APPENDIX M
COMMENTS RECEIVED DURING 60-DAY NOTICE PERIOD AND FNS RESPONSES
School Nutrition Dietary
Assessment Study IV
(OMB No.: 0584-0527)
Project Officer: Fred S. Lesnett
Office: Office of Research and Analysis
Food and Nutrition Service
Room 1014
3101 Park Center Drive
Alexandria, VA 22302
Telephone: 703-605-0811
FAX: 703-305-2576
Email: [email protected] |
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OMB
Clearance Number: 0584-0527 Expiration
Date: xx/xx/xxxx
ID#:
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| SFA: City
and State: Date:
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| Month
Day Year
School Nutrition Dietary Assessment Study School Food Authority Recruitment Interview |
RECRUITER NAME:
CONTACT RECORD
Date : | | | / | | | / | | | | | Time: | | | : | | |
STATUS:
DATE COMPLETED: | | | / | | | / | 2 | 0 | | |
RECRUITMENT
INTERVIEW
SFA: SCHOOL 1:
SFA DIRECTOR: SCHOOL 2:
PHONE: | | | |-| | | |-| | | | | SCHOOL 3:
EMAIL: SCHOOL 4:
INTRODUCTORY REMARKS
Confirm receipt of introductory letter and brochure.
If material hasn’t been received, check mailing address and make arrangements for re-mailing.
Check on whether respondent was contacted by State Child Nutrition Director.
Answer questions respondent may have about the study or about how/why the SFA and the specific schools within the SFA were sampled for the study.
Provide assurance about confidentiality:
In accordance with the Confidential Information Protection and Statistical Efficiency Act of 2002, your responses will be kept confidential and will not be disclosed to anyone but analysts conducting this study, except as otherwise required by law.
Read burden statement:
Public
reporting burden for this collection of information is estimated to
average 18 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 (0584-0527). Do not return the completed form to
this address.
0. The first question I have is whether your district has any schools that began operating during the 2007 - 2008 school year or later? Please include any new schools for 2009 – 2010 (even if they’re not officially opened yet).
IF YES: Can you give me the name(s) and zip code(s) of the new school(s)? (If necessary, you can fax me a list at 609-799-0005.)
Does (SCHOOL) participate in the NSLP? IF YES: What grades are included in the school?
0. a. NEW SCHOOLS |
b. ZIP CODE |
c. PARTICIPATE IN NSLP? |
d. GRADES |
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YES |
|__|__| to |__|__| |
N O SKIP TO NEXT SCHOOL |
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Y ES |
|__|__| to |__|__| |
NO SKIP TO NEXT SCHOOL |
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|__|__|__|__|__| |
YES |
|__|__| to |__|__| |
NO SKIP TO NEXT PAGE |
Because you have [number] new school(s) in your SFA, there is a slight chance we may need to change the schools that have been selected to participate in the study. I will check into this after we complete this call and get back to you shortly.
We have made a preliminary selection of schools for the study. The first school we plan to contact in your district is (INSERT SCHOOL 1).
NAMES OF SCHOOLS |
SCHOOL 1
NAME
MPR ID
LEVEL |
SCHOOL 2
NAME
MPR ID
LEVEL |
SCHOOL 3
NAME
MPR ID
LEVEL |
SCHOOL 4
NAME
MPR ID
LEVEL |
¨ SCHOOL CLOSED ¨ OTHER SPECIAL CASE (explain):
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¨ SCHOOL CLOSED ¨ OTHER SPECIAL CASE (explain):
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¨ SCHOOL CLOSED ¨ OTHER SPECIAL CASE (explain):
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¨ SCHOOL CLOSED ¨ OTHER SPECIAL CASE (explain):
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1. Can you tell me the name of the principal at SCHOOL and give me his/her contact information? |
NAME
PHONE #
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NAME
PHONE #
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NAME
PHONE #
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NAME
PHONE #
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2. What grades are included in SCHOOL? check all that apply |
P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12 |
P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12 |
P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12 |
P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12 |
3. Does SCHOOL participate in the National School Lunch Program (NSLP)? |
1 ¨ Yes 0 ¨ No skip to next school |
1 ¨ Yes 0 ¨ No skip to next school |
1 ¨ Yes 0 ¨ No skip to next school |
1 ¨ Yes 0 ¨ No go to page 7 |
3a. What grades at SCHOOL are served by the NSLP? check all that apply |
A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12 |
A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12 |
A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12 |
A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12 |
4. (CODE IF KNOWN) Does SCHOOL participate in the School Breakfast Program (SBP)? |
1 ¨ Yes 0 ¨ No GO TO Q5 |
1 ¨ Yes 0 ¨ No GO TO Q5 |
1 ¨ Yes 0 ¨ No GO TO Q5 |
1 ¨ Yes 0 ¨ No GO TO Q5 |
4a. What grades at SCHOOL are served by the SBP? check all that apply |
A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12 |
A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12 |
A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12 |
A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12 |
5. Does SCHOOL operate under Provision 2 for the National School Lunch Program (NSLP) or the School Breakfast Program (SBP)? NOTE: Provision 2 schools serve meals at no charge to all children as determined by application once every three years. |
1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above |
1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above |
1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above |
1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above |
6. Does SCHOOL operate under Provision 3 for the NSLP or SBP? NOTE: Provision 3 schools serve meals at no charge to all children regardless of eligibility status. |
1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above |
1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above |
1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above |
1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above |
7. Does SCHOOL offer universal-free breakfast? |
1 ¨ Yes 0 ¨ No n.a. ¨ NA (no breakfast program) |
1 ¨ Yes 0 ¨ No n.a. ¨ NA (no breakfast program) |
1 ¨ Yes 0 ¨ No n.a. ¨ NA (no breakfast program) |
1 ¨ Yes 0 ¨ No n.a. ¨ NA (no breakfast program) |
8. Does SCHOOL operate any NSLP or SBP year-round meal programs? check all that apply |
1 ¨ NSLP 2 ¨ SBP 0 ¨ None of the above |
1 ¨ NSLP 2 ¨ SBP 0 ¨ None of the above |
1 ¨ NSLP 2 ¨ SBP 0 ¨ None of the above |
1 ¨ NSLP 2 ¨ SBP 0 ¨ None of the above |
9. Does SCHOOL offer reimbursable afterschool snacks? |
1 ¨ Yes 0 ¨ No |
1 ¨ Yes 0 ¨ No |
1 ¨ Yes 0 ¨ No |
1 ¨ Yes 0 ¨ No |
NOTE: ELEMENTARY SCHOOLS ONLY 10. Does SCHOOL participate in the Fresh Fruit and Vegetable Program? |
1 ¨ Yes 0 ¨ No |
1 ¨ Yes 0 ¨ No |
1 ¨ Yes 0 ¨ No |
1 ¨ Yes 0 ¨ No
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11. Which of the following menu planning options is currently used for SCHOOL? |
1 ¨ Nutrient-Based (NSMP) 2 ¨ Assisted NSMP 3 ¨ Enhanced Food-Based 4 ¨ Traditional Food-Based 5 ¨ Other (Explain)
0 ¨ DON’T KNOW |
1 ¨ Nutrient-Based (NSMP) 2 ¨ Assisted NSMP 3 ¨ Enhanced Food-Based 4 ¨ Traditional Food-Based 5 ¨ Other (Explain)
0 ¨ DON’T KNOW |
1 ¨ Nutrient-Based (NSMP) 2 ¨ Assisted NSMP 3 ¨ Enhanced Food-Based 4 ¨ Traditional Food-Based 5 ¨ Other (Explain)
0 ¨ DON’T KNOW |
1 ¨ Nutrient-Based (NSMP) 2 ¨ Assisted NSMP 3 ¨ Enhanced Food-Based 4 ¨ Traditional Food-Based 5 ¨ Other (Explain)
0 ¨ DON’T KNOW |
12. Are meals for SCHOOL partly or fully prepared in an off-site kitchen? |
1 ¨ Yes 0 ¨ No |
1 ¨ Yes 0 ¨ No |
1 ¨ Yes 0 ¨ No |
1 ¨ Yes 0 ¨ No |
13. What is the name of the foodservice manager or other person who will complete the menu survey for SCHOOL? What is the best way to reach him/her? |
NAME
1 ¨ PHONE #
2 ¨ EMAIL |
NAME
1 ¨ PHONE #
2 ¨ EMAIL |
NAME
1 ¨ PHONE #
2 ¨ EMAIL |
NAME
1 ¨ PHONE #
2 ¨ EMAIL |
13a. What is the best time or day to reach him/her? |
DAY
TIME 1 ¨ AM 2 ¨ PM |
DAY
TIME 1 ¨ AM 2 ¨ PM |
DAY
TIME 1 ¨ AM 2 ¨ PM |
DAY
TIME 1 ¨ AM 2 ¨ PM |
13b. Is (he/she) a district employee or does (he/she) work for a Food Service Management Company? |
1 ¨ District Employee 2 ¨ Food Service Management Company Employee |
1 ¨ District Employee 2 ¨ Food Service Management Company Employee |
1 ¨ District Employee 2 ¨ Food Service Management Company Employee |
1 ¨ District Employee 2 ¨ Food Service Management Company Employee |
TARGET WEEK
We would like to schedule a specific week for schools in your district to complete the menu survey. For logistical reasons, all of the schools should complete the survey the same week. We have the following weeks available:
OPTION 1: | | | / | | | / | | | | | 1 Yes 0 No 3 Maybe
Month Day Year
OPTION 2: | | | / | | | / | | | | | 1 Yes 0 No 3 Maybe
Month Day Year
OPTION 3: | | | / | | | / | | | | | 1 Yes 0 No 3 Maybe
Month Day Year
We will be conducting a joint over-the-phone training session with the person at each school who will be completing the menu survey. Is that something you would like to coordinate centrally or should we work that out with the food service managers and others at the schools?
SFA director will coordinate centrally ----- OK. We will be in touch closer to the date of the target week.
MPR will schedule with schools.
Those are all the questions we have at this time. We will confirm this information with you in an email. [MAKE SURE WE HAVE THEIR E-MAIL ADDRESS]. [IF NO NEW SCHOOLS WERE REPORTED] Please let the foodservice managers in the individual schools know that they have been selected for the study and confirm with them the potential target week(s) for the menu survey. Also, please talk to the principal in each school and encourage them to participate in the study. I will send you some additional information about the study that you can pass along to the foodservice managers and principals. We may need to contact you for additional information later as we prepare to get in touch with the schools.
[IF NEW SCHOOLS WERE REPORTED] I will get back to you shortly about whether we need to make any changes in the schools that have been selected to participate in the study.
Thank you for your time. (I look forward to speaking with you again soon.) If you have any questions (before we speak again), please call me directly at: (609) 799-3535.
Prepared by Mathematica Policy Research, Inc.
File Type | application/msword |
File Title | SNDA School Food Authority Recruitment |
Subject | FORM |
Author | Annalee Kelly, Eric Zeidman, Mary Kay Fox |
Last Modified By | FLesnett |
File Modified | 2009-05-22 |
File Created | 2009-05-22 |