State and Local Government Respondents

OMB Control No: 0584-0471

Expiration Date: XX/XX/20XX

Appendix B11. Food Purchase Data Checklist

SCHOOL FOOD PURCHASE STUDY IV

FOOD PURCHASE DATA SUBMISSION CHECKLIST

FOOD PURCHASE INCLUSIONS AND EXCLUSIONS
Food purchase: food received by the SFA or the school in the specified quarter.
Include all food purchases for National School Lunch Program (NSLP) and the School Breakfast Program (SBP).	
Include food purchases for a la carte (nonprogram foods).	
Include ALL food deliveries in the specified quarter regardless of when the order was placed.	
Include USDA Foods direct deliveries.	
Include processed end products containing USDA Foods as ingredients.
Include food deliveries from FSMCs, distributors, and commercial vendors.	
Exclude or flag food purchase for other programs (e.g. CACFP, adult meals, catering).	
Exclude DoD Fresh deliveries (these will be provided by USDA).	
Exclude or flag food orders placed but not delivered in the specified quarter.	
SFA LEVEL REPORT FOR THE QUARTER
Submit information on food purchases from ALL schools in the district.	
Submit information on food purchases at the SFA level – i.e., purchases from any given source (e.g. FSMC, USDA direct deliveries, commercial suppliers, food buying cooperatives) are aggregated across all schools. Submit school level delivery data if this is not feasible.	
Submit information on food purchases at the quarter level –i.e., weekly or monthly purchases are rolled up at the quarter level. Submit weekly or monthly purchase data if this is not feasible.	
PRODUCT SPECIFICATIONS
Product name/description (e.g. canned tomato, pizza, hamburger patty, etc.)	
Product codes (vendor and manufacturer assigned codes that describe the product).	
Quantity purchased: unit size (e.g., pack size, case size) and number of units purchased (e.g. 6/10 lb. bags of carrots; 3 cases of 5 lb. each potato tater tots; 400 units of ½ pint 1% milk, etc.)	
USDA Foods codes and value pass through methods (e.g. indirect discount or net off invoice, rebate or refund, fee for service) are included for processed end products containing USDA Foods as ingredients.	
Total cost ($) AND/OR unit cost ($) per item	
FORMAT
Submit food purchase data in EXCEL or other editable format. Submit PDF files (e.g. invoices, etc.) if this is not feasible.	

Thank you for your participation in the School Food Purchase Study.

The U.S. Department of Agriculture is conducting this study to obtain updated national estimates of food acquisitions and a description and analysis of food purchase practices of school districts participating in the Federally supported school meal programs. The estimates will provide information on the type, volume and source of foods acquired, the relative importance of USDA Foods, and changes in food composition and cost over time. Participation in this study by individuals is voluntary and the information collected will be used to understand school meal program trends and practices associated with food buying efficiency. 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 0584-0471. The time required to provide this information collection is estimated to average 5 minutes per response, including the time to review instructions, search existing data resources, gather and maintain the data needed, and complete and review the collection of information. 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 Service, Office of Policy Support, 1320 Braddock Place, Alexandria, VA 22314 ATTN: PRA (0584-0471).