APPENDIX A
OMB
Number: 0584-0607
Expiration
Date: 07/31/2020 |
Child Nutrition Program Operations Study-II CN-OPS-II State Child Nutrition Director Survey 2017-2018
FOR PLANNING PURPOSES ONLY Please complete the survey at: |
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 control number. The valid OMB control number for this information collection is 0584-0607. The time required to complete this information collection is estimated to average two hours per response, including the time for reviewing instructions, searching existing data sources, gathering the data needed, and completing and reviewing the information collection. |
U.S. Department of Agriculture Food and Nutrition Service |
This survey is being conducted for the Food and Nutrition Service, U.S. Department of Agriculture as part of a study of the National School Lunch Program (NSLP), School Breakfast Program (SBP), and other USDA food programs throughout the country. All responses will be treated in strict privacy; no names will be used in our reports, and only aggregated results will be reported.
The study is authorized by the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) and cooperation 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.”
Send comments regarding this burden estimate (2 hours) 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 Policy Support
3101 Park Center Drive
Alexandria, VA
22302
Attn: Holly Figueroa
If you have any questions about completing this survey, please email [email protected] or call toll-free at 844.503.7045.
We thank you for your cooperation and participation in this very important study.
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Use the buttons and links within the survey. For example, using “Enter” on your keyboard or your browser’s “Back” function may cause errors.
Questions will not always be numbered sequentially. Some may be automatically skipped because they do not apply to you.
If you have any questions about the study or about completing this survey, please email [email protected] or call 1-844-503-7045 (toll-free).
Back (Button)
Save & Continue (Button)
Before starting the survey please fill in the requested contact information below. If the information below is prefilled, please review and update the information as necessary.
Please fill in the contact information for the Child Nutrition Director below:
First Name:
Last Name:
Street Address 1:
Street Address 2:
City:
State:
Zip:
Phone Number: Ext.
Email:
If you are not the Child Nutrition Director please fill out your name and contact information:
First Name:
Last Name:
Title:
Street Address 1:
Street Address 2:
City:
State:
Zip:
Phone Number: Ext.
Email:
The first few questions are about public SFAs and schools in your State operating under Provision 2 and Provision 3 in the 2017-2018 school year. The questions will ask separately about those operating NSLP only, SBP only, and both NSLP and SBP. When providing counts of schools, you may group schools together as you would for administrative reporting. For example, you may group two schools with a shared cafeteria.
CNOPS-II
Year 2
IF NONE, PLEASE ENTER 0.
|
PROVISION 2 |
PROVISION 3 |
a. SFAs |
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b. Schools |
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CNOPS-II
Year 2
IF NONE, PLEASE ENTER 0.
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PROVISION 2 |
PROVISION 3 |
a. SFAs |
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b. Schools |
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CNOPS-II
Year 2
IF NONE, PLEASE ENTER 0.
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PROVISION 2 |
PROVISION 3 |
a. SFAs |
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b. Schools |
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1.4 How many public SFAs and schools in your State are operating under the Community Eligibility Provision (CEP)?
CNOPS-II
Year 2
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CEP |
a. SFAs |
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b. Schools |
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The next few questions are about public charter schools and residential child care institutions (RCCIs) in your State. Public charter schools are those sponsored by a public school district. RCCIs are any distinct part of a public or non-profit private institution which maintains children in residence, operates principally for the care of children, and if private, is licensed by the State or local government to provide residential childcare services under the appropriate licensing code.
CNOPS-II
Year 2
Yes 1
1.6 How many public charter schools are currently operating in your State?
CNOPS-II
Year 2
CNOPS-II
Year 2
IF NONE, PLEASE ENTER 0.
Public Charter Schools participating in NSLP only
1.8 How many of the [FILLNUMBER FROM 1.8] public charter schools currently participate in SBP program only?
CNOPS-II
Year 2
Public Charter Schools participating in SBP only
CNOPS-II
Year 2
IF NONE, PLEASE ENTER 0.
Public Charter Schools participating in both NSLP and SBP
CNOPS-II
Year 2
RCCIs are any distinct part of a public or non-profit private institution which maintains children in residence, operates principally for the care of children, and, if private, is licensed by the State or local government to provide residential childcare services under the appropriate licensing code. Please include RCCIs with and without schools on location.
IF NONE, PLEASE ENTER 0.
RCCIs participating in NSLP and/or SBP
The following questions are about subsidies and resources your State provides to SFAs. Most questions concern SY 2017-18 but a few concern totals from SY 2016-17.
2.1 Does your State provide subsidies for breakfasts to SFAs in school year (SY) 2017-2018?
CNOPS-II
Year 2
No 2 SKIP TO 2.5
2.2 Which of the following subsidies does your State provide to SFAs for breakfasts?
CNOPS-II
Year 2
Per-meal reimbursement 1
Annual lump sum 2
Supplement to cover specific costs 3
Amount based on a percentage of low-income students 4
Other (Specify) 99
Specify (STRING (NUM))
NEW
(STRING)
CNOPS-II
Year 2
.00 dollar amount of subsidies
2.5 Does your State provide subsidies for lunches to SFAs in SY 2017-2018?
CNOPS-II
Year 2
No 2 SKIP TO 2.9
2.6 Which of the following subsidies does your State provide to SFAs for lunches?
CNOPS-II
Year 2
Per-meal reimbursement 1
Annual lump sum 2
Supplement to cover specific costs 3
Amount based on a percentage of low-income students 4
Other (Specify) 99
Specify (STRING (NUM))
NEW
(STRING)
2.8 What was the total dollar amount of subsidies given to all SFAs in your State for lunches during SY 2016-2017?
CNOPS-II
Year 2
CNOPS-II
Year 2
|
Select one per row |
|
|
YES |
NO |
a. Preparation of reimbursable meals |
1 |
2 |
b. Preparation of non-reimbursable meals |
1 |
2 |
c. Equipment |
1 |
2 |
d. Preparing claims |
1 |
2 |
e. Storage |
1 |
2 |
f. Contracted services |
1 |
2 |
g. Overhead/indirect costs |
1 |
2 |
h. Other (Specify) |
1 |
2 |
(STRING (NUM)) |
|
|
All SFAs operating NSLP and/or SBP must have a meal charge policy to address situations where children not certified to receive free meals do not have money to cover the cost of the meal at the time of the meal service. Some States have developed a State-level meal charge policy to be implemented by all SFAs operating the NSLP and SBP throughout the State.
NEW
2.11 What type of meal charge policy components are currently in place at the State level in your State?
NEW
Students unable to pay are allowed to charge regular, reimbursable meals 1
Students unable to pay receive an alternate meal (e.g., a cheese sandwich) 2
Students unable to pay have a limit to the number of meals they can charge 3
Students unable to pay are denied a meal 4
Households are encouraged to apply for free or reduced price school meals when their student is unable to pay 5
Households are notified of low or negative balances (e.g., phone calls, text messages, and/or notes sent home) 6
Outside funding sources (e.g., community donations) are provided to pay for meals or debt when students incur meal charges 7
Other (Specify) 99
2.12 Does your State offer technical assistance to SFAs to help SFAs manage unpaid meal charges?
NEW
No 2 SKIP TO SECTION 3
2.13 Where does your State gather technical assistance information related to unpaid meal charges to share with SFAs?
NEW
FNS Policy guidance 1
Best practices resources developed by FNS 2
Best practices resources developed by your State 3
Best practices resources developed by other States 4
Best practices resources developed by other institutions (for example, the School Nutrition Association) 5
Other (Specify) 99
2.14 What methods does your State agency use to provide technical assistance related to unpaid meal charges?
NEW
Online documents and resources 1
Handbooks / guides 2
In person presentations 3
Phone or email communications 5
Other (Specify) 99
The Buy American provision requires SFAs to purchase, to the maximum extent practicable, domestic commodities or products. A domestic commodity or product is defined as an agricultural commodity that is produced in the United States and a food product that is processed in the United States substantially using agricultural commodities produced in the United States.
NEW
Yes 1
No 2 SKIP TO 3.3
3.2 What components are described in your State’s Buy American policy?
NEW
Buy American provision requirement to procure domestic commodities or products 1
Definition of a domestic commodity or product 2
Criteria for SFAs to receive exceptions to the Buy American provision 3
Requirement for SFAs to document the Buy American provision in all procurement solicitations and/or contracts 4
Requirement for SFAs to document the Buy American provision in all procurement procedures and/or document prototypes 5
Encouragement for SFAs to procure domestic foods from local, regional, small, women-owned, and/or minority-owned businesses 6
Encouragement for SFAs to order USDA Foods 7
State procurement reviews to ensure SFA compliance with the Buy American provision 8
Other (Specify) 99
Specify (STRING (NUM))
NEW
|
Select one per row |
||
|
YES |
NO |
NOT APPLICABLE |
a. Buy American provision requirement to procure domestic commodities or products |
1 |
2 |
NA |
b. Definition of a domestic commodity or product |
1 |
2 |
NA |
c. Criteria for SFAs to receive exceptions to the Buy American provision |
1 |
2 |
NA |
d. Requirement for SFAs to document the Buy American provision in all procurement solicitations and/or contracts |
1 |
2 |
NA |
e. Requirement for SFAs to document the Buy American provision in all procurement procedures and/or document prototypes |
1 |
2 |
NA |
f. Encouragement for SFAs to procure domestic foods from local, regional, small, women-owned, and/or minority-owned businesses |
1 |
2 |
NA |
g. Encouragement for SFAs to order USDA Foods |
1 |
2 |
NA |
h. State procurement reviews to ensure SFA compliance with the Buy American provision |
1 |
2 |
NA |
i. Other (Specify) |
1 |
2 |
NA |
|
|
|
|
3.4 What methods are used to share guidance on your State’s Buy American policy with SFAs?
NEW
Online documents and resources 1
Handbooks / guides 2
In person presentations 3
Webinar presentations 4
Phone or email communications 5
None - State does not provide guidance to SFAs on Buy American policy 6
Other (Specify) 99
Specify (STRING (NUM))
3.5 Does your State agency ensure SFA compliance with the Buy American provision?
NEW
No 2
NEW
|
Select all that apply per row |
|||
Compliance review activity |
DURING ADMINISTRATIVE REVIEW |
DURING PROCUREMENT REVIEW |
DURING OTHER REVIEW |
COMPLIANCE NOT CHECKED |
a. Check that SFAs are purchasing domestic commodities/products |
1 |
2 |
3 |
4 |
b. Check that contract solicitations contain Buy American language |
1 |
2 |
3 |
4 |
c. Check that contracts contain Buy American language |
1 |
2 |
3 |
4 |
d. Check that supplier invoices or receipts show that solicited domestic commodities/products were provided by the contractor |
1 |
2 |
3 |
4 |
e. Look at food product labels in SFA storage facilities |
1 |
2 |
3 |
4 |
f. Other (Specify) |
1 |
2 |
3 |
4 |
|
|
|
|
|
SFAs may make exceptions to the Buy American provision when the use of domestic commodities or products is not practical. That is, domestic foods are in inadequate supply, low quality, or significantly higher in cost than non-domestic commodities or products.
3.7 Does your State require SFAs to document the use of exceptions to the Buy American Provision? By documenting exceptions, we mean tracking the use of exceptions and maintaining supporting documents to justify their use when purchasing non-domestic agricultural commodities and food products.
NEW
NEW
|
Select one per row |
|
|
YES |
NO |
a. The domestic commodity or product is in inadequate supply |
1 |
2 |
b. The domestic commodity or product is low quality |
1 |
2 |
c. The domestic commodity or product is substantially higher in cost than the non-domestic commodity or product counterpart |
1 |
2 |
d. Alternative domestic commodity or product options were researched and considered |
1 |
2 |
e. The domestic commodity or product availability or pricing was verified using a third-party verification (for example, the Agricultural Marketing Service report) |
1 |
2 |
f Other (Specify) |
1 |
2 |
|
|
|
NEW
|
Select one per row |
|
|
YES |
NO |
a. Our State provides SFAs with guidance |
1 |
2 |
b. Our State provides SFAs with a reporting template |
1 |
2 |
SFAs may apply the geographic preference option when procuring foods. That is, they may apply a local preference in procuring unprocessed or minimally processed agricultural products that are locally grown or raised. SFAs may define local food purchasing as they choose. “Local” may be defined as the same city/county, within a mileage radius, within a day’s drive, within the State, or within the region. SFAs may purchase local foods from local farmers, ranchers, dairies, fishermen, food processors, and distributors. The geographic preference may vary across products (i.e., 50 miles for apples, 100 miles for potatoes, and within the county for dairy).
3.10 Do any SFAs in your State apply geographic preference when making local food purchases?
NEW
No 2
Don’t know 3
NEW
Yes 1
No 2
Don’t know 3
NEW
(NUM)
NEW
|
SELECT ONE RESPONSE PER ROW |
|
|
YES |
NO |
a. Types of local food sources |
1 |
2 |
b. How to find local foods |
1 |
2 |
c. Procuring local foods |
1 |
2 |
d. Local food purchasing policy |
1 |
2 |
e Other topics related to local food purchasing (Specify) |
1 |
2 |
|
|
|
NEW
|
Select one per row |
|
|
YES |
NO |
a. Limited food availability |
1 |
2 |
b. Transportation and/or delivery barriers |
1 |
2 |
c. Low student demand for local foods |
1 |
2 |
d. Inadequate facilities for storing local foods |
1 |
2 |
e. Limited capacity for local food preparation |
1 |
2 |
f. Difficulty incorporating local foods into the menu |
1 |
2 |
g. High cost of local foods |
1 |
2 |
h. Understanding local food purchasing and contracting |
1 |
2 |
i. Not enough staff time to develop local food purchasing arrangements |
1 |
2 |
j. Other (Specify) |
1 |
2 |
(STRING (NUM)) |
|
|
The following questions ask about your State’s role in supporting farm to school among SFAs and schools in your State. Farm to school activities generally promote efforts to connect schools with local or regional farms in order to increase the availability of local or regional foods in child nutrition programs and develop related educational programming. These activities include, but are not limited to:
Serving local foods: Local or regional foods are purchased, promoted, and served in the cafeteria or as a snack or taste-test, including foods from an edible garden
Education: Students participate in educational and experiential activities related to agriculture, food, health, or nutrition in their school curriculum
School gardens: Students engage in hands-on learning through gardening
NEW
|
Select one per row |
|
ACTIVITY |
YES |
NO |
a. Implement policies that require or encourage SFAs and/or schools to purchase local foods |
1 |
2 |
b. Financially support health, wellness, or other programming that promotes farm to school activities |
1 |
2 |
c. Develop state-level task forces, councils, or working groups that research, assess, or implement farm to school programs and/or provide farm to school guidance to schools |
1 |
2 |
d. Create websites, databases, or directories that share information and promote farm to school efforts |
1 |
2 |
e. Create websites, databases or directories that list local agriculture producers |
1 |
2 |
f. Host gatherings or conferences devoted to farm to school |
1 |
2 |
g. Conduct marketing or promotion of farm to school |
1 |
2 |
h. Other (Specify) |
1 |
2 |
(STRING (NUM)) |
|
|
4.2 Did your State agency (or other agencies in your State) offer training related to farm to school activities for SFAs or schools in SY 2017-18?
NEW
No 0 SKIP TO 4.4
NEW
SELECT ALL THAT APPLY
Integration of farm to school into wellness policies and practices 1
Integration of farm to school into curriculum 2
Engaging partners, including producers and parents, in Farm to School 3
Farm to school planning 4
Small and micro purchases 5
Local food procurement 6
Identifying local producers 7
Local food meal preparation and serving strategies 8
Benefits of local foods 9
Local food promotion and marketing strategies 10
Geographic preference 11
Other (Specify) 99
The following questions are about State employees in your State agency (or other agencies in your State) who work on farm to school activities with various child nutrition programs in SY 2017-2018. Please obtain staff information from other agencies that work on farm to school as needed.
NEW
Yes 1
No 0 SKIP TO 4.7
NEW
IF NONE, PLEASE ENTER 0.
POSITIONS
The next few questions are about dedicated farm to school staff employed in your State (or State agency) that worked on farm to school in SY 2017-2018. An example of this kind of dedicated staff member could be a farm to school coordinator or program manager. Include dedicated farm to school staff regardless of whether their position is full-time or part-time.
NEW
IF NONE, PLEASE ENTER 0.
# OF FULL-TIME STAFF |
# OF PART-TIME STAFF |
|
|
The following questions are about State funding for farm to school activities in SFAs and/or schools in your State in SY 2017-2018.
4.7 Did your State agency budget include funding for any farm to school activities in SY 2017-2018?
NEW
No 0
NEW
|
DOLLARS OF FUNDING |
PERCENT OF TOTAL STATE AGENCY BUDGET |
TOTAL STATE FARM TO SCHOOL FUNDING |
|
|
NEW
(STRING (NUM))
NEW
SCHOOLS REIMBURSED
(RANGE NUMBER RANGE)
IF 4.9 = 0, SKIP TO NEXT SECTION
NEW
CENTS PER MEAL
(RANGE NUMBER RANGE)
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | CNOPS II State CN Director Survey |
Subject | Survey Instruments |
Author | MATHEMATICA STAFF |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |