APPENDIX C1
State Agency Child Nutrition Director Web Survey
Community Eligibility Provision Characteristics Study (CEP)
State Agency Child Nutrition Director Web Survey
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-XXXX, expires XX/XX/XXXX. The time required to complete this information collection is estimated to average 1 hour per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of time estimates or suggestions for improving this form, please contact: Office of Policy Support, U.S. Department of Agriculture, Food and Nutrition Service, Office of Policy Support, Alexandria, VA 22302. Attention: Dr. John Endahl.
Prepared for: Prepared by:
US Department of Agriculture 2M Research Services
Food and Nutrition Service
Office of Policy Support
This survey is being conducted for the Food and Nutrition Service, U.S. Department of Agriculture as part of a study called Community Eligibility Provision (CEP) Characteristics Study. 2M Research Services has been hired by the Food and Nutrition Service of the U.S. Department of Agriculture to conduct this survey. 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. Responses to the study will in no way affect your agency’s receipt of funds from USDA’s school meals program.
The study is authorized by the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) and participation by selected states, local education agencies, and schools is required under Section 305 of the HHFKA. Section 305 of the Healthy, Hunger-Free Kids Act of 2010 States that “States, State educational agencies, local educational agencies, schools, institutions, facilities, and contractors participating in programs authorized under this Act and the Child Nutrition Act of 1966 (42 U.S.C. 1771 et seq.) shall cooperate with officials and contractors acting on behalf of the Secretary, in the conduct of evaluations and studies under those Acts.”
Please note, if you cannot complete the survey in one sitting, you can save it and complete it at a later date. You may also share the login credentials with appropriate personnel as you deem necessary in order to report accurate information. This survey will take about 60 minutes to complete.
We thank you for your cooperation and participation in this very important study.
Please confirm that the following contact information is correct. (Pre-filled—corrections allowed)
If you have any questions about the study or about completing this survey, please email [email protected] or call 1-866-xxx-xxx (toll-free).
Date: |
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MM/DD/YYYY |
Contact information for the State Child Nutrition Director:
Name: |
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Address: |
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Suite, Bldg.: |
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City State Zip Code |
Phone Number: |
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(XXX) XXX-XXXX Ext. XXXX |
Email Address: |
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Name and address of person filling out this survey (if other than the Child Nutrition Director):
Name: |
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Address: |
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Suite, Bldg.: |
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City State Zip Code |
Phone Number: |
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(XXX) XXX-XXXX Ext. XXXX |
Email Address: |
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☐ Not challenging
☐ A little challenging
☐ Moderately challenging
☐ Very challenging
☐ Extremely challenging
☐ Not applicable (Explain):
|
☐ Yes
☐ No (go to1.4)
☐ Don’t know (go to 1.4)
☐ Implemented our first electronic claims system
☐ Made major changes to our electronic claims system
☐ Made minor changes to our electronic claims system
☐ Made changes to our paper tracking procedures
☐ Other (Specify):
|
☐ Yes
☐ No (go to1.6)
☐ Don’t know (go to 1.6)
☐ Data linking/sharing among State data systems
☐ Data linking/sharing between State and local data systems
☐ Data linking/sharing at the local level
☐ Other (Specify:)
|
☐ Yes (go to 1.8)
☐ No
☐ Add a new capability to the existing financial payment system
☐ Develop/purchase a separate system specifically for CEP
☐ Other (Specify:)
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☐ Other (2) - (Specify:)
|
Select all that apply
☐ Effective communication between LEA and SA
☐ Effective communication between FNS and SAs
☐ Training and support provided by FNS to SA
☐ Training and support provided by SAs to LEAs
☐ Technology
☐ Sufficient staff
☐ Sufficient monetary resources
☐ Education support (e.g., State superintendent, State School Business Officials Association)
☐ Political support (e.g., governor’s office)
☐ Other (Specify):
|
☐ Other (2) - (Specify):
|
Resources Available |
1-Very Useful |
2-Useful |
3-Not Useful |
5-Don't Know |
|
Effective communication between LEA and SA |
☐ |
☐ |
☐ |
☐ |
|
Effective communication between FNS and SAs |
☐ |
☐ |
☐ |
☐ |
|
Training and support provided by FNS to SA |
☐ |
☐ |
☐ |
☐ |
|
Training and support provided by SAs to LEAs |
☐ |
☐ |
☐ |
☐ |
|
Technology |
☐ |
☐ |
☐ |
☐ |
|
Infrastructure for eligibility verification |
☐ |
☐ |
☐ |
☐ |
|
Sufficient staff |
☐ |
☐ |
☐ |
☐ |
|
Sufficient monetary resources |
☐ |
☐ |
☐ |
☐ |
|
Education support (e.g., State superintendent, State School Business Officials Association) |
☐ |
☐ |
☐ |
☐ |
|
Political support (e.g., governor’s office) |
☐ |
☐ |
☐ |
☐ |
|
Other (Specify):
|
☐ |
☐ |
☐ |
☐ |
|
Other (2) - (Specify):
|
☐ |
☐ |
☐ |
☐ |
The questions in this section seek to understand your State’s methods of communicating with LEAs and schools, as well as the success of CEP-related changes to the communication process.
Select all that apply
☐ Email marketing campaign
☐ Providing basic information via mail
☐ Providing basic information via email
☐ Providing basic information via website
☐ USDA provided webinar for LEAs and schools
☐ Teleconference for LEAs and schools
☐ Press releases
☐ Media events
☐ One-on-one phone calls
☐ Meetings with LEAs
☐ Meetings with schools
☐ Share required notification lists
☐ Contact from state/political officials (e.g., governor’s office, superintendent)
☐ Other (Specify):
|
☐ Other (2) - (Specify):
|
☐ Other (3) - (Specify):
|
Strategies Used to Inform LEAs and Schools |
1-Very Effective |
2- Effective |
3- Not Effective |
|
Email marketing campaign |
☐ |
☐ |
☐ |
|
Providing basic information via mail |
☐ |
☐ |
☐ |
|
Providing basic information via email |
☐ |
☐ |
☐ |
|
Providing basic information via website |
☐ |
☐ |
☐ |
|
Webinar for LEAs and schools |
☐ |
☐ |
☐ |
|
Teleconference for LEAs and schools |
☐ |
☐ |
☐ |
|
Press releases |
☐ |
☐ |
☐ |
|
Media events |
☐ |
☐ |
☐ |
|
One-on-one phone calls |
☐ |
☐ |
☐ |
|
Meetings with LEAs |
☐ |
☐ |
☐ |
|
Meetings with schools |
☐ |
☐ |
☐ |
|
Share required notification lists |
☐ |
☐ |
☐ |
|
Contact from state/political officials (e.g., governor’s office, superintendent) |
☐ |
☐ |
☐ |
|
Other (Specify):
|
☐ |
☐ |
☐ |
|
Other (2) - (Specify):
|
☐ |
☐ |
☐ |
|
Other (3) - (Specify):
|
☐ |
☐ |
☐ |
Did your State Agency notify eligible and potentially eligible LEAs of their districtwide eligibility for CEP by the April 15 deadline?
☐ Yes
☐ No
☐ Don’t know
|
Does your State have school-level information so that your LEAs do not have to submit the lists discussed above?
☐ Yes (go to 1.14.3)
☐ No
☐ Don’t know
Required List |
Received by April 15? |
|||
|
Yes |
No |
Don’t Know |
Produced list without input from LEAs |
Schools with an identified student percentage (ISP) of at least 40 percent |
☐ |
☐ |
☐ |
☐ |
Schools with an ISP greater than or equal to 30 but less than 40 percent |
☐ |
☐ |
☐ |
☐ |
Schools currently participating in CEP |
☐ |
☐ |
☐ |
☐ |
Schools in the fourth year of CEP participation with an ISP greater than 30 but less than 40 percent |
☐ |
☐ |
☐ |
☐ |
Required List |
Level of Difficulty |
||
|
Not Difficult |
Moderately Difficult |
Very Difficult |
Schools with an identified student percentage (ISP) of at least 40 percent |
☐ |
☐ |
☐ |
Schools with an ISP greater than or equal to 30 but less than 40 percent |
☐ |
☐ |
☐ |
Schools currently participating in CEP |
☐ |
☐ |
☐ |
Schools in the fourth year of CEP participation with an ISP greater than 30 but less than 40 percent |
☐ |
☐ |
☐ |
Required List |
Sources of Information |
|||
Schools with an identified student percentage (ISP) of at least 40 percent |
Source1:
Source2:
Source3:
|
|||
Schools with an ISP greater than or equal to 30 but less than 40 percent |
Source1:
Source2:
Source3:
|
|||
Schools currently participating in CEP |
Source1:
Source2:
Source3:
|
|||
Schools in the fourth year of CEP participation with an ISP greater than 30 but less than 40 percent |
Source1:
Source2:
Source3:
|
Required List |
Percent of LEAs meeting the April 15th deadline |
||||
|
0-24 percent |
25-49 percent |
50-74 percent |
75-99 percent |
Don’t Know |
Schools with an identified student percentage (ISP) of at least 40 percent |
☐ |
☐ |
☐ |
☐ |
☐ |
Schools with an ISP greater than or equal to 30 but less than 40 percent |
☐ |
☐ |
☐ |
☐ |
☐ |
Schools currently participating in CEP |
☐ |
☐ |
☐ |
☐ |
☐ |
Schools in the fourth year of CEP participation with an ISP greater than 30 but less than 40 percent |
☐ |
☐ |
☐ |
☐ |
☐ |
Required List |
Perceived Barriers |
|||
Schools with an identified student percentage (ISP) of at least 40 percent |
Barrier 1:
Barrier 2:
Barrier 3:
|
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Schools with an ISP greater than or equal to 30 but less than 40 percent |
Barrier 1:
Barrier 2:
Barrier 3:
|
|||
Schools currently participating in CEP |
Barrier 1:
Barrier 2:
Barrier 3:
|
|||
Schools in the fourth year of CEP participation with an ISP greater than 30 but less than 40 percent |
Barrier 1:
Barrier 2:
Barrier 3:
|
Select all that apply.
☐ Not financially viable
☐ Uncertainty or concern about meal reimbursements
☐ Uncertainty or concern about the effect on funding for educational programs
☐ Perceived need to collect alternate income data if FRP meal applications are eliminated
☐ Too few eligible schools
☐ Lack of time for implementation and training
☐ Difficulty establishing a School Breakfast Program
☐ Lack of community support
☐ Key LEA and/or school officials not supportive
☐ Insufficient time for LEAs to understand CEP and ascertain financial viability
☐ Insufficient time to obtain local approval for participation
☐ Other (Specify):
|
☐ Other (2) - (Specify):
|
☐ Other (3) - (Specify):
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☐ Other (4) - (Specify):
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☐ Other (5) - (Specify):
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(Indicate importance of the concerns in the table below.) (pre-fill from 2.1)
Concern |
1-Very Important |
2-Moderately Important |
3-Not Important |
4-Don't Know |
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Not financially viable |
☐ |
☐ |
☐ |
☐ |
|
Uncertainty or concern about meal reimbursements |
☐ |
☐ |
☐ |
☐ |
|
Uncertainty or concern about the effect on funding for educational programs |
☐ |
☐ |
☐ |
☐ |
|
Perceived need to collect alternate income data if F/RP meal applications are eliminated |
☐ |
☐ |
☐ |
☐ |
|
Too few eligible schools |
☐ |
☐ |
☐ |
☐ |
|
Lack of time for implementation and training |
☐ |
☐ |
☐ |
☐ |
|
Difficulty establishing a School Breakfast Program |
☐ |
☐ |
☐ |
☐ |
|
Lack of community support |
☐ |
☐ |
☐ |
☐ |
|
Key LEA and/or school officials not supportive |
☐ |
☐ |
☐ |
☐ |
|
Insufficient time for LEAs to understand CEP and ascertain financial viability |
☐ |
☐ |
☐ |
☐ |
|
Insufficient time to obtain local approval for participation |
☐ |
☐ |
☐ |
☐ |
|
Other (Specify):
|
☐ |
☐ |
☐ |
☐ |
|
Other (2) - (Specify):
|
☐ |
☐ |
☐ |
☐ |
|
Other (3) - (Specify):
|
☐ |
☐ |
☐ |
☐ |
|
Other (4) - (Specify):
|
☐ |
☐ |
☐ |
☐ |
|
Other (5) - (Specify):
|
☐ |
☐ |
☐ |
☐ |
Select all that apply
☐ Financial Viability
☐ Calculation of ISPs for individual schools, groups of schools, and district
☐ Effect on Federal (Title I and E-rate) funding
☐ Effect on other State or local funding
☐ Effect on compensatory education funding provided by the State to LEAs
☐ Effect on mixed LEAs (i.e. not all schools participate in CEP)
☐ Effect on other benefits to low income students
☐ Requirement to collect household income data in the absence of FRP meals applications
☐ Other (Specify):
|
☐ Other (2) - (Specify):
|
☐ Other (3) - (Specify):
|
Questions |
1-Very Important |
2-Moderately Important |
3-Not Very Important |
5-Don't Know |
|
Financial Viability |
☐ |
☐ |
☐ |
☐ |
|
Calculation of ISPs for individual schools, groups of schools, and district |
☐ |
☐ |
☐ |
☐ |
|
Effect on Federal (Title I and E-rate) funding |
☐ |
☐ |
☐ |
☐ |
|
Effect on other State or local funding |
☐ |
☐ |
☐ |
☐ |
|
Effect on compensatory education funding provided by the State to LEAs |
☐ |
☐ |
☐ |
☐ |
|
Effect on mixed LEAs (i.e. not all schools participate in CEP) |
☐ |
☐ |
☐ |
☐ |
|
Requirement to collect household income data in the absence of FRP meals applications |
☐ |
☐ |
☐ |
☐ |
|
Other (Specify):
|
☐ |
☐ |
☐ |
☐ |
|
Other (2) - (Specify):
|
☐ |
☐ |
☐ |
☐ |
|
Other (3) - (Specify):
|
☐ |
☐ |
☐ |
☐ |
Questions |
1 - Referred to CEP Guidance Manual and Q&As |
2 – Other FNS Web Resources (E.g. CEP Estimator) |
3 - Approached FNS for Information |
4 -Approached Other Federal Agencies for Information |
5 - Did not Approach FNS or Federal Agencies for Information |
|
Financial Viability |
☐ |
☐ |
☐ |
☐ |
☐ |
|
Calculation of ISPs for individual schools, groups of schools, and district |
☐ |
☐ |
☐ |
☐ |
☐ |
|
Effect on Federal (Title I and E-rate) funding |
☐ |
☐ |
☐ |
☐ |
☐ |
|
Effect on other State or local funding |
☐ |
☐ |
☐ |
☐ |
☐ |
|
Effect on compensatory education funding provided by the State to LEAs |
☐ |
☐ |
☐ |
☐ |
☐ |
|
Effect on mixed LEAs (i.e. not all schools participate in CEP) |
☐ |
☐ |
☐ |
☐ |
☐ |
|
Requirement to collect household income data in the absence of FRP meals applications |
☐ |
☐ |
☐ |
☐ |
☐ |
|
Other (Specify):
|
☐ |
☐ |
☐ |
☐ |
☐ |
|
Other (2) - (Specify):
|
☐ |
☐ |
☐ |
☐ |
☐ |
|
Other (3) - (Specify):
|
☐ |
☐ |
☐ |
☐ |
☐ |
☐ On-line calculators]
☐ Worksheets (developed by USDA or the State)
☐ Other tools (Specify):
|
☐ No tools provided
☐ Yes
☐ No (go to2.9)
☐ Don’t know (go to 2.9)
|
☐ Yes
☐ No (go to 2.14)
☐ Yes
☐ No (go to 2.14)
☐ Don’t know (go to 2.14)
☐ Very useful
☐ Moderately useful
☐ Slightly useful
☐ Not at all useful
☐ Don’t know
☐ Yes
☐ No
☐ Don’t know
Process |
1-Fully Used |
2-Beginning to Use |
3-Not Used |
Matching students in SNAP |
☐ |
☐ |
☐ |
Matching children in TANF |
☐ |
☐ |
☐ |
Matching foster children |
☐ |
☐ |
☐ |
Matching other agency lists of students categorically eligible for free meals (for example, homeless, runaway, migrant youth, and Head Start) |
☐ |
☐ |
☐ |
Including student ID numbers with direct certification lists |
☐ |
☐ |
☐ |
All students from the same household identified through one student’s record |
☐ |
☐ |
☐ |
Frequent review of data throughout the school year |
☐ |
☐ |
☐ |
Medicaid in pilot States only |
☐ |
☐ |
☐ |
☐ More than I expected
☐ About as I expected
☐ Less than I expected
☐ I expect participation to increase
☐ I expect participation to remain about the same
☐ I expect participation to decrease
☐ It is more difficult to allocate benefits
☐ The level of difficulty is about the same
☐ It is less difficult to allocate benefits
☐ Other (Specify):
|
☐ Yes
☐ No (go to 3.4)
☐ Don’t know (go to 3.4)
|
Hours |
|
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | State Agency Web Survey |
Author | Christina Davis |
File Modified | 0000-00-00 |
File Created | 2021-01-24 |