Appendix B-CP

Appendix B-CP.docx

The Evaluation of Demonstrations of NSLP/SBP Direct Certification of Children Receiving Medicaid Benefits

Appendix B-CP

OMB: 0584-0586

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APPENDIX B

STATE COST SURVEY TRACKING LOGS AND INSTRUCTIONS


Evaluation of Demonstrations of

NSLP/SBP Direct Certification of

Children Receiving Medicaid Benefits


(OMB No.: 0584-Xxxx
Expiration Date: xx/xx/20xx)










Project Officer: Allison Magness

Office: U.S. Department of Agriculture

Food and Nutrition Service

3101 Park Center Dr., Rm. 1014

Alexandria, VA 22302


Telephone: 703-305-2098

FAX: 703-305-2576


Email: [email protected]


CONTENTS

APPENDIX B.1: COST SURVEY TRACKING LOG (CHILD NUTRITION AGENCY VERSION) 3

APPENDIX B.2: COST SURVEY TRACKING LOG (MEDICAID AGENCY VERSION) 12




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AuthorDPatterson
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