| OMB Control Number: 0584-0474 Expiration Date: 9/30/2015 Form: FNS-543A |
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 0584-0474. The time required to complete this information collection is estimated to average 1.5 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. | ||||||||||||||||||||
| Site Name | Site Status (Open, Closed, Camps, Migrant) | Site Address1 | Site Address2 | Site City | Site State | Site Zip | Site Phone | Ext | Contact First Name | Contact Last Name | Contact Phone | Hours of Service: | Sponsoring Organization | Meal types served: Lunch, Breakfast, Afterschool Program | Start date | End date | Days of operation (Mon, Tues, Wed, etc.) | Breakfast Hours of Service: | Lunch Hours of Service: | Dinner/ Supper Hours of Service: | Snack Time Hours of Service: |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |