of what we have
transcribed and entered as your food deliveries for the three month
period, April, May and June. We would appreciate it if you would
take a few minutes to:
Review
what we have recorded. We want to know if we have a complete data
set and whether what we have entered correctly reflects your
deliveries. We realize that some of your food products might be
described a little differently from the invoice information because
we have categorized your food items in a standard format. If you
find any errors, e.g., we have recorded your beef patties as cooked
when, in fact, they are uncooked, please mark the correction on the
data summary sheet and return the sheet to us.
Review
the “rebate/discount/donation” column (column 6). In
this column we have marked those processed food items in which we
believe USDA-donated foods were used as ingredients. We have
placed a letter representing the kind of processing we believe the
product to be in this column. Here are the codes we used:
D
for items for which we think you pay a discounted price,
R
for items for which we think you receive a rebate check,
U
for items delivered straight to you as USDA-donated foods.
P
for
items for which you received USDA-donated foods and then sent them
out for further processing.
Please
correct those that we have misidentified and fill-in any that are
missing. Call us if you have had products that contain USDA-donated
foods and you are not sure whether they should be flagged as an R,
D, P or U.
Please
place a check mark in column 7a headed ‘used in a la carte’
for any item that you use as part of your a la carte food offering.
If the item is used for both a la carte and reimbursable meals,
please make an estimate of the percentage used for a la carte and
write that percentage in the column 7b headed ‘% of total’.
If the item is used only for a la carte sales, write 100 in column
7b.
If
the food product is used for a program other
than
school a la carte, school lunch or school breakfast (for example,
Head Start, Afterschool Snack Program, etc.) place a check in
column 8a headed ‘used in other programs’. If the item
is used for both school and other programs, please make an estimate
of the percentage used for other programs and write that percentage
in column 8b headed ‘% of total’. If the item is used
only for other programs, write 100 in column 8b.
Again,
feel free to call us if you have any questions or concerns regarding
this summary. We are anxious to report data that are complete and
correct so that the contribution of the School Lunch and Breakfast
Programs can be accurately measured.
Thank
you for your time.
Please
return this form to the following address: XXXXXXXXXXXX,
XXXXXXXXXXXX. If there are any questions please contact Mr/Ms XXX
tel: 1-800-YYY-YYYY or email: [email protected]
MONTH: April |
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Part A: DATA SUMMARY FORM |
# 4001 |
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DISTRICT NAME: Spring Hill |
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VENDOR NAME: Sysco |
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Product Description |
Unit Size |
Unit cost |
Number of units |
Total |
Rebate/ discount/ donation |
Used in a la carte |
Used in other programs |
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7a Check if used in a la carte |
7b % of total |
8a Check if used in other programs |
8b % of total |
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Cheese, American |
5 lb 4 |
34.00 |
762 |
25,908.00 |
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Eggroll, Beef and Vegetable |
4.2 oz 60 |
30.30 |
845 |
25,603.50 |
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Cheese, Cheddar |
5 lb 4 |
38.00 |
585 |
22,230.00 |
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Ketchup |
9 gr 1000 |
9.88 |
1884 |
18,613.92 |
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Pork Sausage Patty, Uncooked |
1.25 oz 142 |
18.68 |
840 |
15,691.20 |
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Cheese Sauce |
1 10 6 |
32.30 |
471 |
15,213.30 |
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Potatoes, French Fry |
4.5 lb 6 |
9.16 |
1550 |
14,198.00 |
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Apple Juice, Individual |
4 oz 96 |
8.79 |
1580 |
13,888.20 |
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Beef Patty, Cooked |
1.75 oz 92 |
19.27 |
3000 |
57,810.00 |
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Waffles |
1 oz 144 |
18.20 |
605 |
11,011.00 |
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Pork Ribette |
3 oz 72 |
17.29 |
629 |
10,875.41 |
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Fish Nugget, Breaded |
10 lb 1 |
15.26 |
663 |
10,117.38 |
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Fruit Rollup, Cherry |
.5 oz 96 |
18.88 |
430 |
8,118.40 |
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Pork. Ground. Cooked |
30 lb 1 |
40.51 |
122 |
4,942.22 |
U |
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Please return this form to the following address: . If there are any questions please contact Mr/Ms X tel: 1-800-YYY-YYYY or email: YYYY@ XXX.com |
Part
B: Instructions for completing the Oils And Fats Purchases Summary
Form
Please
find attached on the Oils
And Fats Purchases Summary Form a
summary of what we have transcribed and entered as your oils
and fats purchases for
the three month period, April, May and June. We would appreciate it
if you would take a few minutes to:
Review
what we have recorded as your fats and oils purchases. We want to
know if we have a complete data set and whether what we have
entered correctly reflects your deliveries of oils and fats.
Please
place a check mark in column 7a if you use that oil for deep
frying. If the item is used for both deep frying and other
purposes make an estimate of the percentage used for deep frying
and write that percentage in the column 7b headed ‘% of
total’. If the item is used only for deep frying, write 100
in column 7b.
Again,
feel free to call us if you have any questions or concerns regarding
this summary. We are anxious to report data that are complete and
correct so that the contribution of the School Lunch and Breakfast
Programs can be accurately measured.
Thank
you for your time.
Please
return this form to the following address: XXXXXXXXXXXX,
XXXXXXXXXXXX. If there are any questions please contact Mr/Ms XXX
tel: 1-800-YYY-YYYY or email: [email protected]
MONTH: April |
Part B: OILS AND FATS PURCHASES SUMMARY FORM – |
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DISTRICT NAME: Spring Hill |
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# 4001 |
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7 |
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Product Description |
Unit Size |
Unit cost |
Number of units |
Total |
Rebate/ discount/ donation |
Used for deep frying |
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7a Check if used for deep frying |
7b % of total |
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Oil, corn |
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Oil, soybean |
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Oil, peanut |
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Oil, cottonseed |
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Oil, canola |
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Oil, sunflower |
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Oil, vegetable |
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Shortening, vegetable |
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Shortening, soybean |
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Please return this form to the following address: . If there are any questions please contact Mr/Ms X tel: 1-800-YYY-YYYY or email: YYYY@ XXX.com |
File Type | application/msword |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |