Private Schools

Community Eligibility Option Evaluation

CEO C_17 PEAR Web Survey of LEA FS Directors_Short version

Private Schools

OMB: 0584-0570

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CEO C_17 PEAR Web Survey of LEA FS Directors_Short version

OMB Clearance # 0584-XXXX

Expiration Date: XX/XX/20XX

LEA ID #:

LEA Name:

LEA FSD Name:

LEA FSD Phone:

LEA FSD email:



Community Eligibility Option Evaluation



Participation, Enrollment, Attendance, and
Revenue (PEAR) Web Survey of
LEA Foodservice Directors (short version)







According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB number. The valid OMB control number for this information collection is 0584-XXXX. The time required to complete this information collection is estimated to average75 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.

Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Food and Nutrition Service, Office of Research and Analysis, 3101 Park Center Drive, Alexandria, Virginia 22302.




Prepared for:

U.S. Department of Agriculture Abt Associates

Food and Nutrition Service

Office of Research and Analysis

Prepared by:

Abt Associates


INTRODUCTION

Thank you for taking part in our web survey for the Community Eligibility Option Evaluation. Abt Associates has been hired by the Food and Nutrition Service of the U.S. Department of Agriculture to conduct an evaluation of the Community Eligibility Option, a new system of reimbursement for the National School Lunch Program and School Breakfast Program. Below are a few links that will provide you with detailed information about this evaluation and the survey. They include a fact sheet about the Community Eligibility Option Evaluation, the advance email sent to respondents describing details about this survey, and a worksheet that describes information you will need to collect in order to complete this survey. To complete this survey, you will need to access your revenue records from school year 2009-2010 to the present – see details under worksheet link below.

Please note, if you cannot complete the survey in one sitting, you can save it and complete it at a later date. This survey will take about 75 minutes to complete.



Community Eligibility Option Evaluation fact sheet

Advance email about the Participation, Enrollment, Attendance, and Revenue (PEAR) Web Survey of LEA Foodservice Directors (short version)

Worksheet for the Participation, Enrollment, Attendance, and Revenue (PEAR) Web Survey of LEA Foodservice Directors (short version)

PN: When respondent clicks on above link, the appropriate document will be displayed (in PDF format) with the ability for respondent to print.

Information provided in this survey will be kept private, to the extent provided by law. No data will be attributed to specific survey respondents. De-identified data from this study will be provided to the Food and Nutrition Service of the U.S Department of Agriculture, and aggregate measures of subgroups of Local Education Agencies (LEAs) may also be provided. Responses to the study will in no way affect your agency’s receipt of funds from USDA’s school meals program. As you may know, the Healthy-Free Kids Act of 2010 (PL 111-296, Section 305) requires cooperation with program research and evaluation by agencies and contractors participating in programs authorized under the Act and the Child Nutrition Act of 1966.

If you have any questions or concerns about your rights as a study participant, call Teresa Doksum. She is the Institutional Review Board Administrator at Abt Associates. Her phone number is 877-520-6835 (toll-free).

Your input is important to assure the accuracy of this evaluation. We thank you in advance for your time and cooperation. If you have any questions, feel free to contact Abt Associates at: 855-759-5752 (toll-free) or [email protected].



LEA INFORMATION

1. Does your LEA currently operate any schools under Provision 2 or Provision 3, either for breakfast or lunch? (Under Provision 2 and Provision 3, meals are served free to all students, and annual applications for free/reduced price meals are not required.)

□ Yes (go to INELIGIBLE) □ No (go to 2)

INELIGIBLE: I’m sorry but your LEA is not eligible for this survey. We are not collecting this survey information from LEAs that operate Provision 2 or Provision 3 schools. Thank you for your time. END SURVEY

2. How many schools in your LEA currently operate the National School Lunch Program (NSLP)? Please provide counts of elementary, middle, and high schools (as defined by your State) operating the NSLP in your LEA.

|__|__|__| NSLP Elementary schools

|__|__|__| NSLP Middle schools

|__|__|__| NSLP High schools

|__|__|__| NSLP Other schools, specify grades: _______________

2a. Do all of these schools operate the School Breakfast Program (SBP)?

□ Yes (go to 3) □ No

2b. How many schools in your LEA currently operate the School Breakfast Program (SBP)? Please provide counts of elementary, middle, and high schools (as defined by your State) operating the SBP in your LEA.

|__|__|__| SBP Elementary schools

|__|__|__| SBP Middle schools

|__|__|__| SBP High schools

|__|__|__| SBP Other schools, specify grades: _______________

3. Is your LEA currently using the Community Eligibility Option?

□ Yes □ No (go to 3c)

3a. (If yes) Does your LEA use the Community Eligibility Option in all schools that operate the School Breakfast Program and/or the National School Lunch Program?

□ Yes (go to 3c) □ No



3b. Please provide counts of elementary, middle, and high schools currently using the Community Eligibility Option.

|__|__|__| Elementary schools with Community Eligibility Option

|__|__|__| Middle schools with Community Eligibility Option

|__|__|__| High schools with Community Eligibility Option

|__|__|__| Other schools with Community Eligibility Option, specify grades: _______________

3c. What are the start and end dates of School Year 2011-2012?

START: |__|__| / |__|__| / 2011
M M D D

END: |__|__| / |__|__| / 2012
M M D D





REVENUES



Now, we’d like to collect some revenue data on foodservice operations in your LEA, starting with School Year 2009-2010. Please note that some revenue sources are not listed, such as revenue from federal and state payments. This information will be obtained directly from the State. “Local funds” include transfers from other LEA accounts to the school foodservice account.



SCHOOL YEAR 2009-2010



4a. For School Year 2009-2010, did the foodservice operations in your LEA generate any of the following revenue? (Please provide a response for each revenue category.)




Yes

No

Don’t know

Local funds
(any funds transferred from other local account to school foodservice other than payment for catering)

Student Payment for reimbursable meals

Non-reimbursable foods
(competitive foods, a la carte, vending machines, adult meals, etc.)

Other revenue from local sources not listed above (such as catering, special events, returned check fee, interest, etc.)
Note: this does not include Federal or State payments



4b. [If Other revenue=Yes in 4a, ask] Specify sources of other revenue (Check all that apply):

Catering

Special events

Returned check fees

Interest

Other (specify): _____________________________________________________________



PN: 4c will display all categories with a “yes” response in 4a (EXCEPT “Other revenue”).

4c. Are you able to report revenue separately for each revenue category listed below for School Year 2009-2010?




Yes

No

Don’t know

CATEGORY WITH YES RESPONSE IN 4A

PN: The revenue categories displayed in revenue table for School Year 2009-2010 will depend on the answers 4a and 4c. Only revenue categories (4a) with a yes response in 4a will be displayed in the table. If a category generates revenue but cannot (or don’t know if it can) be reported separately (4c), this revenue category will not be displayed in the table, but a message in “D. Other revenue” will appear.

PN: REVENUE TABLE (4d)- In column 2 if “Report Total” selected, monthly data entry fields will be grayed out and not allowed; if “Report monthly” selected Total Revenue data entry field will be grayed out and not allowed; if “Not available” selected, both total revenue and monthly data field will be grayed out and not allowed. If not available selected in last column, data entry field for Entire School Year will be grayed out and not allowed.

4d. REVENUE: SCHOOL YEAR 2009-2010: For each revenue category listed in Column 1, indicate how you prefer to report revenue for first half of year in Column 2. Proceed to report revenue for first half of year, either total or monthly, if available. Then report the amount of revenue for the entire school year in far right column, if available. Enter only whole dollars with no cents, commas or $ sign.

Revenue Category

Revenue for First Half of School Year (Aug 2009-Dec 2009)

Entire School Year (Aug 2009-Jun 2010)

Report for First Half of SY
(select one)

Total Revenue
(Aug 09- Dec 09)

Monthly Revenue

Aug 09

Sep 09

Oct 09

Nov 09

Dec 09

A. Local funds
(any funds transferred from other local account to school foodservice other than payment for catering)

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

__________

Not Available

B. Student payment for reimbursable meals

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

__________

Not Available

C. Non-reimbursable foods
(competitive foods, a la carte, vending machines, adult meals, etc.)

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

__________

Not Available

D. Other Revenue
PN: List responses from 4b and revenue categories that cannot be reported separately (4c)

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

__________

Not Available




SCHOOL YEAR 2010-2011



5a. For School Year 2010-2011, did the foodservice operations in your LEA generate any of the following revenue? (Please provide a response for each revenue category.)




Yes

No

Don’t know

Local funds
(any funds transferred from other local account to school foodservice other than payment for catering)

Student payment for reimbursable meals

Non-reimbursable foods
(competitive foods, a la carte, vending machines, adult meals, etc.)

Other revenue from local sources not listed above (such as catering, special events, returned check fee, interest, etc.)
Note: this does not include Federal or State payments



5b. [If Other revenue=Yes in 5a, ask] Specify sources of other revenue (Check all that apply):

Catering

Special events

Returned check fees

Interest

Other (specify): __________________________________________________________________



PN: 5c will display all categories with a “yes” response in 5a (EXCEPT “Other revenue”).

5c. Are you able to report revenue separately for each revenue category listed below for School Year 2010-2011?




Yes

No

Don’t know

CATEGORY WITH YES RESPONSE IN 5A



5d. What were the prices for the most common type of school breakfast and lunch in School Year 2010-2011? Please report the reduced and full (paid) prices for each type of school in your LEA.


Elementary

Middle

High

School Breakfast – Reduced Price

$___________

Don’t know

$___________

Don’t know

$___________

Don’t know

School Breakfast – Full (Paid) Price

$___________

Don’t know

$___________

Don’t know

$___________

Don’t know

School Lunch – Reduced Price

$___________

Don’t know

$___________

Don’t know

$___________

Don’t know

School Lunch – Full (Paid) Price

$___________

Don’t know

$___________

Don’t know

$___________

Don’t know



PN: The revenue categories displayed in revenue table for School Year 2010-2011 will depend on the answers 5a and 5c. Only revenue categories (5a) with a yes response in 5a will be displayed in the table. If a category generates revenue but cannot (or don’t know if it can) be reported separately (5c), this revenue category will not be displayed in the table, but a message in “D. Other revenue” will appear.

PN: REVENUE TABLE (5e)- In column 2 if “Report Total” selected, monthly data entry fields will be grayed out and not allowed; if “Report monthly” selected Total Revenue data entry field will be grayed out and not allowed; if “Not available” selected, both total revenue and monthly data field will be grayed out and not allowed. If not available selected in last column, data entry field for Entire School Year will be grayed out and not allowed.



5e. REVENUE: SCHOOL YEAR 2010-2011: For each revenue category listed in Column 1, indicate how you prefer to report revenue for first half of year in Column 2. Proceed to report revenue for first half of year, either total or monthly, if available. Then report the amount of revenue for the entire school year in far right column, if available. Enter only whole dollars with no cents, commas or $ sign.

Revenue Category

Revenue for First Half of School Year (Aug 2010-Dec 2010)

Entire School Year (Aug 2010-Jun 2011)

Report for First Half of SY
(select one)

Total Revenue
(Aug 10- Dec 10)

Monthly Revenue

Aug 10

Sep 10

Oct 10

Nov 10

Dec 10

A. Local funds
(any funds transferred from other local account to school foodservice other than payment for catering)

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

__________

Not Available

B. Student payment for reimbursable meals

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

__________

Not Available

C. Non-reimbursable foods
(competitive foods, a la carte, vending machines, adult meals, etc.)

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

__________

Not Available

D. Other Revenue
PN: List responses from 5b and revenue categories that cannot be reported separately (5c)

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

__________

Not Available




SCHOOL YEAR 2011-2012



6a. For School Year 2011-2012, did the foodservice operations in your LEA generate any of the following revenue? (Please provide a response for each revenue category.)




Yes

No

Don’t know

Local funds
(any funds transferred from other local account to school foodservice other than payment for catering)

Student payment for reimbursable meals

Non-reimbursable foods
(competitive foods, a la carte, vending machines, adult meals, etc.)

Other revenue from local sources not listed above (such as catering, special events, returned check fee, interest, etc.)
Note: this does not include Federal or State payments



6b. [If Other revenue=Yes in 6a, ask] Specify sources of other revenue (Check all that apply):

Catering

Special events

Returned check fees

Interest

Other (specify): ___________________________________________________________________



PN: 6c will display all categories with a “yes” response in 6a (EXCEPT “Other revenue”).

6c. Are you able to report revenue separately for each revenue category listed below for School Year 2011-2012?




Yes

No

Don’t know

CATEGORY WITH YES RESPONSE IN 6A



6d. What were the prices for the most common type of school breakfast and lunch in School Year 2011-2012? Please report the reduced and full (paid) prices for each type of school in your LEA.


Elementary

Middle

High

School Breakfast – Reduced Price

$___________

Don’t know

$___________

Don’t know

$___________

Don’t know

School Breakfast – Full (Paid) Price

$___________

Don’t know

$___________

Don’t know

$___________

Don’t know

School Lunch – Reduced Price

$___________

Don’t know

$___________

Don’t know

$___________

Don’t know

School Lunch – Full (Paid) Price

$___________

Don’t know

$___________

Don’t know

$___________

Don’t know







PN: The revenue categories displayed in revenue table for School Year 2011-2012 will depend on the answers 6a and 6c. Only revenue categories (6a) with a yes response in 6a will be displayed in the table. If a category generates revenue but cannot (or don’t know if it can) be reported separately (6c), this revenue category will not be displayed in the table, but a message in “D. Other revenue” will appear.

PN: REVENUE TABLE (6e)- In column 2 if “Report Total” selected, monthly data entry fields will be grayed out and not allowed; if “Report monthly” selected Total Revenue data entry field will be grayed out and not allowed; if “Not available” selected, both total revenue and monthly data field will be grayed out and not allowed. If not available selected in last column, data entry field for Entire School Year will be grayed out and not allowed.



6e. REVENUE: SCHOOL YEAR 2011-2012: For each revenue category listed in Column 1, indicate how you prefer to report revenue for first half of year in Column 2. Proceed to report revenue for first half of year, either total or monthly, if available. Then report the amount of revenue for the entire school year in far right column, if available. Enter only whole dollars with no cents, commas or $ sign.

Revenue Category

Revenue for First Half of School Year (Aug 2011-Dec 2011)

Entire School Year (Aug 2011-Jun 2012)

Report for First Half of SY
(select one)

Total Revenue
(Aug 11- Dec 11)

Monthly Revenue

Aug 11

Sep 11

Oct 11

Nov 11

Dec 11

A. Local funds
(any funds transferred from other local account to school foodservice other than payment for catering)

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

__________

Not Available

B. Student payment for reimbursable meals

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

__________

Not Available

C. Non-reimbursable foods
(competitive foods, a la carte, vending machines, adult meals, etc.)

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

__________

Not Available

D. Other Revenue
PN: List responses from 6b and revenue categories that cannot be reported separately (6c)

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

__________

Not Available




SCHOOL YEAR 2012-2013



7a. For School Year 2012-2013, has the foodservice operations in your LEA generated any of the following revenue? (Please provide a response for each revenue category.)




Yes

No

Don’t know

Local funds
(any funds transferred from other local account to school foodservice other than payment for catering)

Student payment for reimbursable meals

Non-reimbursable foods
(competitive foods, a la carte, vending machines, adult meals, etc.)

Other revenue from local sources not listed above (such as catering, special events, returned check fee, interest, etc.)
Note: this does not include Federal or State payments



7b. [If Other revenue=Yes in 7a, ask] Specify sources of other revenue (Check all that apply):

Catering

Special events

Returned check fees

Interest

Other (specify): __________________________________________________________________



PN: 7c will display all categories with a “yes” response in 7a (EXCEPT “Other revenue”).

7c. Are you able to report revenue separately for each revenue category listed below for School Year 2012-2013?




Yes

No

Don’t know

CATEGORY WITH YES RESPONSE IN 7A



PN: 7d will display only if LEA has schools operating under traditional meal claiming.

7d. What are the prices for the most common type of school breakfast and lunch in School Year 2012-2013? Please report the reduced and full (paid) prices for each type of school in your LEA.


Elementary

Middle

High

School Breakfast – Reduced Price

$___________

Don’t know

$___________

Don’t know

$___________

Don’t know

School Breakfast – Full (Paid) Price

$___________

Don’t know

$___________

Don’t know

$___________

Don’t know

School Lunch – Reduced Price

$___________

Don’t know

$___________

Don’t know

$___________

Don’t know

School Lunch – Full (Paid) Price

$___________

Don’t know

$___________

Don’t know

$___________

Don’t know

PN: The revenue categories displayed in revenue table for School Year 2012-2013 will depend on the answers 7a and 7c. Only revenue categories (7a) with a yes response in 7a will be displayed in the table. If a category generates revenue but cannot (or don’t know if it can) be reported separately (7c), this revenue category will not be displayed in the table, but a message in “D. Other revenue” will appear.

PN: REVENUE TABLE (7e)- In column 2 if “Report Total” selected, monthly data entry fields will be grayed out and not allowed; if “Report monthly” selected Total Revenue data entry field will be grayed out and not allowed; if “Not available” selected, both total revenue and monthly data field will be grayed out and not allowed. If not available selected in last column, data entry field for Entire School Year will be grayed out and not allowed.



7e. REVENUE: SCHOOL YEAR 2012-2013: For each revenue category listed in Column 1, indicate how you prefer to report revenue for first half of year in Column 2. Proceed to report revenue for first half of year, either total or monthly, if available. Enter only whole dollars with no cents, commas or $ sign.

Revenue Category

Revenue for First Half of School Year (Aug 2012-Dec 2012)

Report for First Half of SY
(select one)

Total Revenue
(Aug 12- Dec 12)

Monthly Revenue

Aug 12

Sep 12

Oct 12

Nov 12

Dec 12

A. Local funds
(any funds transferred from other local account to school foodservice other than payment for catering)

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

B. Student payment for reimbursable meals

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

C. Non-reimbursable foods
(competitive foods, a la carte, vending machines, adult meals, etc.)

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______

D. Other Revenue
PN: List responses from 7b and revenue categories that cannot be reported separately (7c)

Not available

Report total

Report monthly

__________

_______

_______

_______

_______

_______




PARTICIPATION—BREAKFAST



  1. Has the average daily participation in the school breakfast program operated by your LEA increased, decreased, or stayed the same over the past two years (since January 2011)? Average daily participation means the average number of meals claimed per day. (Select one)

Average daily participation in school breakfast has increased (go to 8a)

Average daily participation in school breakfast has decreased (go to 8c)

Average daily participation in school breakfast has stayed the same (go to 9)

Don’t know (go to 9)

8a. Which of the following was the biggest factor for the increase in average daily participation in school breakfast? (Select one)

More schools offering school breakfast

An increase in student enrollment

An increase in the percentage of students participating in SBP

An increase in the number of breakfasts per week taken by participating students

Don’t know


8b. In general, which type of school experienced the greatest increase in average daily participation in the SBP? (Select one)

Elementary school (go to 9)
□ Middle school
(go to 9)
□ High school
(go to 9)
□ No difference by school type (go to 9)
□ Don’t know
(go to 9)

8c. Which of the following was the biggest factor for the decrease in average daily participation in school breakfast? (Select one)

Fewer schools offering school breakfast

A decrease in student enrollment
□ A decrease in the percentage of students participating in SBP
□ A decrease in the number of breakfasts per week taken by participating students
□ Don’t know

8d. In general, which type of school experienced the greatest decrease? (Select one)

Elementary school
□ Middle school
□ High school
□ No difference by school type
□ Don’t know



PARTICIPATION—LUNCH

9. In your opinion has average daily participation in school lunch increased, deceased, or stayed the same over the past two years (since January 2011)? (Select one)

Average daily participation in school lunch has increased (go to 9a)

Average daily participation in school lunch has decreased (go to 9c)

Average daily participation in school lunch has stayed the same (go to 10)

Don’t know (go to 10)



9a. Which of the following was the biggest factor for the increase in average daily participation in school lunch? (Select one)

An increase in student enrollment

An increase in the percentage of students participating in NSLP

An increase in the number of lunches per week taken by participating students

Don’t know

9b. In general, which type of school experienced the greatest increase? (Select one)

Elementary school (go to 10)
□ Middle school
(go to 10)
□ High school
(go to 10)
□ No difference by school type
(go to 10)
□ Don’t know
(go to 10)

9c. Which of the following was the biggest factor for the decrease in average daily participation in school lunch? (Select one)

A decrease in student enrollment
□ A decrease in the percentage of students participating in NSLP
□ A decrease in the number of lunches per week taken by participating students
□ Don’t know

9d. In general, which type of school experienced the greatest decrease? (Select one)

Elementary school
□ Middle school
□ High school
□ No difference by school type
□ Don’t know





CHANGES IN FOOD, LABOR & COST—BREAKFAST

Below, we ask questions about the per meal food and labor costs of the School Breakfast Program-that is, the total cost divided by the number of meals. There are also questions about the quality and variety of food served at breakfast. Please answer considering the averages across all schools in your LEA.

10. Over the last two years, has your LEA’s labor cost per breakfast increased, decreased, or stayed the same? (Select one)

Increased
□ Decreased
□ Stayed the same
□ Don’t know

11. Over the last two years, has your LEA’s food cost per breakfast increased, decreased, or stayed the same? (Select one)

Increased
□ Decreased
□ Stayed the same
□ Don’t know

12. Over the last two years, has the quality of food (food that is fresher and/or more nutritious) served at breakfast increased, decreased, or stayed the same? (Select one)

Increased
□ Decreased
□ Stayed the same
□ Don’t know

13. Over the last two years, has the variety of food served at breakfast increased, decreased, or stayed the same? (Select one)

Increased
□ Decreased
□ Stayed the same
□ Don’t know



CHANGES IN FOOD, LABOR & COST—LUNCH

Below, we ask questions about the per meal food and labor costs of the National School Lunch Program-that is, the total cost divided by the number of meals. There are also questions about the quality and variety of food served at lunch. Please answer considering the averages across all schools in your LEA.

14. Over the last two years, has your LEA’s labor cost per lunch increased, decreased, or stayed the same? (Select one)

Increased
□ Decreased
□ Stayed the same
□ Don’t know

15. Over the last two years, has your LEA’s food cost per lunch increased, decreased, or stayed the same? (Select one)

Increased
□ Decreased
□ Stayed the same
□ Don’t know

16. Over the last two years, has the quality of food (food that is fresher and/or more nutritious) served at lunch increased, decreased, or stayed the same? (Select one)

Increased
□ Decreased
□ Stayed the same
□ Don’t know

17. Over the last two years, has the variety of food served at lunch increased, decreased, or stayed the same? (Select one)

Increased
□ Decreased
□ Stayed the same
□ Don’t know

18. Over the last two years, has the average pay per hour for cafeteria workers increased, decreased, or stayed the same? (Select one)

Increased
□ Decreased
□ Stayed the same
□ Don’t know

That completes the survey. Thank you so much for taking the time to participate. Your input is very valuable. If you have any questions about this survey or this evaluation, please contact Abt at: 855-759-5752 (toll-free) or at [email protected].

THANK YOU!

PEAR Survey of LEA Foodservice Directors (Full Version) 2

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