State and Local Burden

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Overview

Sheet1
NSLP - Standard
SBP - Standard
SSO - NSLP (Closed and Migrant)
SSO - SBP (Closed and Migrant)
NSLP-Std RECALC
SBP-Std RECALC
SSO-NSLP RECALC
SSO-SBP RECALC
NSLP - P2 & CEP
SBP - P2 & CEP
NSLP - P2 & CEP RECALC
SBP - P2 & CEP RECALC
NSLP - P3
SBP - P3
SMP
FA Summary

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Sheet 1: Sheet1

Attachment T11. Fiscal Action Workbook

This information is being collected from State agencies, school food authorities, schools. This is a revision of a currently approved information collection. The Richard B. Russell National School Lunch Act (NSLA) 42 U.S.C. § 1758, as amended, authorizes the National School Lunch Program (NSLP). This information is required to administer and operate this program in accordance with the NSLA. Under the Privacy Act of 1974, any personally identifying information obtained will be kept private to the extent of the law. 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 0584-0006. The time required to complete this information collection is estimated to average 47.5 hours of reporting burden per response. The burden consists of the time it takes for the State agency to conduct the off-site portion of the review which includes scheduling of the review and the completion of the Off-site Assessment, Resource Management Risk Indicator, and Site Selection Tools. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Department of Agriculture, Food and Nutrition Services, Office of Policy Support, 3101 Park Center Drive, Room 1014, Alexandria, VA 22302, ATTN: PRA (0584-0006). Do not return the completed form to this address.

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Sheet 2: NSLP - Standard

																																																																																									`								`
	Attachment T11. Fiscal Action Workbook OMB#0584-0006 Expiration Date: xx/xx/20xx
	For Non-Provision Schools and Base-Year Provision 2 & 3 Schools, FFVP, and ASSP
	Review Information:											1: Establish SFA Count of Reviewed Students													2: Establish SA Count of Reviewed Students																3% Threshold Calculation							3: TOTAL FISCAL ACTION FOR NSLP STANDARD:
	All																									Free to Reduced		Windows User: Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2.	3	Free				Error rates per type	Free to Reduced			0.000%				Benefit Issuance Changes				0
	Review Period		Month Being Reviewed:							Period:		SFA Count of Students Eligible for Free and Reduced-Price Meals:								FREE		REDUCED PRICE				Free to Paid				0					Free to Paid			0.000%				CBI Error Percentage				0.00%
	Day of Review																			Windows User: Data for Free and Reduced Price categories is recorded on the SFA-1, Section 4, Box A.						Reduced to Paid				Reduced					Reduced to Paid			0.000%				3% Threshold Met or Exceeded				NO	Yes	$0.00
	Other		SFA Name:																							Reduced to Free				0					Reduced to Free			0.000%				Assess Fiscal Action				State agency has the discrection to take fiscal action when application errors do not exceed 3% error threshold YES	No
	2	1
	No.			Name of Site			4: Number of Meals Claimed by the Site:										5A: Adjust for Consolidation Errors (Deductions):								5B: Adjust for Consolidation Errors (Additions):								6: Number of Meals Claimed Adjusted for Consolidation Errors:								7: Total Non-Reimbursable Meals:				8: Number of Reimbursable Meals by Benefit Type:										9: Reimbursement Rates for Each Benefit Type:								Section 4 multiplied by rate 10: Reimbursement Amounts Claimed by SFA:								11: SFA-wide Reimbursable Meals by Benefit Type Adjusted by Error Rate per Application Category											12A: Adjustment to Meals per Site by Category (CB&I)								12B: Allowable Total Meals after Fiscal Action								12C: Allowable Total Reimbursement after Fiscal Action							13: Total FFVP Reclaim (use a negative number):						14A: Number of After School Snacks Adjustments (Disallowed = negative # or Added = positive #) for Each Benefit Type:								14B: Reimbursement Rates for Each Benefit Type of After School Snack:								14C: Total After School Snack Adjustment:				15: TOTAL FISCAL ACTION FOR SITE:
								FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID								FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID					TOTAL FREE		TOTAL REDUCED		TOTAL PAID		TOTAL			Change in Free Meals		Change in RP Meals		Change in Paid Meals				Free		Reduced		Paid				Free		Reduced		Paid										FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID
								NSLP/Month of On-site review: Data for Free, Reduced Price, and Paid categories is recorded on the S-1, Line 19. NSLP/Review Period: Data for Free, Reduced Price, and Paid categories is recorded on the S-1, Line 20.						0				NSLP/Day of Review: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13. NSLP/Review Period: Data for deductins to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17 B. Other Meal Claim Errors (If applicable): Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-2, Section 1, Column F.								NSLP/Day of Review: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13.. NSLP/Review Period: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17B. Other Meal Claim Errors (If applicable): Data for additions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.								0		0		0				NSLP/Day of Review: From the S-1 form, enter the SUM of Lines 10, 11, 12, and 12A.. NSLP/Review Period: From the S-1 form, enter the SUM of lines 14, 15, 16 and 16 A. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only).				0		0		0		0				Enter the total NSLP reimbursement rate that the site receives for Free Meals. $0.00		Enter the total NSLP reimbursement rate that the site receives for Reduced Price Meals. $0.00		Enter the total NSLP reimbursement rate that the site receives for Paid Meals. $0.00				$0.00		$0.00		$0.00			Section 8 Total		0		0		0		0			0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00					FFVP Data is recorded on the S-1, Line 21 for Day of Review and Review Period. Other Meal Claim Errors (If applicable): FFVP Data is recorded on the S-2, Section 4, Columns D and E.				ASP Data for Free, Reduced Price and Paid catergories is recorded on the S-1, Line 22 A for Day of Review and 22 B for Review Period. Other Meal Claim Errors (If applicable): Afterschool Snack Data is recorded on the S-2, Section 3, Column D (meals only).								Enter the total ASP reimbursement rate that the Site receives for Free Snacks. $0.00		Enter the total ASP reimbursement rate that the Site receives for Reduced Price Snacks. $0.00		Enter the total ASP reimbursement rate that the Site receives for Paid Snacks. $0.00				$0.00				$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00			Free to Reduced		0.00		0.00							0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00																	$0.00		$0.00		$0.00				$0.00				$0.00
																																														0		0																																		0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00			Free to Paid		0.00				0.00					0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00																	$0.00		$0.00		$0.00				$0.00				$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00			Reduced to Paid				0.00		0.00					0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00																	$0.00		$0.00		$0.00				$0.00				$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00			Reduced to Free		0.00		0.00							0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00																	$0.00		$0.00		$0.00				$0.00				$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00			Total Adjusted Meal Count		0.00		0.00		0.00		0.00			0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00																	$0.00		$0.00		$0.00				$0.00				$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00			Rounded Total		0		0		0		0			0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00																	$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																										0		0		0
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														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00																	$0.00		$0.00		$0.00				$0.00				$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00																	$0.00		$0.00		$0.00				$0.00				$0.00
		TOTALS:						0	0	0	0	0		0				0		0	0	0	0	0	0	0	0	0	0	0				0	0	0	0	0				0				0	0	0	0	0	0	0												$0.00		$0.00		$0.00														0	0	0	0	0	0	0		0		0		0				$0.00		$0.00		$0.00					$0.00				0		0		0												$0.00				$0.00

---

Sheet 3: SBP - Standard

																																																																																												`								`
	Fiscal Action Formula for Breakfast (SBP) - Standard
	For Non-Provision Schools and Base-Year Provision 2 & 3 Schools
	Review Information:											1: Establish SFA Count of Reviewed Students													2: Establish SA Count of Reviewed Students																3% Threshold Calculation							3: TOTAL FISCAL ACTION FOR SBP STANDARD:
	All																									Free to Reduced		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2. 0	3	Free				Error rates per type	Free to Reduced			0.000%				Benefit Issuance Changes				0
	Review Period		Month Being Reviewed:							Period:		SFA Count of Students Eligible for Free and Reduced-Price Meals:								FREE		REDUCED PRICE				Free to Paid		0		0					Free to Paid			0.000%				CBI Error Percentage				0.00%
	Day of Review																			Data for Free and Reduced Price categories is recorded on the SFA-1, Section 4, Box A. 0		0				Reduced to Paid		0		Reduced					Reduced to Paid			0.000%				3% Threshold Met or Exceeded				NO	Yes	$0.00
	Other		SFA Name:																							Reduced to Free		0		0					Reduced to Free			0.000%				Assess Fiscal Action				State agency has the discrection to take fiscal action when application errors do not exceed 3% error threshold YES	No
	2	1
	No.			Name of Site			4: Number of Meals Claimed by the Site:										5A: Adjust for Consolidation Errors (Deductions):								5B: Adjust for Consolidation Errors (Additions):								6: Number of Meals Claimed Adjusted for Consolidation Errors:								7: Total Non-Reimbursable Meals:				8: Number of Reimbursable Meals by Benefit Type:										9: Reimbursement Rates for Each Benefit Type:								Section 4 multiplied by rate 10: Reimbursement Amounts Claimed by SFA:									11: SFA-wide Reimbursable Meals by Benefit Type Adjusted by Error Rate per Application Category													12A: Adjustment to Meals per Site by Category (CB&I)								12B: Allowable Total Meals after Fiscal Action								12C: Allowable Total Reimbursement after Fiscal Action							13: Total Fiscal Action For Site
								FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID								FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID						TOTAL FREE		TOTAL REDUCED		TOTAL PAID		TOTAL					Change in Free Meals		Change in RP Meals	Change in RP Meals	Change in Paid Meals				Free		Reduced		Paid				Change in Free Meals		Change in RP Meals		Change in Paid Meals
								NSLP/Month of On-site review: Data for Free, Reduced Price, and Paid categories is recorded on the S-1, Line 19. NSLP/Review Period: Data for Free, Reduced Price, and Paid categories is recorded on the S-1, Line 20.						0				NSLP/Day of Review: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13. NSLP/Review Period: Data for deductins to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17 B. Other Meal Claim Errors (If applicable): Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-2, Section 1, Column F.								NSLP/Day of Review: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13.. NSLP/Review Period: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17B. Other Meal Claim Errors (If applicable): Data for additions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.								0		0		0				NSLP/Day of Review: From the S-1 form, enter the SUM of Lines 10, 11, 12, and 12A.. NSLP/Review Period: From the S-1 form, enter the SUM of lines 14, 15, 16 and 16 A. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only).				0		0		0		0				Enter the total SBP reimbursement rate that the site receives for Free Meals. $0.00		Enter the total SBP reimbursement rate that the site receives for Reduced Price Meals. $0.00		Enter the total SBP reimbursement rate that the site receives for Paid Meals. $0.00				$0.00		$0.00		$0.00				Section 8 Total		0		0		0		0					0	0	0	0	0	0	0		0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				Enter the total NSLP reimbursement rate that the site receives for Free Meals. $0.00		Enter the total NSLP reimbursement rate that the site receives for Reduced Price Meals. $0.00		Enter the total NSLP reimbursement rate that the site receives for Paid Meals. $0.00				$0.00		$0.00		$0.00				Free to Reduced		0.00		0.00									0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Free to Paid		0.00				0.00							0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Reduced to Paid				0.00		0.00							0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Reduced to Free		0.00		0.00									0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Totaled		0.00		0.00		0.00		0.00					0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Rounded Total		0		0		0		0					0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Difference		0		0		0							0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
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														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
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														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
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														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
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														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
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														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00
				TOTALS:				0	0	0	0	0		0				0	0	0	0	0	0	0	0	0	0	0	0	0				0	0	0	0	0				0				0	0	0	0	0	0	0												$0.00		$0.00		$0.00																	0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00			$0.00

---

Sheet 4: SSO - NSLP (Closed and Migrant)

																																																																																									`								`
	Fiscal Action Formula for Lunch (NSLP) - Seamless Summer Option (Closed and Migrant Sites)
	For Non-Provision Schools and Base-Year Provision 2 & 3 Schools and ASSP
	Review Information:											1: Establish SFA Count of Reviewed Students													2: Establish SA Count of Reviewed Students																3% Threshold Calculation							3: TOTAL FISCAL ACTION FOR NSLP STANDARD:
	All																									Free to Reduced		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2.	3	Free				Error rates per type	Free to Reduced			0.000%				Benefit Issuance Changes				0
	Review Period		Month Being Reviewed:							Period:		SFA Count of Students Eligible for Free and Reduced-Price Meals:								FREE		REDUCED PRICE				Free to Paid				0					Free to Paid			0.000%				CBI Error Percentage				0.00%
	Day of Review																			Data for Free and Reduced Price categories is recorded on the SFA-1, Section 4, Box A.						Reduced to Paid				Reduced					Reduced to Paid			0.000%				3% Threshold Met or Exceeded				NO	Yes	$0.00
	Other		SFA Name:																							Reduced to Free				0					Reduced to Free			0.000%				Assess Fiscal Action				State agency has the discrection to take fiscal action when application errors do not exceed 3% error threshold YES	No
	2	1
	No.			Name of Site			4: Number of Meals Claimed by the Site:										5A: Adjust for Consolidation Errors (Deductions):								5B: Adjust for Consolidation Errors (Additions):								6: Number of Meals Claimed Adjusted for Consolidation Errors:								7: Total Non-Reimbursable Meals:				8: Number of Reimbursable Meals by Benefit Type:										9: Reimbursement Rates for Each Benefit Type:								Section 4 multiplied by rate 10: Reimbursement Amounts Claimed by SFA:								11: SFA-wide Reimbursable Meals by Benefit Type Adjusted by Error Rate per Application Category											12A: Adjustment to Meals per Site by Category (CB&I)								12B: Allowable Total Meals after Fiscal Action								12C: Allowable Total Reimbursement after Fiscal Action								13A: Number of After School Snacks Adjustments (Disallowed = negative # or Added = positive #) for Each Benefit Type:								13B: Reimbursement Rates for Each Benefit Type of Snacks:								13C: Total After School Snack Adjustment:				14: TOTAL FISCAL ACTION FOR SITE:
								FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID								FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID					TOTAL FREE		TOTAL REDUCED		TOTAL PAID		TOTAL			Change in Free Meals		Change in RP Meals		Change in Paid Meals				Free		Reduced		Paid				Free		Reduced		Paid					FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID
								SSO NSLP/Data for Month of On-site review is recorded on SSO S-1 Line 12.						0				SSO NSLP/ Data for deductions to Free, Reduced Price, and Paid categories is recorded on the SSO S-1, Line 9. Other Meal Claim Errors (If applicable): Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-2, Section 1, Column F.								SSO NSLP/ Data for additions to Free, Reduced Price, and Paid categories is recorded on the SSO S-1, Line 9. Other Meal Claim Errors (If applicable): Data for additions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.								0		0		0				SSO NSLP/From the SSO S-1 form enter the SUM of Lines 6,7, 8a, and 8b. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only).				0		0		0		0				Enter the total SSO NSLP reimbursement rate that the site receives for Free Meals. $0.00		Enter the total SSO NSLP reimbursement rate that the site receives for Reduced Price Meals. $0.00		Enter the total SSO NSLP reimbursement rate that the site receives for Paid Meals. $0.00				$0.00		$0.00		$0.00			Section 8 Total		0		0		0		0			0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00					ASP Free, Reduced Price, and Paid Data is recorded on the SSO S-1, Line 10 A for Day of Review and Line 10B for the Review Period Other Meal Claim Errors (If applicable): Afterschool Snack Data is recorded on the S-2, Section 3, Column D (meals only).								Enter the total ASP reimbursement rate that the Site receives for Free Snacks. $0.00		Enter the total ASP reimbursement rate that the Site receives for Reduced Price Snacks. $0.00		Enter the total ASP reimbursement rate that the Site receives for Paid Snacks. $0.00				$0.00				$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00			Free to Reduced		0.00		0.00							0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																														0		0																																		0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00																									$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00			Free to Paid		0.00				0.00					0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00			Reduced to Paid				0.00		0.00					0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00			Reduced to Free		0.00		0.00							0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00			Total Adjusted Meal Count		0.00		0.00		0.00		0.00			0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00			Rounded Total		0		0		0		0			0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																												0		0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00			Difference		0		0		0					0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0			0		0		0				$0.00		$0.00		$0.00																									$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																														0		0																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0																																								$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0																																								$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0																																								$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																														0		0																																		0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																							0
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
		TOTALS:						0	0	0	0	0		0				0	0	0	0	0	0	0	0	0	0	0	0	0				0	0	0	0	0				0				0	0	0	0	0	0	0												$0.00		$0.00		$0.00														0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00					0		0		0												$0.00				$0.00

---

Sheet 5: SSO - SBP (Closed and Migrant)

																																																																																											`								`
	Fiscal Action Formula for Breakfast (SBP) - Standard (Closed and Migrant Sites)
	For Non-Provision Schools and Base-Year Provision 2 & 3 Schools
	Review Information:											1. Establish SFA Count of Reviewed Students													2. Establish SA Count of Reviewed Students																3% Threshold Calculation							3: TOTAL FISCAL ACTION FOR SBP STANDARD:
	All																									Free to Reduced		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2. 0	3	Free				Error rates per type	Free to Reduced			0.000%				Benefit Issuance Changes				0
	Review Period		Month Being Reviewed:							Period:		SFA Count of Students Eligible for Free and Reduced-Price Meals:								FREE		REDUCED PRICE				Free to Paid		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2. 0	0	0					Free to Paid			0.000%				CBI Error Percentage				0.00%
	Day of Review																			Data for Free and Reduced Price categories is recorded on the SFA-1, Section 4, Box A. 0		0				Reduced to Paid		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2. 0	0	Reduced					Reduced to Paid			0.000%				3% Threshold Met or Exceeded				NO	Yes	$0.00
	Other		SFA Name:																							Reduced to Free		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2. 0	0	0					Reduced to Free			0.000%				Assess Fiscal Action				State agency has the discrection to take fiscal action when application errors do not exceed 3% error threshold NO	No
	2	1
	No.			Name of Site			4: Number of Meals Claimed by the Site:										5A: Adjust for Consolidation Errors (Deductions):								5B: Adjust for Consolidation Errors (Additions):								6: Number of Meals Claimed Adjusted for Consolidation Errors:								7: Total Non-Reimbursable Meals:				8: Number of Reimbursable Meals by Benefit Type:										9: Reimbursement Rates for Each Benefit Type:								Section 4 multiplied by rate 10: Reimbursement Amounts Claimed by SFA:									11: SFA-wide Reimbursable Meals by Benefit Type Adjusted by Error Rate per Application Category												12A: Adjustment to Meals per Site by Category (CB&I)								12B: Allowable Total Meals after Fiscal Action								12C: Allowable Total Reimbursement after Fiscal Action						13: Total Fiscal Action For Site
								FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID								FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID						TOTAL FREE		TOTAL REDUCED		TOTAL PAID		TOTAL				Change in Free Meals		Change in RP Meals	Change in RP Meals	Change in Paid Meals				Free		Reduced		Paid				Change in Free Meals		Change in RP Meals		Change in Paid Meals
								SSO SBP/Data for Month of On-site review is recorded on SSO S-1 Line 12.						0				SSO SBP/ Data for deductions to Free, Reduced Price, and Paid categories is recorded on the SSO S-1, Line 9. Other Meal Claim Errors (If applicable): Data for deductions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.								SSO SBP/ Data for additions to Free, Reduced Price, and Paid categories is recorded on the SSO S-1, Line 9. Other Meal Claim Errors (If applicable): Data for additions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.								0		0		0				SSO SBP/ From the SSO S-1 fom enter the SUM of Lines 6,7, 8a and 8b. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only).				0		0		0		0				Enter the total SSO SBP reimbursement rate that the site receives for Free Meals. $0.00		Enter the total SSO SBP reimbursement rate that the site receives for Reduced Price Meals. $0.00		Enter the total SSO SBP reimbursement rate that the site receives for Paid Meals. $0.00				$0.00		$0.00		$0.00				Section 8 Total		0		0		0		0				0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Free to Reduced		0.00		0.00								0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Free to Paid		0.00				0.00						0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Reduced to Paid				0.00		0.00						0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Reduced to Free		0.00		0.00								0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Totaled		0.00		0.00		0.00		0.00				0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Rounded Total		0		0		0		0				0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Difference		0		0		0						0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
														0																				0		0		0								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00
				TOTALS:				0	0	0	0	0		0				0	0	0	0	0	0	0	0	0	0	0	0	0				0	0	0	0	0				0				0	0	0	0	0	0	0												$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00		$0.00

---

Sheet 6: NSLP-Std RECALC

																																																		January
	Fiscal Action Formula for Lunch (NSLP) - Standard *ONLY USED FOR FULL RECALCULATION*																																																	February
	For Non-Provision Schools and Base-Year Provision 2 & 3 Schools																																																	March
																																																		April
	Review Information:											1. Establish SFA Count of Reviewed Students													2. Establish SA Count of Reviewed Students																3% Threshold Calculation									May				3: TOTAL FISCAL ACTION FOR NSLP STANDARD:
	All																									Free to Reduced		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2.	3	Free				Error rates per type	Free to Reduced			0.000%				Benefit Issuance Changes				0				June
	Review Period		Month Being Reviewed:							Period:		SFA Count of Students Eligible for Free and Reduced-Price Meals:								FREE		REDUCED PRICE				Free to Paid				0					Free to Paid			0.000%				CBI Error Percentage				0.00%				July
	Day of Review																			Data for Free and Reduced Price categories is recorded on the SFA-1, Section 4, Box A.						Reduced to Paid				Reduced					Reduced to Paid			0.000%				3% Threshold Met or Exceeded				NO	Yes			August				$0.00
	Other		SFA Name:																							Reduced to Free				0					Reduced to Free			0.000%				Assess Fiscal Action				State agency has the discrection to take fiscal action when application errors do not exceed 3% error threshold YES	No			September
	2	1																																																October
																																																		November
																																																		December
	No.			Name of Site			4: Number of Meals Claimed by SFA at the Reviewed Site Requiring Recalculation:								5: Number of Meals Claimed by SFA at the Reviewed Site for the 30-Consecutive-Operating-Day Recalculation Period:										6A: Adjust for Consolidation Errors (Deductions):								6B: Adjust for Consolidation Errors (Additions):								7: Number of Meals Claimed Adjusted for Consolidation Errors:								8: Select Month Being Recalculated:				9: Normalization Factor:								10: Operating Days in Month being Recalculated:				11: Normalized & Recalculated Meal Counts at the Reviewed Site:								12: Total Non-Reimbursable Meals:				13: Total Number of Reimbursable Meals:				14: Normalized & Recalculated Reimbursable Meal Counts at the Reviewed Site:										15: Reimbursement Rates for Each Benefit Type:								16: Reimbursement Amounts Claimed by SFA:									17: SFA-wide Reimbursable Meals by Benefit Type Adjusted by Error Rate per Application Category											18A: Adjustment to Meals per Site by Category (CB&I)						18B: Allowable Total Meals after Fiscal Action							18C: Allowable Total Reimbursement after Fiscal Action							19: Total FFVP Reclaim (use negative number):						20A: Number of After School Snacks Adjustments (Disallowed = negative # or Added = positive #) for Each Benefit Type:								20B: Reimbursement Rates for Each Benefit Type of After School Snack:								20C: Total After School Snack Adjustment:				21: TOTAL FISCAL ACTION FOR SITE:
								FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID								FREE		REDUCED PRICE		PAID								FREE		REDUCED PRICE		PAID												FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID						TOTAL FREE		TOTAL REDUCED		TOTAL PAID		TOTAL			Change in Free Meals		Change in RP Meals		Change in Paid Meals		Free		Reduced		Paid			Free		Reduced		Paid										FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID
								NSLP/Month of On-Site Review: Data for Free, Reduced Price, and Paid categories is recorded on the S-1, Line 19. NSLP/Review Period: Data for Free, Reduced Price, and Paid categories is recorded on the S-1, Line 20.								SBP: Data is recorded on the S-1, line 25C.						0				NSLP/Day of Review: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13. NSLP/Review Period: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17 B. Other Meal Claim Errors (If applicable): Data for deductions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.								NSLP/Day of Review: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13. NSLP/Review Period: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17 B. Other Meal Claim Errors (If applicable): Data for additions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.								0		0		0					10			0.99839832		1.01344958		1.04112113				NSLP/Data for the total days claimed by the site for the month being recalulated is recorded on the S-1, Line 25 B				0		0		0				NSLP/Day of Review: From the S-1 form enter the SUM of Lines 10, 11, 12 and 12 A. NSLP/Review Period:From the S-1 form enter the SUM of Lines 14, 15, 16 and 16 A. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only)				0				0		0		0		0				Enter the total NSLP reimbursement rate that the site receives for Free Meals. $0.00		Enter the total NSLP reimbursement rate that the site receives for Reduced Price Meals. $0.00		Enter the total NSLP reimbursement rate that the site receives for Paid Meals. $0.00				$0.00		$0.00		$0.00				Section 14 Total		0		0		0		0			0	0	0	0	0	0	0		0		0			$0.00		$0.00		$0.00	0.00			FFVP Data is recorded on the S-1, Line 21 for Day of Review and Review Period. Other Meal Claim Errors (If applicable): FFVP Data is recorded on the S-2, Section 4, Columns D and E.				ASP Data for Free, Reduced Price and Paid catergories is recorded on the S-1, Line 22 A for Day of Review and 22 B for Review Period. Other Meal Claim Errors (If applicable): Afterschool Snack Data is recorded on the S-2, Section 3, Column D (meals only).								Enter the total ASP reimbursement rate that the Site receives for Free Snacks. $0.00		Enter the total ASP reimbursement rate that the Site receives for Reduced Price Snacks. $0.00		Enter the total ASP reimbursement rate that the Site receives for Paid Snacks. $0.00				$0.00				$0.00
																						0																				0		0		0					3			1.00441378		1.00802785		0.99510091								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Free to Reduced		0.00		0.00							0	0	0	0	0	0	0		0		0			$0.00		$0.00		$0.00																$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																								0
																						0																				0		0		0				1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Free to Paid		0.00				0.00					0	0	0	0	0	0	0		0		0			$0.00		$0.00		$0.00																$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																								0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Reduced to Paid				0.00		0.00					0	0	0	0	0	0	0		0		0			$0.00		$0.00		$0.00																$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																								0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Reduced to Free		0.00		0.00							0	0	0	0	0	0	0		0		0			$0.00		$0.00		$0.00																$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																								0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Total Adjusted Meal Count		0.00		0.00		0.00		0.00			0	0	0	0	0	0	0		0		0			$0.00		$0.00		$0.00																$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																								0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Rounded Total		0		0		0		0			0	0	0	0	0	0	0		0		0			$0.00		$0.00		$0.00																$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																								0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Difference		0		0		0					0	0	0	0	0	0	0		0		0			$0.00		$0.00		$0.00																$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																								0
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																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0	0		0		0			$0.00		$0.00		$0.00																$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																								0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0	0		0		0			$0.00		$0.00		$0.00																$0.00		$0.00		$0.00				$0.00				$0.00
				TOTALS				0		0		0				0		0		0		0				0		0		0				0		0		0				0		0		0																0				0		0		0				0				0				0		0		0		0												$0.00		$0.00		$0.00															0	0	0	0	0	0	0		0		0			$0.00		$0.00		$0.00				$0.00				0		0		0												$0.00				$0.00

---

Sheet 7: SBP-Std RECALC

																																																		January
	Fiscal Action Formula for Breakfast (SBP) - Standard *ONLY USED FOR FULL RECALCULATION*																																																	February
	For Non-Provision Schools and Base-Year Provision 2 & 3 Schools																																																	March
																																																		April
	Review Information:											1. Establish SFA Count of Reviewed Students													2. Establish SA Count of Reviewed Students																3% Threshold Calculation									May				3: TOTAL FISCAL ACTION FOR NSLP STANDARD:
	All																									Free to Reduced		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2. 0	3	Free				Error rates per type	Free to Reduced			0.000%				Benefit Issuance Changes				0				June
	Review Period		Month Being Reviewed:		0					Period:		SFA Count of Students Eligible for Free and Reduced-Price Meals:								FREE		REDUCED PRICE				Free to Paid		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2. 0		0					Free to Paid			0.000%				CBI Error Percentage				0.00%				July
	Day of Review																			Data for Free and Reduced Price categories is recorded on the SFA-1, Section 4, Box A. 0		0				Reduced to Paid		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2. 0		Reduced					Reduced to Paid			0.000%				3% Threshold Met or Exceeded				NO	Yes			August				$0.00
	Other		SFA Name:		0																					Reduced to Free		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2. 0		0					Reduced to Free			0.000%				Assess Fiscal Action				State agency has the discrection to take fiscal action when application errors do not exceed 3% error threshold YES	No			September
	2	1																																																October
																																																		November
																																																		December
	No.			Name of Site			4: Number of Meals Claimed by SFA at the Reviewed Site Requiring Recalculation:								5: Number of Meals Claimed by SFA at the Reviewed Site for the 30-Consecutive-Operating-Day Recalculation Period:										6A: Adjust for Consolidation Errors (Deductions):								6B: Adjust for Consolidation Errors (Additions):								7: Number of Meals Claimed Adjusted for Consolidation Errors:								8: Select Month Being Recalculated:				9: Normalization Factor:										10: Operating Days in Month being Recalculated:				11: Normalized & Recalculated Meal Counts at the Reviewed Site:								12: Total Non-Reimbursable Meals:				13: Total Number of Reimbursable Meals:				14: Normalized & Recalculated Reimbursable Meal Counts at the Reviewed Site:										15: Reimbursement Rates for Each Benefit Type:								16: Reimbursement Amounts Claimed by SFA:									17: SFA-wide Reimbursable Meals by Benefit Type Adjusted by Error Rate per Application Category											18A: Adjustment to Meals per Site by Category							18B: Allowable Total Meals after Fiscal Action						18C: Allowable Total Reimbursement after Fiscal Action							19. Total Fiscal Action for Site
								FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID								FREE				REDUCED PRICE		PAID								FREE		REDUCED PRICE		PAID												FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID						TOTAL FREE		TOTAL REDUCED		TOTAL PAID		TOTAL			Change in Free Meals		Change in RP Meals		Change in Paid Meals			Free		Reduced		Paid		Free		Reduced		Paid
								SBP/Month of On-Site Review: Data for Free, Reduced Price, and Paid categories is recorded on the S-1, Line 19. SBP/Review Period: Data for Free, Reduced Price, and Paid categories is recorded on the S-1, Line 20.								SBP: Data is recorded on the S-1, line 24C.						0				SBP/Day of Review: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13. SBP/Review Period: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17 A. Other Meal Claim Errors (If applicable): Data for deductions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.								SBP/Day of Review: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13. SBP/Review Period: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17 A. Other Meal Claim Errors (If applicable): Data for additions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.								0		0		0					1			0.99052544				1.01007311		1.00979385				SBP/Data for the total days claimed by the site for the month being recalulated is recorded on the S-1, Line 24 B				0		0		0				SBP/Day of Review: From the S-1 form enter the SUM of Lines 10, 11 , 12 and 12 A. SBP/Review Period: From the S-1 form enter the SUM of Lines 14, 15, 16 and 16 A. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only)				0				0		0		0		0				Enter the total SBP reimbursement rate that the site receives for Free Meals. $0.00		Enter the total SBP reimbursement rate that the site receives for Reduced Price Meals. $0.00		Enter the total SBP reimbursement rate that the site receives for Paid Meals. $0.00				$0.00		$0.00		$0.00				Section 14 Total		0		0		0		0			0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Free to Reduced		0.00		0.00							0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Free to Paid		0.00				0.00					0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Reduced to Paid				0.00		0.00					0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Reduced to Free		0.00		0.00							0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Total Adjusted Meal Count		0.00		0.00		0.00		0.00			0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Rounded Total		0		0		0		0			0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Difference		0		0		0					0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544				1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00
																																																																																																																														0
				TOTALS				0		0		0				0		0		0		0				0		0		0				0		0		0				0		0		0																		0				0		0		0				0				0				0		0		0		0												$0.00		$0.00		$0.00															0	0	0	0	0	0		0		0		0		$0.00		$0.00		$0.00		$0.00

---

Sheet 8: SSO-NSLP RECALC

																																																		January																																																																													`								`
	Fiscal Action Formula for Seamless Summer Option (SSO) Lunch (NSLP) - Standard *ONLY USED FOR FULL RECALCULATION*																																																	February
	For Non-Provision Schools and Base-Year Provision 2 & 3 Schools																																																	March
																																																		April
	Review Information:											1. Establish SFA Count of Reviewed Students													2. Establish SA Count of Reviewed Students																3% Threshold Calculation									May				3: TOTAL FISCAL ACTION FOR NSLP STANDARD:
	All																									Free to Reduced		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2.	3	Free				Error rates per type	Free to Reduced			0.000%				Benefit Issuance Changes				0				June
	Review Period		Month Being Reviewed:							Period:		SFA Count of Students Eligible for Free and Reduced-Price Meals:								FREE		REDUCED PRICE				Free to Paid				0					Free to Paid			0.000%				CBI Error Percentage				0.00%				July
	Day of Review																			Data for Free and Reduced Price categories is recorded on the SFA-1, Section 4, Box A.						Reduced to Paid				Reduced					Reduced to Paid			0.000%				3% Threshold Met or Exceeded				NO	Yes			August				$0.00
	Other		SFA Name:																							Reduced to Free				0					Reduced to Free			0.000%				Assess Fiscal Action				State agency has the discrection to take fiscal action when application errors do not exceed 3% error threshold YES	No			September
	2	1																																																October
																																																		November
																																																		December
	No.			Name of Site			4: Number of Meals Claimed by SFA at the Reviewed Site Requiring Recalculation:								5: Number of Meals Claimed by SFA at the Reviewed Site for the 30-Consecutive-Operating-Day Recalculation Period:										6A: Adjust for Consolidation Errors (Deductions):								6B: Adjust for Consolidation Errors (Additions):								7: Number of Meals Claimed Adjusted for Consolidation Errors:								8: Select Month Being Recalculated:				9: Normalization Factor:								10: Operating Days in Month being Recalculated:				11: Normalized & Recalculated Meal Counts at the Reviewed Site:								12: Total Non-Reimbursable Meals:				13: Total Number of Reimbursable Meals:				14: Normalized & Recalculated Reimbursable Meal Counts at the Reviewed Site:										15: Reimbursement Rates for Each Benefit Type:								16: Reimbursement Amounts Claimed by SFA:									17: SFA-wide Reimbursable Meals by Benefit Type Adjusted by Error Rate per Application Category											20A: Amount of NSLP Fiscal Action by Site:		18A: Adjustment to Meals per Site by Category (CB&I)								18B: Allowable Total Meals after Fiscal Action								18C: Allowable Total Reimbursement after Fiscal Action								19A: Number of After School Snacks Adjustments (Disallowed = negative # or Added = positive #) for Each Benefit Type:								19B: Reimbursement Rates for Each Benefit Type of Snacks:								19C: Total Snack Adjustment:				20: TOTAL FISCAL ACTION FOR SITE:
								FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID								FREE		REDUCED PRICE		PAID								FREE		REDUCED PRICE		PAID												FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID						TOTAL FREE		TOTAL REDUCED		TOTAL PAID		TOTAL					Change in Free Meals		Change in RP Meals		Change in Paid Meals				Free		Reduced		Paid				Free		Reduced		Paid					FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID
								SSO NSLP/Data for Month of On-site review is recorded on SSO S-1 Line 12.								SSO NSLP/ Data is recorded on the SSO S-1, Line 14 C.						0				SSO NSLP/ Data for deductions to Free, Reduced Price, and Paid categories is recorded on the SSO S-1, Line 9. Other Meal Claim Errors (If applicable): Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-2, Section 1, Column F.								SSO NSLP/ Data for additions to Free, Reduced Price, and Paid categories is recorded on the SSO S-1 Line 9. Other Meal Claim Errors (If applicable): Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-2, Section 1, Column F.								0		0		0					10			0.99839832		1.01344958		1.04112113				Data from the total days claimed by the site for month being recalculated is recorded on the SSO S-1, Line 14 B.				0		0		0				SSO NSLP/ Data is recorded on the SSO S-1, Lines 6, 7, 8a and 8 b. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only).				0				0		0		0		0				Enter the total SSO NSLP reimbursement rate that the site receives for Free Meals. $0.00		Enter the total SSO NSLP reimbursement rate that the site receives for Reduced Price Meals. $0.00		Enter the total SSO NSLP reimbursement rate that the site receives for Paid Meals. $0.00				$0.00		$0.00		$0.00				Section 14 Total		0		0		0		0				0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00					ASP Free, Reduced Price, and Paid Data is recorded on the SSO S-1, Line 10 A for Day of Review and Line 10B for the Review Period Other Meal Claim Errors (If applicable): Afterschool Snack Data is recorded on the S-2, Section 3, Column D (meals only).								Enter the total Snack reimbursement rate that the Site receives for Free Snacks. $0.00		Enter the total Snack reimbursement rate that the Site receives for Reduced Price Snacks. $0.00		Enter the total Snack reimbursement rate that the Site receives for Paid Snacks. $0.00				$0.00				$0.00
																						0																				0		0		0					3			1.00441378		1.00802785		0.99510091								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Free to Reduced		0.00		0.00								0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0				1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Free to Paid		0.00				0.00						0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Reduced to Paid				0.00		0.00						0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Reduced to Free		0.00		0.00								0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Total Adjusted Meal Count		0.00		0.00		0.00		0.00				0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Rounded Total		0		0		0		0				0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Difference		0		0		0						0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																		0		0																																					0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
																																																																																																																									0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00													$0.00		$0.00		$0.00				$0.00				$0.00
				TOTALS				0		0		0				0		0		0		0				0		0		0				0		0		0				0		0		0																0				0		0		0				0				0				0		0		0		0												$0.00		$0.00		$0.00																0	0	0	0	0	0			0		0		0				$0.00		$0.00		$0.00					0		0		0												$0.00				$0.00

---

Sheet 9: SSO-SBP RECALC

																																																		January
	Fiscal Action Formula for Seamless Summer option (SSO) Breakfast (SBP) - Standard *ONLY USED FOR FULL RECALCULATION*																																																	February
	For Non-Provision Schools and Base-Year Provision 2 & 3 Schools																																																	March
																																																		April
	Review Information:											1. Establish SFA Count of Reviewed Students													2. Establish SA Count of Reviewed Students																3% Threshold Calculation									May				3: TOTAL FISCAL ACTION FOR NSLP STANDARD:
	All																									Free to Reduced		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2. 0	3	Free				Error rates per type	Free to Reduced			0.000%				Benefit Issuance Changes				0				June
	Review Period		Month Being Reviewed:		0					Period:		SFA Count of Students Eligible for Free and Reduced-Price Meals:								FREE		REDUCED PRICE				Free to Paid		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2. 0		0					Free to Paid			0.000%				CBI Error Percentage				0.00%				July
	Day of Review																			Data for Free and Reduced Price categories is recorded on the SFA-1, Section 4, Box A. 0		0				Reduced to Paid		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2. 0		Reduced					Reduced to Paid			0.000%				3% Threshold Met or Exceeded				NO	Yes			August				$0.00
	Other		SFA Name:		0																					Reduced to Free		Data for Free and Reduced Price categories is recorded on the SFA-1, Section 2. 0		0					Reduced to Free			0.000%				Assess Fiscal Action				State agency has the discrection to take fiscal action when application errors do not exceed 3% error threshold YES	No			September
	2	1																																																October
																																																		November
																																																		December
	No.			Name of Site			4: Number of Meals Claimed by SFA at the Reviewed Site Requiring Recalculation:								5: Number of Meals Claimed by SFA at the Reviewed Site for the 30-Consecutive-Operating-Day Recalculation Period:										6A: Adjust for Consolidation Errors (Deductions):								6B: Adjust for Consolidation Errors (Additions):								7: Number of Meals Claimed Adjusted for Consolidation Errors:								8: Select Month Being Recalculated:				9: Normalization Factor:								10: Operating Days in Month being Recalculated:				11: Normalized & Recalculated Meal Counts at the Reviewed Site:								12: Total Non-Reimbursable Meals:				13: Total Number of Reibursable Meals:				14: Normalized & Recalculated Reimbursable Meal Counts at the Reviewed Site:											15: Reimbursement Rates for Each Benefit Type:								16: Reimbursement Amounts Claimed by SFA:									17: SFA-wide Reimbursable Meals by Benefit Type Adjusted by Error Rate per Application Category												18A: Adjustment to Meals per Site by Category						18B: Allowable Total Meals after Fiscal Action								18C: Allowable Total Reimbursement after Fiscal Action							19. Total Fiscal Action for Site
								FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID		TOTAL				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID								FREE		REDUCED PRICE		PAID								FREE		REDUCED PRICE		PAID												FREE		REDUCED PRICE		PAID		TOTAL					FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID						TOTAL FREE		TOTAL REDUCED		TOTAL PAID		TOTAL				Change in Free Meals		Change in RP Meals		Change in Paid Meals		Free		Reduced		Paid		Free		Reduced		Paid
								SSO SBP/Data for Month of On-site review is recorded on SSO S-1 Line 12.								SSO SBP: Data is recorded on the SSO S-1, Line 13 C.						0				SSO SBP/ Data for deductions to Free, Reduced Price, and Paid categories is recorded on the SSO S-1, Line 9. Other Meal Claim Errors (ifapplicable): Data for deductions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.								SSO SBP/ Data for additions to Free, Reduced Price, and Paid categories is recorded on the SSO S-1, Line 9. Other Meal Claim Errors (ifapplicable): Data for additions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.								0		0		0					1			0.99052544		1.01007311		1.00979385				Data from the total days claimed by the site for month being recalculated is recorded on the SSO S-1, Line 27 B.				0		0		0				SSO SBP/ From the SSO S-1 fom enter the SUM of Lines 6,7, 8a and 8b. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only).				0				0		0		0		0					Windows User: Enter the total SSO SBP reimbursement rate that the site receives for Free Meals. $0.00		Windows User: Enter the total SSO SBP reimbursement rate that the site receives for Reduced Price Meals. $0.00		Windows User: Enter the total SSO SBP reimbursement rate that the site receives for Paid Meals. $0.00				$0.00		$0.00		$0.00				Section 14 Total		0		0		0		0				0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Free to Reduced		0.00		0.00								0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0				1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Free to Paid		0.00				0.00						0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Reduced to Paid				0.00		0.00						0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Reduced to Free		0.00		0.00								0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Total Adjusted Meal Count		0.00		0.00		0.00		0.00				0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Rounded Total		0		0		0		0				0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				Difference		0		0		0						0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																																																																																																																														0
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																						0																				0		0		0					1			0.99052544		1.01007311		1.00979385								0		0		0								0				0		0		0		0					$0.00		$0.00		$0.00				$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00
																																																																																																																														0
				TOTALS				0		0		0				0		0		0		0				0		0		0				0		0		0				0		0		0																0				0		0		0				0				0				0		0		0		0													$0.00		$0.00		$0.00																0	0	0	0	0	0	0		0		0		$0.00		$0.00		$0.00		$0.00

---

Sheet 10: NSLP - P2 & CEP

	Fiscal Action Formula for Lunch (NSLP) - Provision 2 & CEP
	For Non-Base-Year Provision 2 & Community Eligibility Provision Schools
	Review Information:													1: TOTAL FISCAL ACTION FOR NSLP Provision 2 & CEP:
			Month Being Reviewed:									Period:
														$0.00
			SFA Name:									All
	No.			Name of Site			2: Total Number of Meals Claimed by the Site:				3: Adjust for Consolidation Errors:						4: Meals Adjusted for Consolidation Errors:				5: Total Non-Reimbursable Meals:				6A: SFA Claiming Percentages: NOTE: If CEP is used ensure 1.6 multiplier is accounted for and leave % Reduced Price field blank								6B: SA Claiming Percentages: NOTE: If CEP is used ensure 1.6 multiplier is accounted for and leave % Reduced Price field blank								7: Maximum Number of Reimbursable Meals by Benefit Type:										8: Reimbursement Rates for Each Benefit Type:								9: Reimbursement Amounts Claimed by SFA:								10: Maximum Allowable Reimbursement Based on SA Assessment:								11: Amount of NSLP Fiscal Action:				12: Total FFVP Reclaim (negative number):				13A: Number of After School Snacks Adjustments (Disallowed = negative # or Added = positive #) for Each Benefit Type:								13B: Reimbursement Rates for Each Benefit Type of After School Snack:								13C: Total After School Snack Adjustment:				14: TOTAL FISCAL ACTION FOR SITE:
												Deductions		Additions												% Free		% Reduced Price		% Paid				% Free		% Reduced Price		% Paid				Free		Reduced Price		Paid		Total				Free		Reduced Price		Paid				Free		Reduced price		Paid				Free		Reduced Price		Paid												FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID
								NSLP/Month of On-Site review: Data is recorded on the S-1, Line 19. NSLP/Review Period: Data is recorded on the S-1, Line 20.				NSLP/Day of Review: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13.. NSLP/Review Period: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17 B. Other Meal Claim Errors (If applicable): Data for deductions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.		NSLP/Day of Review: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13. NSLP/Review Period: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17B. Other Meal Claim Errors (If applicable): Data for additions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.				0				NSLP/Day of Review:From the S-1 form enter the SUM of Lines 10, 11, 12 and 12A. NSLP/Review Period: From the S-1 form enter the SUM of Lines 14, 15, 16, and 16 A. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only)				NSLP SFA Claiming %: Free, Reduced Price, and Paid percentages are recorded on the SFA-1A, Column B that corresponds to the School Site.								NSLP SA Claiming %: Free, Reduced Price, and Paid percentages are recorded on the SFA-1A, Column C that corresponds to the School Site.								0		0		0		0				Enter the total NSLP reimbursement rate that the site receives for Free Meals. $0.00		Enter the total NSLP reimbursement rate that the site receives for Reduced Price Meals. $0.00		Enter the total NSLP reimbursement rate that the site receives for Paid Meals. $0.00				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				FFVP Data is recorded on the S-1, Line 21 for Day of Review and Review Period. Other Meal Claim Errors (If applicable): FFVP Data is recorded on the S-2, Section 4, Columns D and E.				ASP Data is recorded on the S-1, Line 22A for Day of Review. Line 22B for Review Period Other Meal Claim Errors (If applicable): Afterschool Snack Data is recorded on the S-2, Section 3, Column D (meals only).								Enter the total ASP reimbursement rate that the Site receives for Free Snacks.		Windows User: Enter the total ASP reimbursement rate that the Site receives for Reduced Price Snacks.		Windows User: Enter the total ASP reimbursement rate that the Site receives for Paid Snacks.				$0.00				$0.00																																																																										0
																		0																								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00																								$0.00				$0.00
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																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00																								$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00																								$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00																								$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00																								$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00																								$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00																								$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00																								$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00																								$0.00				$0.00
				Totals				0				0	0	0	0	0	0	0	0	0	0	0	0	0	0		0		0		0	0	0		0		0		0	0	0	0	0	0	0	0	0	0	0	0	0		0		0		0	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0		0		0	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	0

---

Sheet 11: SBP - P2 & CEP

	Fiscal Action Formula for Breakfast (SBP) - Provision 2 & CEP
	For Non-Base-Year Provision 2 & Community Eligibility Provision Schools
	Review Information:													1: TOTAL FISCAL ACTION FOR SBP Provision 2 & CEP:
			Month Being Reviewed:									Period:
														$0.00
			SFA Name:									All
	No.			Name of Site			2: Total Number of Meals Claimed by the Site:				3: Adjust for Consolidation Errors:						4: Meals Adjusted for Consolidation Errors:				5: Total Non-Reimbursable Meals:				6A: SFA Claiming Percentages: NOTE: If CEP is used ensure 1.6 multiplier is accounted for and leave % Reduced Price field blank								6B: SA Claiming Percentages: NOTE: If CEP is used ensure 1.6 multiplier is accounted for and leave % Reduced Price field blank								7: Maximum Number of Reimbursable Meals by Benefit Type:										8: Reimbursement Rates for Each Benefit Type:								9: Reimbursement Amounts Claimed by SFA:								10: Maximum Allowable Reimbursement Based on SA Assessment:								11: TOTAL FISCAL ACTION FOR SITE:
												Deductions		Additions												% Free		% Reduced Price		% Paid				% Free		% Reduced Price		% Paid				Free		Reduced Price		Paid		Total				Free		Reduced Price		Paid				Free		Reduced price		Paid				Free		Reduced Price		Paid
								SBP/Month of On-Site Review: Data is recorded on the S-1, Line 19. SBP/Review Period: Data is recorded on the S-1, Line 20.				SBP/Day of Review: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13. SBP/Review Period: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17A. Other Meal Claim Errors (If applicable): Data for deductions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.		SBP/Day of Review: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13. SBP/Review Period: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17A. Other Meal Claim Errors (If applicable): Data for additions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.				0				SBP/Day of Review: From the S-1 form enter the SUM of Lines 10,11,12,12A. SBP/Review Period: From the S-1 form enter the SUM of Lines 14,15,16,16A. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only)				SBP SFA Claiming %: Free, Reduced Price, and Paid percentages are recorded on the SFA-1A, Column B that corresponds to the School Site								SBP SA Claiming %: Free, Reduced Price, and Paid percentages are recorded on the SFA-1A, Column C that corresponds to the School Site								0		0		0		0				Enter the total SBP reimbursement rate that the site receives for Free Meals.		Enter the total SBP reimbursement rate that the site receives for Reduced Price Meals.		Enter the total SBP reimbursement rate that the site receives for Paid Meals.				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																		0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
				Totals				0				0	0	0	0	0	0	0	0	0	0	0	0	0	0		0		0		0	0	0		0		0		0	0	0	0	0	0	0	0	0	0	0	0	0		0		0		0	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00

---

Sheet 12: NSLP - P2 & CEP RECALC

																										January																																			January
	Fiscal Action Formula for Lunch (NSLP) - Provision 2 & CEP *ONLY USED FOR FULL RECALCULATION*																									February																																			February
	For Non-Base-Year Provision 2 & Community Eligibility Provision Schools																									March																																			March
																										April																																			April
	Review Information:																	1: TOTAL FISCAL ACTION FOR NSLP Provision 2 & CEP:								May																																			May
																										June																																			June
			Month Being Reviewed:													Period:										July																																			July
																		$0.00								August																																			August
			SFA Name:													All										September																																			September
																										October																																			October
																										November																																			November
																										December																																			December
	No.			Name of Site			2: Number of Meals Claimed Requiring RECALC:				3: Meal Count for 30-Day Recalc. Period:				4: Adjust for Consolidation Errors:						5: Meals Adjusted for Consolidation Errors:				6: Select Month Being Recalculated:				7: Normalization Factor				8: Operating Days in Month being Recalculated:				9: Normalized and Recalculated Meal Count:				10: Total Non-Reimbursable Meals:				11A: SFA Claiming Percentages: NOTE: If CEP is used ensure 1.6 multiplier is accounted for and leave % Reduced Price field blank								11B: SA Claiming Percentages: NOTE: If CEP is used ensure 1.6 multiplier is accounted for and leave % Reduced Price field blank								12: Maximum Number of Reimbursable Meals by Benefit Type:										13: Reimbursement Rates for Each Benefit Type:								14: Reimbursement Amounts Claimed by SFA:								15: Maximum Allowable Reimbursement Based on SA Assessment:								16: Amount of NSLP Fiscal Action:				17: Total FFVP Reclaim (use negative):				18A: Number of After School Snacks Adjustments (Disallowed = negative # or Added = positive #) for Each Benefit Type:								18B: Reimbursement Rates for Each Benefit Type of After School Snack:								18C: Total After School Snack Adjustment:				19: TOTAL FISCAL ACTION FOR SITE:
																Deductions		Additions																												% Free		% Reduced Price		% Paid				% Free		% Reduced Price		% Paid				Free		Reduced Price		Paid		Total				Free		Reduced Price		Paid				Free		Reduced price		Paid				Free		Reduced Price		Paid												FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID
								Windows User: NSLP/Month of On-Site Review: Data is recorded on the S-1, Line 19 NSLP/Review Period: Data is recorded on the S-1, Line 20.				Windows User: NSLP: Data is recorded on the S-1, line 25C.				Windows User: NSLP/Day of Review: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13. NSLP/Review Period: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17B. Other Meal Claim Errors (If applicable): Data for deductions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.		Windows User: NSLP/Day of Review: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13. NSLP/Review Period: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17B. Other Meal Claim Errors (If applicable): Data for additions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.				0					1			0.999430930				Total operating days for recalculation can be found on the S-1, Line 25B.				0				NSLP/Day of Review: From the S-1 form enter the SUM of Lines 10,11,12 and 12A. NSLP/Review Period: From the S-1 form enter the SUM of Lines 14,15,16 and 16A. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only)				NSLP SFA Claiming %: Free, Reduced Price, and Paid percentages are recorded on the SFA-1A, Column B that corresponds to the School Site								NSLP SA Claiming %: Free, Reduced Price, and Paid percentages are recorded on the SFA-1A, Column C that corresponds to the School Site								0		0		0		0				Enter the total NSLP reimbursement rate that the site receives for Free Meals. $0.00		Enter the total NSLP reimbursement rate that the site receives for Reduced Price Meals. $0.00		Enter the total NSLP reimbursement rate that the site receives for Paid Meals. $0.00				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00				ASP Data is recorded on the S-1, Line 22A for Day of Review. Line 22B for Review Period Other Meal Claim Errors (If applicable): Afterschool Snack Data is recorded on the S-2, Section 3, Column D (meals only).								Enter the total ASP reimbursement rate that the Site receives for Free Snacks.		Enter the total ASP reimbursement rate the Site receives for Reduced Price Snacks.		Enter the total ASP reimbursement rate the Site receives for Paid Snacks.				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
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																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
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																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
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																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00				$0.00																				$0.00				$0.00
				Totals				0				0	0	0	0	0	0	0	0	0	0	0	0	0	0		51	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0		0		0	0	0		0		0		0	0	0	0	0	0	0	0	0	0	0	0	0		0		0		0	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0	0	0	0	0	0		0		0		0	0	0	$0.00	$0.00	$0.00	$0.00	$0.00

---

Sheet 13: SBP - P2 & CEP RECALC

																										January																																			January
	Fiscal Action Formula for Breakfast (SBP) - Provision 2 & CEP *ONLY USED FOR FULL RECALCULATION*																									February																																			February
	For Non-Base-Year Provision 2 & Community Eligibility Provision Schools																									March																																			March
																										April																																			April
	Review Information:																	1: TOTAL FISCAL ACTION FOR SBP Provision 2 & CEP:								May																																			May
																										June																																			June
			Month Being Reviewed:													Period:										July																																			July
																		$0.00								August																																			August
			SFA Name:													All										September																																			September
																										October																																			October
																										November																																			November
																										December																																			December
	No.			Name of Site			2: Number of Meals Claimed Requiring RECALC:				3: Meal Count for 30-Day Recalculation Period:				4: Adjust for Consolidation Errors:						5: Meals Adjusted for Consolidation Errors:				6: Select Month Being Recalculated:				7: Normalization Factor				8: Operating Days in Month being Recalculated:				9: Normalized and Recalculated Meal Count:				10: Total Non-Reimbursable Meals:				11A: SFA Claiming Percentages: NOTE: If CEP is used ensure 1.6 multiplier is accounted for and leave % Reduced Price field blank								11B: SA Claiming Percentages: NOTE: If CEP is used ensure 1.6 multiplier is accounted for and leave % Reduced Price field blank								12: Maximum Number of Reimbursable Meals by Benefit Type:										13: Reimbursement Rates for Each Benefit Type:								14: Reimbursement Amounts Claimed by SFA:								15: Maximum Allowable Reimbursement Based on SA Assessment:								16: TOTAL FISCAL ACTION FOR SITE:
																Deductions		Additions																												% Free		% Reduced Price		% Paid				% Free		% Reduced Price		% Paid				Free		Reduced Price		Paid		Total				Free		Reduced Price		Paid				Free		Reduced price		Paid				Free		Reduced Price		Paid
								NSLP/Month of on-Site Review: Data is recorded on the S-1, Line 19. NSLP/Review Period: Data is recorded on the S-1, Line 20.				NSLP: Data is recorded on the S-1, line 24C.				SBP/Day of Review: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13. SBP/Review Period: Data for deductions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17A. Other Meal Claim Errors (If applicable): Data for deductions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.		Windows User: SBP/Day of Review: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 13. SBP/Review Period: Data for additions to Free, Reduced Price, and Paid categories is recorded on the S-1, Line 17A. Other Meal Claim Errors (If applicable): Data for additions to Free, Reduced Price and Paid categories is recorded on the S-2, Section 1, Column F.				0					1			0.999430930				Windows User: Total operating days for recalculation can be found on the S-1, Line 24B.				0				NSLP/Day of Review: From the S-1 form enter the SUM of Lines 10,11,12 and 12A. NSLP/Review Period: From the S-1 form enter the SUM of Lines 14,15,16 and 16A. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only)				SBP SFA Claiming %: Free, Reduced Price, and Paid percentages are recorded on the SFA-1A, Column B that corresponds to the School Site								SBP SA Claiming %: Free, Reduced Price, and Paid percentages are recorded on the SFA-1A, Column C that corresponds to the School Site								0		0		0		0				Windows User: Enter the total SBP reimbursement rate the site receives for Free Meals.		Windows User: Enter the total SBP reimbursement rate the site receives for Reduced Price Meals.		Windows User: Enter the total SBP reimbursement rate the site receives for Paid Meals.				$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0				1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
																						0					1			0.999430930								0																								0		0		0		0												$0.00		$0.00		$0.00				$0.00		$0.00		$0.00				$0.00
				Totals				0				0	0	0	0	0	0	0	0	0	0	0												0				0	0	0	0	0																				0	0	0	0	0	0	0												$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	0

---

Sheet 14: NSLP - P3

	Fiscal Action Formula for Lunch (NSLP) - Provision 3
	For Non-Base-Year Provision 3 Schools
	Review Information:													1: TOTAL FISCAL ACTION FOR NSLP Provision 3:
			Month Being Reviewed:									Period:
														$0.00
			SFA Name:									All
	No.			Name of Site			2: Funds (to be) Provided to Site for Month:				3: Adjust for Incorrect Payment if Necessary:						4: Number of Meals Claimed by the Site:								5: Total Non-Reimbursable Meals:				6: Maximum Number of Reimbursable Meals by Benefit Type:								7: Reimbursement Rates for Each Benefit Type:								8: Reimbursment Claimed by Site:				9: Maximum Allowable Reimbursement				10: Amount of NSLP Fiscal Action:				11: Total FFVP Reclaim (use negative number):				12A: Number of After School Snacks Adjustments (Disallowed = negative # or Added = positive #) for Each Benefit Type:								12B: Reimbursement Rates for Each Benefit Type of After School Snack:								12C: Total After School Snack Adjustment:				13: TOTAL FISCAL ACTION FOR SITE:
												Deductions		Additions				FREE		REDUCED PRICE		PAID								FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID																				FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID
								NSLP/Review Period: Data is recorded on SFA-1A, Line 1D. NSLP/Day of Review: Data is recorded on SFA-1A, Line 2D. $0.00				NSLP/Review Period: Data is obtained by calculating the difference between SFA-1A, Lines 1D and Line 1E. NSLP/Day of Review: Data is obtained by calculating the difference between SFA-1A, Lines 2D and 2E. Record any overages on the deductions line and any shortages on the additions line. $0.00		NSLP/Review Period: Data is obtained by calculating the difference between SFA-1A, Lines 1D and Line 1E. NSLP/Day of Review: Data is obtained by calculating the difference between SFA-1A, Lines 2D and 2E. Record any overages on the deductions line and any shortages on the additions line. $0.00				NSLP/Day of Review: Data for Free, Reduced Price, and Paid categories is recorded on the S-1, Line 21. NSLP/Review Period: Data for Free, Reduced Price, and Paid categories is recorded on the S-1, Line 22.								NSLP/Day of Review: From the S-1 form enter the SUM of Lines 10,11, 12 and 12 A. NSLP/Review Period: From the S-1 form enter the SUM of Lines 14, 15, 16 and 16 A. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only) 0				0		0		0				Enter the total NSLP reimbursement rate that the site receives for Free Meals.		Windows User: Enter the total NSLP reimbursement rate the site receives for Reduced Price Meals.		Windows User: Enter the total NSLP reimbursement rate the site receives for Paid Meals.				$0.00				$0.00				$0.00								ASP Data is recorded on the S-1, Line 22A for Day of Review. Line 22B for Review Period. Other Meal Claim Errors (If applicable): Afterschool Snack Data is recorded on the S-2, Section 3, Column D (meals only).								Enter the total ASP reimbursement rate that the Site receives for Free Snacks.		Enter the total ASP reimbursement rate that the Site receives for Reduced Price Snacks.		Enter the total ASP reimbursement rate that the Site receives for Paid Snacks.				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00																								$0.00				$0.00
				Totals				$0.00				$0.00	$0.00	$0.00	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0												$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00				$0.00	0	0	0	0	0	0	0	0												$0.00	$0.00	$0.00	$0.00	$0.00

---

Sheet 15: SBP - P3

	Fiscal Action Formula for Breakfast (SBP) - Provision 3
	For Non-Base-Year Provision 3 Schools
	Review Information:													1: TOTAL FISCAL ACTION FOR NSLP Provision 3:
			Month Being Reviewed:									Period:
														$0.00
			SFA Name:									All
	No.			Name of Site			2: Funds (to be) Provided to Site for Month:				3: Adjust for Incorrect Payment if Necessary:						4: Number of Meals Claimed by the Site:								5: Total Non-Reimbursable Meals:				6: Maximum Number of Reimbursable Meals by Benefit Type:								7: Reimbursement Rates for Each Benefit Type:								8: Reimbursment Claimed by Site:				9: Maximum Allowable Reimbursement				10: TOTAL FISCAL ACTION FOR SITE:
												Deductions		Additions				FREE		REDUCED PRICE		PAID								FREE		REDUCED PRICE		PAID				FREE		REDUCED PRICE		PAID
								Windows User: NSLP/Review Period: Data is recorded on SFA-1A, Line 1D. NSLP/Day of Review: Data is recorded on SFA-1A, Line 2D. $0.00				SBP/Review Period: Data is obtained by calculating the difference between SFA-1A, Lines 1D and 1E. SBP/Day of Review: Data is obtained by calculating the difference between SFA-1A, Lines 2D and 2E. Record any overages on the deductions line and any shortages on the additions line. $0.00		SBP/Review Period: Data is obtained by calculating the difference between SFA-1A, Lines 1D and 1E. SBP/Day of Review: Data is obtained by calculating the difference between SFA-1A, Lines 2D and 2E. Record any overages on the deductions line and any shortages on the additions line. $0.00				NSLP/Day of Review: Data for Free, Reduced Price, and Paid categories is recorded on the S-1, Line 21. NSLP/Review Period: Data for Free, Reduced Price, and Paid categories is recorded on the S-1, Line 22.								NSLP/Day of Review: From the S-1 form enter the SUM of Lines 10, 11,12 and 12 A. NSLP/Review Period: From the S-1 form enter the SUM of Lines 14, 15, 16 and 16 A. Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 2, Column D (number of meals only) 0				0		0		0				Enter the total SBP reimbursement rate that the site receives for Free Meals.		Enter the total SBP reimbursement rate that the site receives for Reduced Price Meals.		Enter the total SBP reimbursement rate that the site receives for Paid Meals.				$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
								$0.00				$0.00		$0.00												0				0		0		0												$0.00				$0.00				$0.00
				Totals				$0.00				$0.00	$0.00	$0.00	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0					0		0		0	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00

---

Sheet 16: SMP

	Fiscal Action Formula for Special Milk Program (SMP)
	Review Information:														1: TOTAL FISCAL ACTION FOR SMP:
			Month Being Reviewed:									Period:
															0.00
			SFA Name:									All
	No.			Name of Site			2: SMP Milk Reimbursement Rate				3: Number of Non-Reimbursable Milks:				4: TOTAL FISCAL ACTION FOR SITE:
								Enter the total SMP reimbursement rate the site receives for Free Milks and a separate entry for Paid Milks. $0.00				SMP/Day of Review and Review Period: Data is recorded on the S-1, Line 23 Other Meal Claim Errors (If applicable): Data is recorded on the S-2, Section 5, Column D (number of milks only). 0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
								$0.00				0				$0.00
												0				$0.00

---

Sheet 17: FA Summary

Fiscal Action Formula - Summary

For Non-Provision Schools, Base Year Provision 2 & 3 Schools, and Non-Base Year Provision Schools

Review Information:

Month Being Reviewed:

Period:

All

SFA Name:

Establish Total Fiscal Action:

TOTAL

Total NSLP - Standard:

$0.00

TOTAL

Total NSLP - SSO:

$0.00

TOTAL

Total NSLP - Provision 2 & CEP:

$0.00

TOTAL

Total NSLP - Provision 3:

$0.00

TOTAL

Total Fresh Fruit & Vegetable Program:

$0.00

TOTAL

Total Afterschool Snack Program:

$0.00

TOTAL

Total NSLP Fiscal Action:

$0.00

TOTAL

Total SBP - Standard:

$0.00

TOTAL

Total SBP - Standard SSO:

$0.00

TOTAL

Total SBP - Provision 2 & CEP:

$0.00

TOTAL

Total SBP - Provision 3:

$0.00

TOTAL

Total SBP Fiscal Action:

$0.00

TOTAL

Total SMP Errors:

$0.00