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pdfAppendix F
Consolidated State Plan Guidance
OMB Control Number: 0584-0447, Expiration xx/xx/20xx
Seniors Farmers’ Market Nutrition Program
and
WIC Farmers’ Market Nutrition Program
Fiscal Year (FY) 2021
Consolidated State Plan Guidance
The contents of this guidance document do not have the force and effect of law and are not meant to bind
the public in any way. This document is intended only to provide clarity to the public regarding existing
requirements under the law or agency policies.
The Food and Nutrition Service (FNS) is collecting this information in order to provide fresh, nutritious, unprepared, locally grown fruits and
vegetables through farmers’ markets and roadside stands to WIC participants, and to expand awareness and use of, and sales at, farmers’ markets
and roadside stands through the WIC Farmers’ Market Nutrition Program (FMNP). This is a mandatory collection and FNS will use the
information to ensure the efficient management of the FMNP. The collection does request personally identifiable information under the Privacy
Act of 1974. Responses will be kept private to the extent provided by law and FNS regulations. 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 0584-0447. The time required to complete this information
collection is estimated to average 40 hours per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. 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, 5th Floor, Alexandria, VA 22314. ATTN: PRA (0584- 0611). Do not return the
completed form to this address.
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Seniors Farmers’ Market Nutrition Program (SFMNP) and
WIC Farmers’ Market Nutrition Program (FMNP)
Fiscal Year (FY) 2021 Consolidated State Plan Guidance
Table of Contents
Page
General Information
4
Updated State Plan Information
14
State Plan of Operations
23
Section I
Goals
24
Section II
General Administration
26
Section III
Funding
SFMNP Worksheets
FMNP Worksheets
32
Section IV
Certification
45
Section V
Food instrument/Market/Roadside Stand/CSA
54
Section VI
Management Evaluations and Reviews
63
Section VII
Nutrition Education Requirements
65
Section VIII Miscellaneous Requirements
69
Appendices
74
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Request for Expansion Funds
76
Seniors Farmers’ Market Nutrition Program
and
WIC Farmers’ Market Nutrition Program
FY 2021
General Information
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Seniors Farmers' Market Nutrition Program (SFMNP) and
WIC Farmers’ Market Nutrition Program (FMNP)
Fiscal Year (FY) 2021
Consolidated State Plan Guidance
Due Date: November 15, 2020
GENERAL INFORMATION
Seniors Farmers’ Market Nutrition Program (SFMNP):
The U.S. Department of Agriculture (USDA) created the Seniors Farmers’ Market Nutrition
Program (SFMNP) in 2000 as a pilot program awarding grants to State agencies (including
Indian Tribal Organizations (ITOs)) on a competitive basis. These grants were used to provide
low-income seniors with food instruments they could exchange for eligible foods at farmers’
markets, roadside stands, and community supported agriculture (CSA) programs. Eligible foods
were defined as fresh, nutritious, unprepared, locally grown fruits, vegetables, and herbs.
SFMNP continued as a competitive grant program for several years following the initial
authorization. The Farm Security and Rural Investment Act of 2002 (the 2002 Farm Bill), Public
Law 107-171, authorized the SFMNP beginning in Fiscal Year (FY) 2003 and gave USDA the
authority to develop regulations for the SFMNP. Section 4231 of the Food, Conservation, and
Energy Act of 2008 amended Section 4402(b)(1) of the Farm Security and Rural Investment Act
of 2002 to add honey as an eligible food for purchase with SFMNP benefits. This provision of
the law became effective October 1, 2008. The Seniors Farmers’ Market Nutrition Program Final
Rule (71 FR 74618), published December 12, 2006, established SFMNP as a formula grant
program, thereby terminating the competitive grant process, and requires each State agency to
submit an annual SFMNP State Plan of Operations and Administration to the USDA, Food and
Nutrition Service (FNS). The Agriculture Improvement Act of 2018 (the 2018 Farm Bill), Public
Law 115-334 provided $20.6 million in funding for each fiscal year through 2023.
WIC Farmers’ Market Nutrition Program (FMNP):
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), Farmers’
Market Nutrition Program (FMNP) was established in July 1992 by the WIC Farmers’ Market
Nutrition Act of 1992, Public Law 102-314. During the 2019 market season, the FMNP served
1.5 million Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
recipients. The mission of the FMNP is to provide fresh, unprepared, locally grown fruits,
vegetables, and herbs directly to WIC participants, and to expand the awareness and use of local
farmers’ markets.
Consolidated State Plan Option:
The SFMNP regulations acknowledge that several State agencies administer both the SFMNP
and the FMNP, often jointly, to serve seniors, women, infants, and children. Such State agencies
are given the option to submit a single, consolidated State Plan of Operations that addresses both
Programs, rather than submitting separate State Plans for each Program. The Consolidated State
Plan must completely address all of the provisions that are unique to each Program in addition to
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those areas in which functions or tasks are combined for the SFMNP and the FMNP.
Consolidated SFMNP/FMNP State Plans are due to FNS no later than November 15, each year.
State agencies that elect to use the Consolidated State Plan option must provide separate budget
and expansion requests for both Programs.
Each State agency applying for/or participating in the SFMNP and/or FMNP must submit a State
Plan for the current year to the appropriate FNS Regional Office for approval, as a prerequisite to
receiving Federal funds. A State Plan defines and describes the manner in which a State agency
intends to implement, operate and administer the SFMNP and/or FMNP; under the regulations
governing both Programs. State agencies such as State Health Departments, Departments of
Agriculture, Agencies on Aging, and Indian Tribal Organizations administer the SFMNP and/or
FMNP in most 50 States, the District of Columbia, the Commonwealth of Puerto Rico, the U.S.
Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana
Islands. The designated State official responsible for ensuring the SFMNP/FMNP is operated in
accordance with the Programs’ laws and regulations must approve the SFMNP/FMNP State
Plan; in addition to signing the Federal-State Supplemental Nutrition Programs Agreement
(FNS-339). This Guidance sets forth the minimum areas that must be addressed in the State Plan.
STATE PLAN REVIEW AND APPROVAL PROCESS
FNS Regional Office staff will review SFMNP/FMNP State Plans and notify State agencies of
any problems or areas in need of clarification. FNS will provide notification of approval or
denial of the SFMNP/FMNP State Plan within 30 days of receipt of the Plan. State agencies
should contact their respective FNS Regional Office for technical assistance; a list of FNS
Regional Offices can be found on pages 11-13.
Approval of a Consolidated State Plan does not constitute a funding commitment for either
the SFMNP or the FMNP. SFMNP and FMNP State agency base grants will be announced as
soon as possible after State plans have been submitted, reviewed, and approved. Current FMNP
State agency base grants will be announced after State plans have been submitted, reviewed, and
approved but no later than 45 days after FY 2021 funding for the FMNP is appropriated. Final
State agency grants will be announced after all SFMNP/FMNP State agency FY 2020 grants are
completely and accurately closed out.
If any of the sections or procedures of the State Plan change during the fiscal year, a State Plan
Amendment and any accompanying appendices must be submitted to the FNS Regional Office
for approval prior to implementing such changes.
FORMAT
Where possible, FNS has simplified this descriptive process to allow for yes/no answers, and so
that numbers can be inserted in the proper spaces. However, some of the mandatory provisions
can only be adequately addressed through narrative description. In these cases, such narratives
should be as succinct as possible, but should provide sufficient detail to meet the requirements of
the SFMNP and FMNP State Plan. In some instances, the State agency may include a form in
support of one or more of the stipulated provisions, (e.g., program participation records, in lieu
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of a more involved narrative describing that process). While use of this format is not mandatory,
it is recommended to minimize the administrative burden on State agencies. Please identify any
attachments or continuation pages according to the corresponding headings using the
Appendices lettering system located on page 74 of the Consolidated State Plan Guidance.
It is highly recommended that State agencies submit State Plans electronically to FNS Regional
Offices.
UPDATED STATE PLAN INFORMATION
The Updated State Plan section of the State Plan Guidance may be used by current State agencies
to update their existing approved State Plans. State agencies requesting Federal funds for the
SFMNP or the FMNP for the first time cannot use the Updated State Plan section.
State agencies submitting an initial Consolidated State Plan for the SFMNP and FMNP must
provide a complete and comprehensive document. After the initial approval, the State agency
may opt in subsequent years to submit only substantive changes (revisions, additions, and/or
deletions) to its Program design and operation using the Updated State Plan section of this
Guidance.
State Plans that were approved for the previous year, contingent upon the completion of
specific elements to be included in the next year’s Plan, will not be approved for a second
consecutive year until such contingencies have been satisfactorily addressed in full.
A budget for the current year’s operation and certifications must be submitted to FNS each
year, regardless of whether SFMNP or FMNP basic operations are expected to change in
any way.
It is recommended that participating State agencies submit comprehensive Plans at least once
every three years. However, the FNS Regional Office may request a complete copy of the Plan
from the State agency more frequently, or at any time on an ad hoc basis.
Please note that the following items must be completed by current State agencies in addition to
any updated information pages:
a. Federal-State Supplemental Nutrition Programs Agreement (FNS-339);
b. FY 2021 SFMNP/FMNP Estimated Federal Budget Summaries;
c. Expansion Request(s) for those State agencies requesting expansion funds for either
or both Programs;
d. Other procedural changes or amendments to the plan that have occurred since the
previous State Plan submission, such as:
Change in the benefit level
New months of program operation
The numbers and addresses of new farmers’ markets, roadside stands and local
agencies/clinics
A new map showing the locations of the new farmers’ markets, roadside stands
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and local agencies/clinics
UNIVERSAL IDENTIFIER
The Estimated Federal Budget page contains a field for the State agency to enter its Universal
Identifier. The Office of Management and Budget (OMB) requires entities applying for federal
grants to provide federal government agencies with a Universal Identifier. This requirement is set
forth in an OMB Policy Directive, Use of a Universal Identifier by Grant Applicants, which was
published in the Federal Register on June 27, 2003, at 68 FR 38402. The initial and annual
SFMNP/FMNP State Plan submissions are considered to be applications for a federal grant, and
thus State agencies must comply with this requirement. Currently, the Universal Identifier
system in use is the Data Universal Numbering System (DUNS) identification number. The
Estimated Federal Budget page contains the field where the DUNS number must be provided.
All State agencies must complete this form annually. Please complete the space for the Universal
Identifier on the Federal-State Supplemental Nutrition Programs Agreement (FNS-339), OMB
Control Number: 0584-0332 WIC Federal and State Agreement; expiration of 4/30/2022, to
show that this agreement pertains to the State Plan. For guidance on obtaining a DUNS number,
see https://www.fns.usda.gov/fm/getting-ready-do-business-fns.
FEDERAL-STATE SUPPLEMENTAL NUTRITION PROGRAMS AGREEMENT (FNS-339)
In addition to the basic SFMNP and FMNP State Plan requirements, the Federal-State
Supplemental Nutrition Programs Agreement (FNS-339), expiration of 4/30/2022 must be signed
and submitted annually to FNS before a State agency can receive federal funds. The FNS-339
must be submitted to the FNS Regional Office for annual approval, and a copy is routinely
submitted along with the State Plan. The Federal-State Agreement contains the mandatory
Department-wide provisions addressing a drug-free workplace, Civil Rights provisions and
lobbying restrictions, as well as the State agency's commitment to compliance with all pertinent
legislative and regulatory Program requirements. A single Federal-State Agreement may be used
for one or all programs (SFMNP, FMNP, and/or WIC). State agencies must be sure to check the
appropriate boxes for each program under item 4 on the first page of the FNS-339, expiration of
4/30/2022.
CHARACTERISTICS OF PROGRAM SUB-GRANTS
This applies to all local agencies under contract with State agencies for activities such as:
Determining participant eligibility for SFMNP/FMNP,
Distributing and accounting for SFMNP/FMNP food instruments,
Instructing participants on the proper use of the food instruments, and
Providing participants with nutrition education and other program information.
This does not apply to a local office of the State agency which operates like a local agency, since
such local offices are integral parts of the State agency and therefore share the State agency's
exemption under 2 CFR 417. The debarment/suspension certifications provided by local agencies
with respect to another program, such as the certifications of local agencies of the Commodity
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Supplemental Food Program (CSFP) or Area Agencies on Aging, are sufficient for SFMNP if
these certifications cover the same period as the SFMNP grant. Likewise, the
debarment/suspension certifications for local agencies with regard to the WIC Program are
sufficient for the FMNP if these certifications cover the period of the FMNP sub-grants. Further,
a State agency – local agency contract for another program may also be used by the State agency
if this contract covers the same period as the SFMNP or FMNP grant and contains the language
noted in #3 of the subsequent section, Certification Regarding Debarment, Suspension, and
Other Responsibility Matters – Primary Covered Transactions. The administering State agency
may need to contact another State agency to obtain the local agency debarment certifications or
contracts, such as a SFMNP State agency which is a State Department of Agriculture contacting
the State agency on Aging to obtain the certifications or contracts of the Area Agencies on
Aging, or a FMNP State agency which is a State Department of Agriculture contacting the WIC
State agency to obtain copies of the local agency certifications or contracts for all WIC local
agencies involved with the FMNP.
If the SFMNP/FMNP State agency has entered into an agreement with another State agency to
obtain that agency’s services for SFMNP/FMNP-related functions, the second State agency
would be a sub-grantee of the SFMNP/FMNP State agency. For example, the State Department
of Agriculture would need to satisfy itself that the State Agency on Aging that has formally
agreed to identify and certify eligible seniors for the SFMNP is neither suspended nor debarred
via one of the methods outlined above. However, under such circumstances, the State
Department of Agriculture would not need to obtain such satisfaction regarding the Area
Agencies on Aging because it does not have a direct relationship with them. Also, under such
circumstances, if the State Agency on Aging has submitted a debarment certification for another
program, then a copy of that debarment certification could be provided to the State Department
of Agriculture, since the debarment certification concerns the State Agency on Aging generally
instead of a specific grant agreement.
SFMNP/FMNP State agencies are not required to submit copies of the local agency certifications
or contracts to the FNS Regional Office as part of the annual State Plan submission. However,
State agencies must be able to make these certifications or contracts available for review during
management evaluations and audits. Alternatively, the State agency may keep a record showing
that it had consulted the System for Award Management (SAM), and present this record upon
request during a management evaluation or audit.
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS – PRIMARY COVERED TRANSACTIONS
The Federal Government uses the non-procurement, debarment and suspension system to
exclude organizations from federal grants or contracts based on violations of a wide variety of
statutes, executive orders, and regulations. As explained below, assurances must be obtained to
ensure that federal grants or contracts are not provided to debarred or suspended parties, with
certain exceptions. The USDA debarment/suspension regulations are codified at 2 CFR 417.
The State agency is not required to provide assurance that it is neither suspended nor debarred as
a condition of receiving its SFMNP or FMNP grants. Departmental regulations at 2 CFR 417
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exempt mandatory programs, such as the FMNP and SFMNP, from this requirement at the
'primary covered transaction' level (i.e. between the Federal awarding agency and the State
agency). Also, this requirement does not apply to farmers or farmers’ markets.
However, this exemption does not apply to the “lower tier covered transaction” level (i.e., subgrants to local agencies). The State agency is required to obtain assurance that each SFMNP and
FMNP local agency is neither debarred nor suspended. The State agency has three choices on
how to obtain this assurance:
1. The State agency may check the System for Award Management (SAM) to determine
whether a local agency or procurement contractor has been debarred or suspended; the SAM may
be accessed on the Internet at https://www.sam.gov; or,
2. The State agency may obtain a certification from the local agency, in a format established by
the State agency, providing assurance that the local agency has not been debarred or suspended;
or,
3. The State agency may stipulate in the local agency contract that the local agency is providing
assurance that it has not been debarred or suspended, and will promptly notify the State agency if
it is debarred or suspended in the future.
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
The Certification Regarding Drug-Free Workplace Requirements has been abolished. However,
the State agency is still required to have procedures in place for implementing a drug-free
workplace, per 2 CFR 421, which must be described in the narrative section of the State Plan.
These procedures may be the same as those which are used for other programs such as WIC.
Furthermore, this requirement does not apply to farmers, farmers’ markets, or roadside stands.
CERTIFICATION REGARDING LOBBYING AND DISCLOSURE FORM TO REPORT
LOBBYING
The Certification Regarding Lobbying and Disclosure Form is required for the State agency, and
for local agencies with a sub-grant exceeding $100,000 from the State agency. Under 2 CFR 417,
the only exemption is for grants or sub-grants of $100,000 or less. This amount includes both
food funds and administrative funds, at both the State and local levels. The State agency’s
certification should be appended to the federal-State agreement and the local agency should
provide its certification to the State agency. If the State agency is using the same federal-State
agreement for both SFMNP and FMNP, then only one lobbying certification is needed for both
programs. Otherwise, a separate lobbying certification must be submitted for each program,
since the lobbying certification pertains to a specific grant agreement instead of the State agency
generally.
The local agency’s certification should be provided to the State agency; like the local agency
debarment certifications, the State agency needs to keep the local agency lobbying certifications
on file. Also, as with the Federal-State agreement, if the State agency/local agency contract
covers both SFMNP and FMNP, then only one local agency lobbying certification is needed for
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both programs; otherwise, a separate lobbying certification must be submitted for each program.
As explained in the form’s instructions, lobbying with federal funds is prohibited. Lobbying with
funds from other sources is permitted. However, if lobbying with non-federal funds has occurred,
then the Disclosure Form to Report Lobbying (Standard Form LLL) must be submitted as
follows:
State agencies need to submit an SF-LLL on their lobbying to the FNS Regional
Office;
Local agencies need to submit an SF-LLL on their lobbying to the State agency,
who will forward the form to the FNS Regional Office.
State agencies need only submit one SF-LLL if the Federal-State agreement covers both SFMNP
and FMNP, and local agencies need only submit one SF-LLL if the State agency – local agency
contract covers both programs; otherwise, a separate SF-LLL form must be submitted for each
program.
ANNUAL FINANCIAL AND PROGRAM DATA REPORT FORMS
SFMNP:
In addition to the State Plan, FNS requires SFMNP State agencies to submit an Annual Financial
and Program Data Report, the FNS-683A, to FNS through the Food Programs Reporting System
(FPRS) by January 30 of each year.
FMNP:
In addition to the State Plan, FNS requires FMNP State agencies to submit the FMNP Annual
Financial and Program Data Report, FNS-683B (combines previously used FNS-683 and FNS203). The form requires information regarding FMNP expenditures; the number of FMNP
recipients, farmers, farmers’ markets, and roadside stands; due to FNS through the Food Program
Reporting System (FPRS) no later than January 30 of each year.
Both SFMNP and FMNP:
a. § 248.4(a)(15) of the FMNP regulations and § 249.4(a)(18) of the SFMNP regulations
specify that State Agencies are to submit information relating to the change in
consumption of fresh fruits and vegetables by recipients and the effects of the program on
farmers’ markets to FNS, if the information is available. State agencies are encouraged to
conduct surveys of recipients and farmers’ markets to collect this information. At a
minimum, the survey shall assess the change in the consumption of fresh fruits and
vegetables by recipients, and the effects of the SFMNP and FMNP on farmers’ markets.
An analysis of completed recipient and/or farmers’ market survey forms must be
submitted to FNS annually and no later than January 30 of each year.
b. At any time during the fiscal year when changes in any of the sections or procedures of
the State Plan occur, a State Plan Amendment and any accompanying appendices must be
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submitted to the FNS Regional Office for approval prior to implementation of the
change(s).
TECHNICAL ASSISTANCE
FNS Regional Offices
Questions about the development, structure, and/or submission of the State Plan should be
directed to the Supplemental Food Programs Office of the appropriate FNS Regional Office:
Regions
Northeast
Address
Michelle D’Auria, Branch
Chief
Supplemental Nutrition
Programs
USDA, Food and Nutrition
Service
Northeast Regional Office
10 Causeway Street
Boston, MA 02222-1066
(617) 565 - 6299
Mid-Atlantic
Jaime Van Lieu, Branch Chief
Supplemental Nutrition
Programs
USDA, Food and Nutrition
Service
Mid-Atlantic Regional Office
Mercer Corporate Park
300 Corporate Blvd.
Robbinsville, NJ 08691-1598
(609) 259-5100
Sandra Benton-Davis, Branch
Chief
Supplemental Nutrition
Programs
USDA, Food and Nutrition
Service
Southeast Regional Office
61 Forsyth Street, SW Room
8T36
Atlanta, GA 30303-3427
(404) 562-7100
Bruce Hillman, Branch Chief
Supplemental Nutrition
Programs
Southeast
Midwest
States/ITO’s
Connecticut
Maine
Indian Township Passamaquoddy
Reservation
Pleasant Point Passamaquoddy Reservation
Massachusetts
New Hampshire
New York
Rhode Island
U.S. Virgin Islands
Vermont
District of Columbia
Delaware
Maryland
New Jersey
Pennsylvania
Puerto Rico
Virginia
West Virginia
Alabama
Florida
Georgia
Kentucky
Mississippi
Mississippi Band of Choctaw Indians
North Carolina
Eastern Band of Cherokee Indians
South Carolina
Tennessee
Illinois
Indiana
Iowa
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Southwest
Mountain Plains
USDA, Food and Nutrition
Service
Midwest Regional Office
77 West Jackson Blvd. 20th
Floor
Chicago, IL 60604-3507
(312) 886-6625
Darrell Allen, Branch Chief
Supplemental Nutrition
Programs
USDA, Food and Nutrition
Service
Southwest Regional Office
1100 Commerce Street, Rm
522
Dallas, TX 75242
(214) 290-9910
Sandy Clark, Branch Chief
Supplemental Nutrition
Programs
USDA, Food and Nutrition
Service
Mountain Plains Regional
Office
1244 Speer Blvd., Ste. 903
Denver, CO 80204
(303) 844-0331
Michigan
Grand Traverse Band of Ottawa and
Chippewa Indians
Minnesota
Ohio
Wisconsin
Arkansas
Arizona
Inter-Tribal Council of Arizona, Inc.
Navajo Nation
Louisiana
New Mexico
Acoma-Canoncito-Laguna
Eight Northern Indian Pueblos Council
Five Sandoval Indian Pueblos
Pueblo of Isleta
Pueblo of San Felipe
Pueblo of Zuni
Santo Domingo Tribe
Oklahoma
Cherokee Nation
Chickasaw Nation
Choctaw Nation of Oklahoma
Citizen Potawatomi Nation
Inter-Tribal Council Inc., of Oklahoma
Muscogee (Creek) Nation
Osage Nation Otoe-Missouria Tribe
WCD Enterprises, Inc.
Texas
Utah
Colorado
Ute Mountain Ute Tribe
Kansas
Missouri
Montana
Nebraska
Omaha Nation
Winnebago Tribe
North Dakota
Spirit Lake Tribe
Standing Rock Sioux Tribe
South Dakota
Cherokee River Sioux Tribe
Rosebud Sioux Tribe
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Western
Chad Davis-Montgomery,
Branch Chief
Supplemental Nutrition
Programs
USDA, Food and Nutrition
Service
Western Regional Office
90 Seventh Street, Ste. #10100
San Francisco, CA 94108
(415) 645-1910
Wyoming
Eastern Shoshone
Northern Arapaho Tribe
Alaska
American Samoa
California
Commonwealth of the Northern Mariana
Islands
Guam
Hawaii
Idaho
Nevada
Inter-Tribal Council of Nevada
Oregon
Washington
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Seniors Farmers’ Market Nutrition Program
and
WIC Farmers’ Market Nutrition Program
FY 2021
Updated State Plan Information for
(State agency name)
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SENIORS FARMERS’ MARKET NUTRITION PROGRAM
WIC FARMERS’ MARKET NUTRITION PROGRAM
Updated Consolidated State Plan Information
Fiscal Year 2021
Unless submitting a comprehensive State Plan, each State agency must provide, at a minimum,
the following information, including budget pages, to their respective FNS Regional Office,
annually. Any State agency interested in receiving expansion funds, should such funds become
available during FY 2021, must also complete the Request for Expansion Funds pages.
State Agency:
A. FY 2020 Participants Served:
Number of SFMNP participants (those
issued SFMNP food instruments, bulk
purchase food boxes or bags and/or
CSA benefits) served with federal and
State funds in FY 2020 (previously
participating fiscal year)::
SFMNP:
Number of FMNP recipients (those issued
food instruments) served with federal and
State funds in FY 2020 (previously
participating fiscal year):
FMNP:
B. Please provide estimates for FY 2021:
1. Estimated number of SFMNP participants to be served with SFMNP federal and State agency
funds in FY 2021:
(Excluding Expansion)
(Including Expansion)
2. Estimated number of FMNP recipients to be served with FMNP federal and State agency
funds in FY 2021:
(Excluding Expansion)
(Including Expansion, If Any)
Pregnant women
Breastfeeding women
Postpartum women
Infants (over 4 months of age)
Children (if sub-categories of
children, e.g., ages 1-2 years
old and 3-4 years old are
defined by the State agency,
please indicate accordingly)
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Other designation (e.g., only
Priority I pregnant or
breastfeeding women;
specify):
Total
3. Check (X) for the type of SFMNP/FMNP recipients to whom benefits will be issued:
SFMNP
Individuals
Households
FMNP
Individuals
Households
4. Benefit Level
a. The Federal benefit amount that each SFMNP participant will receive in FY
2021 is $
.
Is this a change from last year?
Yes
No
§ 249.8(b) of the Federal SFMNP regulations states that the Federal SFMNP benefit
level received by each participant, whether a household or individual, may not be
less than $20 per year or more than $50 per year, except for certain State agencies
that were grandfathered into the SFMNP using a different benefit level.)
b. The lowest Federal benefit amount that any FMNP recipient will receive in
FY 2021 is $
and the highest is $
. If the State agency uses varying
benefit amounts, please list all of the new benefit levels, indicating the recipient
categories affected.
Is this a change from last year?
Yes
No
(Please note: Federal FMNP regulations at § 248.8(b) state that the value of the
Federal FMNP benefits received by each recipient, or by each family within a
household in those States which elect to issue benefits on a household basis under
§248.6(c) may not be less than $10 per year or more than $30 per year.)
5. Do you plan to use non-federal funds to provide SFMNP/FMNP benefits to other participants?
SFMNP
Yes
No
FMNP
Yes
No
If you answered YES for SFMNP, please describe how such participants will be
identified and certified and the benefit amount that will be provided. For FMNP, please
describe this caseload; include the name(s) of the program(s) and the sources of nonfederal funds:
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6. If fruits, vegetables, and/or fresh herbs have been added to/or deleted from the State agency’s
list of eligible foods for FY 2021, list (or attach a list) of those items. Please note that honey is
eligible only for the SFMNP.
7. Proposed months of Program operation:
through
8. Proposed months of food instrument issuance:
through
9. Proposed months of benefit usage by participants:
through
10. Are tokens used at authorized farmers’ markets? Yes
No
If Yes, please describe how they are used in the market.
11. Are all participants provided with a receipt? Yes
No
If No, please describe the procedure in more detail.
12. Are any markets authorized to accept Cash Value Vouchers/Benefits (CVV/CVB’s)?
Yes
No
If Yes: Statewide
or Selected Areas
Please attach a list.
13. Are any farmers authorized to accept Cash Value Vouchers/Benefits (CVV/CVB’s)?
Yes
No
14. Indicate the total number of local agencies serving SFMNP/FMNP participants, and the
number of each type of farmers, farmers’ markets, and/or roadside stands authorized. Also
indicate review activity below:
New Fiscal Year:
Total # Local Agencies Participating
# of local agencies to be reviewed
(This is the # of local agencies not
the # of participating clinics.)
Total # Farmers Markets Authorized
# to be reviewed (min 10%)
Total # Farmers authorized
# to be reviewed (min 10%)
Total # Roadside stands authorized
FMNP
SFMNP
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# to be reviewed (min 10%)
Total # of CSAs
# to be reviewed (min 10%)
Previous Fiscal Year:
Total # Local Agencies Participating
# of local agencies reviewed
Total # Farmers Markets Authorized
# of markets reviewed
Total # Farmers authorized
# of farmers reviewed
Total # Roadside stands authorized
# Roadside stands reviewed
Total # of CSAs
# of CSAs reviewed
FMNP
SFMNP
15. a. Briefly summarize key findings and corrective actions taken as the result of local agency
reviews in FY 2020.
b. Briefly summarize key findings and corrective actions taken as a result of
farmer/market/roadside stand/CSA reviews in FY 2020.
C. In light of recent changes in technology for both the Special Supplemental Nutrition
Program for Women, Infants, and Children (WIC) and the Supplemental Nutrition Assistance
Program (SNAP), it is important that State agencies clearly identify how SFMNP/FMNP benefits
are provided to participants. Since the inception of the Programs, SFMNP/FMNP benefits have
most often been provided using food instruments. In the event that a State agency is using a
different delivery method such as Electronic Benefits Transfer (EBT), it is expected that where
applicable, the State agency address how that method applies to SFMNP and FMNP.
1. Are any markets currently providing benefits using EBT?
Yes
No
If yes, for which programs?
WIC
SNAP
FMNP
SFMNP
2. Do you anticipate providing SFMNP or FMNP benefits using EBT?
Yes
No
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If yes, when?
In all markets or in selected areas?
Funding Information:
1. Under the FMNP, is the State agency applying to use not more than 2 percent of the
total Program funds for market development and/or technical assistance in FY 2021?
Yes
No
(If yes, provide the justification for requesting market development or technical
assistance funds meeting the criteria set forth in § 248.14(h) of the federal FMNP
regulations). Include a detailed description of how the State agency plans to promote the
development of farmers’ markets.
FMNP Matching Funds:
1. Per § 248.14(a), describe the source(s) and amounts the State agency intends to use to meet the
minimum 30 percent State/ITO match requirement for the FMNP, which will be $
for
your State/ITO in FY 2021 based on the Federal Funds Request and State/ITO Matching Funds
worksheets.
(Note that the 30 percent minimum match requirement applies only to the total
administrative cost of the program, although the State agency may meet this match
requirement with State/ITO local, or private funds provided for food as well as
administrative costs):
Type
State/ITO and local funds
Source
Amount
$
Private funds
In-kind Contributions
Similar Programs
Program Income
Total FMNP Match
Amount: $
State/ITO and local funds. If available, attach documentation, such as a copy of
appropriation legislation, budget page containing this line item, etc.
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Private Funds. Include a detailed description of all cash donations or letters of
commitment from the organizations or individuals planning to make such donations.
In-kind Contributions. If any portion of the State agency’s minimum 30 percent matching
requirement will be met through in-kind contributions, describe the in-kind contribution,
its value, and how the value was determined, including any supporting documentation.
Similar Programs. Federal funds provided for SFMNP or any other FNS program (e.g.,
Specialty Crop or Farmers’ Market Promotion Program grants awarded by USDA’s
Agricultural Marketing Service) cannot be used as a match source. Include the title of the
program, the source of funding and a brief description of how the program operates.
Program Income. Describe type and source. (More specific information can be found in
WIC Policy Memorandum #2005-3, Price Adjustments, Collections, Fines, and Program
Income)
Reminder to Current SFMNP/FMNP State agencies:
In addition to the Updated State Plan section just completed, the following
documents must also be provided to FNS before the SMNP/FMNP State Plan can
be approved for FY 2021:
a. FY 2021 Estimated Federal Budget Summary;
b. Expansion Request for those State agencies requesting expansion funds;
c. Using the Appendices lettering/numbering system shown below, a
description of any other procedural changes or amendments to the State Plan
that have occurred since the previous State Plan submission and approval by
FNS, such as a change in the benefit level, new months of program
operation, the numbers and addresses of new farmers’ markets, roadside
stands, and/or local agencies, and a new map showing the location of these
new outlets or facilities; and
d. Federal-State Supplemental Nutrition Programs Agreement (FNS-339),
expiration of 4/30/2022.
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Include all of your Appendices here. Please identify clearly any pages according to the lettering
system used in this format.
Required Appendices
A. Federal-State Supplemental Nutrition Programs Agreement (FNS-339)
B. Job Descriptions
C. Copies of signed agreements between the State agency and another State agency
(delineating the functions to be performed)
D. Copies of cooperative agreements with other entities for authorizing and/or training
farmers, farmers’ markets, roadside stands
E. Supporting documentation for State, private, in-kind, or similar program funding (if
applicable)
F. Instructions to participants, including rights and responsibilities
G. List of fruits, vegetables and/or fresh herbs that are eligible in the program
H. Samples of reporting forms for record keeping (if available)
I. Copy of the log or other forms used to record and report food instrument issuance and
inventory
J. Copy of the FMNP food instrument (coupon, check, electronic benefits transfer (EBT)
card, etc.)
K. Map outlining service areas and proximity of farmers’ markets, roadside stands from
the prior year’s operation to WIC clinics and/ local agencies
L. List of criteria used to authorize farmers’ markets
M. List of criteria used to authorize farmers
N. List of criteria used to authorize roadside stands
O. List of criteria used to authorize farmers for bulk purchase programs.
P. Copy of prototype agreements for farmers, markets, CSAs and bulk purchases (if
applicable)
Q. Training materials for farmers, markets, roadside stands and CSAs (if applicable)
R. State agency’s monitoring tool(s) to review farmers, farmers’ markets, roadside stands,
and CSA programs (if applicable)
S. Sample State-wide application/certification form
T. Sample notification of ineligibility
As applicable (Any forms/materials used in the SFMNP/FMNP that are different from
what is used in the WIC Program)
1.
2.
3.
4.
5.
6.
State agency training tools for local agencies
Sample proxy form
Examples of nutrition education materials
Copy of form to request an appeal/fair hearing and procedures
Form to collect and record racial/ethnic data
Copy of other agency’s nutrition education plans for SFMNP/FMNP participants
Please list any other attachments or appendices:
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Seniors Farmers’ Market Nutrition Program
and
Farmers’ Market Nutrition Program
FY 2021
Consolidated State Plan of Operations
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SENIORS FARMERS' MARKET NUTRITION PROGRAM
WIC FARMERS' MARKET NUTRITION PROGRAM
Consolidated State Plan of Operations
Fiscal Year 2021
Clearly identify any attachments/addenda according to the lettering/numbering system
used in this format.
State Agency:
I. Goals
A. Describe the State agency's plans to achieve each of the purposes of the SFMNP (§ 249.1)
and the FMNP (§ 248.1), as follows:
SFMNP:
1. To provide resources in the form of fresh, nutritious, unprepared, locally grown fruits,
vegetables, honey and herbs from farmers’ markets, roadside stands, and CSA
programs to low-income seniors;
2. To increase the domestic consumption of agricultural commodities by expanding or
aiding in the expansion of domestic farmers' markets, roadside stands, and CSA
programs; and
3. To develop or aid in the development of new and additional farmers' markets,
roadside stands, and CSA programs.
FMNP:
1. To provide resources in the form of fresh, nutritious, unprepared foods (fruits,
vegetables, and herbs) from farmers’ markets to women, infants, and children who are
nutritionally at risk and who are participating in the WIC Program or are on the
waiting list for the WIC Program; and
2. To expand the awareness, use of, and sales at farmers’ markets.
B. Describe how the State agency plans to target the Program(s) to areas with high
concentrations of eligible persons with the greatest access to farmers’ markets. Be sure to
include any special features, such as the use of volunteers and community resources or
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specialized management information systems, which the State agency plans to implement
to enhance operation and administration of the SFMNP (§ 249.4(9)(i)) and the FMNP (§
248.4(9)(i)) .
C. For a State agency submitting an initial application for funding (i.e., a State agency that
did not operate the SFMNP or the FMNP in FY 2020), please summarize any prior
experience with similar farmers' market projects or programs. The summary should
describe:
1. The number and category (seniors, women, infants, children) of participants served;
2. The scope of the program (e.g., limited to a city, county, or was it a statewide or
Indian Tribal Organization (ITO)-wide program?); and
3. The source(s) of funding for the program.
Please include any data that was collected during FY 2020 concerning the benefits or
impact of the program(s).
II. General Administration
A. This section of the Consolidated State Plan Guidance is to report on general operations.
1. Number of participants in FY 2020 (if applicable):
SFMNP:
FMNP:
2. Estimated number of participants in FY 2021:
SFMNP:
FMNP:
3. Proposed months of Program operation:
SFMNP:
through
FMNP:
through
4. Proposed months of food instruments (No later than 9/30):
SFMNP:
through
FMNP:
through
5. Proposed months of benefit usage by participants (No later than 11/30):
SFMNP:
through
FMNP:
through
6. Proposed months of benefit redemption (submission for payment) by farmers,
markets roadside stands, and/or CSAs:
SFMNP:
through
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FMNP:
through
7. Are any farmers authorized to accept Cash Value Vouchers/Benefits (CVV/CVB’s)?
Yes
No
If Yes: Statewide
or Selected Areas
Please attach a list.
8. In FY 2020 did any markets offer incentives? Yes
If yes, for which programs?
WIC
SNAP
No
FMNP
SFMNP
B. In light of recent changes in technology for both the Special Supplemental Nutrition
Program for Women, Infants, and Children (WIC) and the Supplemental Nutrition
Assistance Program (SNAP), it is important that State agencies clearly identify how
SFMNP and FMNP benefits are provided to participants. Since the inception of the
Programs, SFMNP and FMNP benefits have most often been provided using either
coupons or checks. In the event that a State agency is using a different delivery method
such as Electronic Benefits Transfer (EBT), it is expected that where applicable, the State
agency address how that method applies to SFMNP and FMNP.
1.
Are any markets currently providing benefits using EBT? Yes
If yes, for which programs?
SNAP
FMNP
SFMNP
2.
Do you anticipate providing SFMNP/FMNP benefits using EBT?
If yes, when?
In all markets or in selected areas?
No
Yes
No
C. Staffing
1. List all SFMNP/FMNP staff positions below, including both full and part-time
positions. Attach job descriptions for each position. An organizational flow chart
identifying levels of responsibility can be provided with this list. § 249.4(a)(4) of the
federal SFMNP regulations and § 248.4(a)(3) of the federal FMNP regulations require a
detailed budget in the State Plan, including a description of the federal and non-federal
funds that will be used to operate the program. Although use of non-federal funds is not
required under the SFMNP, describing the use of any such funds is helpful for the State
agency and FNS to understand the administrative capabilities of the State agency; the use
of non-federal funds will not result in the reduction of the federal grant.
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Paid through Federal SFMNP Administrative funds
Percentage of Funds
Allocated to:
Position
Full Time
Part Time
Paid through Non-Federal SFMNP funds/sources (specify)
Percentage of Funds
Allocated to:
Position
Full Time
Part Time
Paid through Federal FMNP Administrative funds
Percentage of Funds
Allocated to:
Position
Full Time
Part Time
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Paid through State/ITO FMNP funds/sources (specify)
Percentage of Funds
Allocated to:
Position
Full Time
Part Time
Paid through other funding source(s) (specify source and program)
Percentage of Funds
Allocated to:
Position
D.
Full Time
Part Time
Will any other State or local government agency(ies), non-profit or for-profit
organizations, or the Cooperative Extension Service provide services for the State agency
under the FMNP and/or SFMNP?
Yes
No
If yes, list the State or local government agency(ies) and/or other organizations, and
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include which program they will provide services for.
Include a copy of the signed agreement(s) between the State agency and other
agencies and/or the non-profit or for-profit organizations delineating the services to
be performed. (§ 248.4(a)(1) & (§ 249.4(a)(1)).
E.
Indicate in the space provided the State agency that will be responsible for performing (or
overseeing the local agency or other entity/organization that will perform) each function
listed below (e.g., State Department of Agriculture, State Department of Health, State
Agency on Aging, etc.):
Lead State agency
Certify participants for the SFMNP
Collect racial/ethnic participation information for the SFMNP
Certify WIC recipients for the FMNP
Authorize and train local agencies/clinics
Issue food instruments to participants
Issue food instruments to local agencies/clinics
Negotiate contracts with CSA/bulk purchase farmers (SFMNP only)
Provide nutrition education to program participants
Reconcile food instruments
Conduct reviews of local agencies/clinics
Authorize farmers/farmers' markets/roadside stands/CSA programs
Train farmers/farmers’ markets/roadside stands/CSA programs
Monitor farmers/farmers' markets/roadside stands/bulk purchase/CSA programs
Manage Cash Value Vouchers/Benefits (CVV/CVB’s) issued to FMNP
participants
If the State agency and the partnering State agency(ies) are different, include as an
attachment a copy of each signed agreement between the agencies, clearly stating the
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functions to be performed as indicated above. The written agreement(s) should delineate
the responsibilities of and specific work activities to be performed by each agency, and
should identify the responsible designated representative of each agency.
F.
Indicate how Program benefits will be issued to participants (allocated either by
individuals or by household size):
SFMNP:
FMNP:
G.
Individuals
Individuals
Households
Households
Indicate the total federal food instrument amount for each participant for each Program:
$
(SFMNP)
$
(FMNP)
(§ 249.8(b) of the federal SFMNP regulations states that the federal SFMNP benefit level
received by each participant, whether a household or individual, may not be less than $20
per year or more than $50 per year, except for certain State agencies that were
grandfathered into the SFMNP using a different benefit level.
Similarly, § 248.8(b) of the federal FMNP regulations states that the value of the federal
FMNP benefit received by each recipient, or by each family within a household in those
States which elect to issue benefits on a household basis under § 248.6(c), may not be
less than $10 per year or more than $30 per year.)
6. If applicable, indicate the total federal SFMNP benefit amount allotted to each
participant for use at a CSA Program if this benefit amount is different than for use at
farmers’ markets or roadside stands: $
. (§ 249.8(b) of the federal SFMNP
regulations states that such SFMNP participants may receive a higher benefit level than
non-CSA participants but may not be more than $50 per year, except under certain
conditions.)
H.
If applicable, indicate the total federal SFMNP benefit amount for each participant for
use in a bulk purchase program (if this benefit amount is different than for use at farmers’
markets or roadside stands): $
8. Are any markets currently authorized to accept WIC CVV’s/CVB’s?
Yes
No
If yes, is this in all markets or in selected areas? Please attach a list.
I.
Are any markets currently/planning to offer incentives? Yes
No
If yes, please provide a list below or attach a list in the appendix.
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a.
b.
c.
How much is the incentive?
How does the market determine who receives the incentive?
How is the incentive funded?
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III. Funding
A. Describe in detail the State agency's financial management system that will provide for
accurate, current, and complete disclosure of the financial status of the SFMNP/FMNP. At
a minimum, include the following elements:
1. Procedures to ensure prompt and accurate payment of allowable and allocable costs,
and to ensure that costs claimed are in accordance with 2 CFR 225 (Cost Principles
Applicable to Grants and Contacts with State and Local Governments) and FNS
guidelines and instructions (see § 249.11(d) of SFMNP regulations on allowable and
allocable costs and § 248.12 of FMNP regulations and FMNP Policy Memorandum
2002-1);
2. Procedures for obligating funds, including disbursing funds from the Letter of Credit;
3. Description(s) of how farmers are paid;
4. Claims procedures for overpayments to farmers, farmers' markets, roadside stands,
bulk purchases, CSAs, and participants; and
5. Description of the time-reporting system used to distribute employee salaries and
related costs, and procedures and forms for conducting time studies.
B. Describe the funding source(s) and amounts the State agency intends to use to meet
the minimum 30 percent State/ITO match requirement for the FMNP, which will be $
for your State/ITO in FY 2021, based on the Federal Funds Request and the
State/ITO Matching Funds Estimation Worksheet on pages 41-43, per § 248.14(a)(i)(ii).
(Please note that the 30 percent minimum match requirement only applies to the total
FMNP administrative cost, although the State agency may meet this match requirement
with State/ ITO funds provided for food in addition to administrative costs.)
Type
State/ITO and local funds
Source
Amount
$
Private funds
In-kind contributions
Similar programs
Program income
Total:
$
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State/ITO and local funds: If available, please attach documentation, such as a copy of
appropriation legislation, budget page containing this line item, etc.
Private funds: Please describe in detail or attach documentation of all cash donations or
letters of commitment from organizations/individuals planning to make such donations.
In-kind contributions: If any portion of the State agency’s minimum 30 percent matching
requirement will be met through in-kind contributions, please describe the in-kind
contribution and its monetary value, and include any supporting documentation.
Similar programs: Include the title of the program, the source of funding, and a brief
description of how the program operates. Federal funds provided for SFMNP or any
other FNS program cannot be used as a match source.
Program income: Describe type(s) and amount(s). (More specific information can be
found in WIC Policy Memorandum #2005-3, Price Adjustments, Collections, Fines, and
Program Income)
Is the State agency seeking approval to use up to 2 percent of its total FMNP funds for
market development or technical assistance to farmers’ markets in FY 2021?
NOTE: These funds are only available to develop or assist farmers’ markets in socially or
economically disadvantaged areas or remote rural areas, where individuals eligible for
participation in the FMNP have limited access to locally grown fruits and vegetables (§
248.14(h)).
Yes
No
If yes, describe in detail the justification for the market development and/or technical
assistance funds, including documentation to support the qualifications of the areas to
be targeted and specific plans to achieve the stated goals.
C. Describe in detail the State agency's record keeping systems for the SFMNP (§ 249.23)
and the FMNP (§ 248.23), addressing the following areas:
1. Financial operations
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2.
3.
4.
5.
Food instrument issuance and redemption
CSA/bulk purchase contracts and payments
SFMNP/FMNP participation reporting
Tracking staff time and other administrative expenses to ensure that federal
SFMNP/FMNP funds are only used for costs which are allowable and allocable
for the SFMNP/FMNP.
NOTE: A description of the State's financial management system is required earlier in
Section III(A). If some of the same information has already been provided under that
section, it is not necessary to duplicate that information. It may either be provided here or
cross-referenced to the relevant section.
If forms have been developed to facilitate any of these functions, an example of each form,
along with a brief explanation should be attached to this document.
D. FMNP Federal Funds Allocation Process and the State/ITO Match
As required under § 248.14(a)(i), there is a matching requirement of administrative funds
equal to or not less than 30 percent. Detailed below are the FMNP Federal Funds Allocation
Process and how the State/ITO match is calculated.
1. Total Federal funds requested (prior year’s total Federal grant x 17% (or 19%, if
requesting a maximum of 2% for market development or technical assistance) = Federal
administrative funds.
2. Federal administrative funds ÷ 70% = Estimated total administrative grant.
3. Estimated total administrative cost x 30% = State/ITO match amount.
(A State agency may provide more in State funds to administer the Program than is
required. However, the FNS allocation is based on the minimum amount that a State
agency must match, not the total amount of funds/resources a State agency provides.)
4. Total Federal funds requested (prior year’s total Federal grant) + State/ITO match
amount = Estimated total Program cost.
E. Federal Funds Request and Budget Worksheets
§ 249.4(a)(4) of the Federal SFMNP regulations and § 248.4(a)(4) of the Federal FMNP
regulations require that the State Plan include a detailed budget, including a description of
the Federal and non-Federal funds that will be used to operate each program, and assurance
that no more than 50 percent of the Federal SFMNP Food grant will be used for CSA
programs, except as stipulated at 7 CFR 249.10(a)(5). The types of worksheets used to
calculate your Federal funds are described below.
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SFMNP FY 2021 Budget Summary:
I. FY 2021 SFMNP ESTMATED FEDERAL BUDGET SUMMARY
This worksheet summarizes the Federal food and administrative funds. All State
agencies must complete this worksheet.
II. FY 2021 SFMNP ADMINISTRATIVE BUDGET ESTIMATE
This worksheet summarizes administrative activities and related funding. All State
agencies must complete this worksheet.
III. FY 2021 ESTIMATED SFMNP FEDERAL CASELOAD CALCULATION
This worksheet summarizes participant caseload in relation to funding. All State
agencies must complete this worksheet.
IV. FY 2021 ESTIMATED SFMNP NON-FEDERAL BUDGET SOURCE OF NONFEDERAL FUNDS
This worksheet summarizes non-federal funding used to support the SFMNP. All State
agencies must complete this worksheet.
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State Agency:
Universal Identifier
I. FY 2021 SFMNP ESTIMATED FEDERAL BUDGET SUMMARY
1. Total Federal Funds Requested
(Prior Year's Total Federal Grant or Less):
$
2. Plus: Expansion Funds Requested (if any):
(Include expansion funds in calculation of
requested funds)
$
3. Less: Federal Administrative Funds at 10% of
Total:
$
4. Federal Foods Funds (minimum 90% of total):
$
II. FY 2021 SFMNP ADMINISTRATIVE BUDGET ESTIMATE
Certification
$
Food
Instrument
Management
$
%
Market
Management
$
%
Nutrition
Education
$
%
Financial
Management
$
%
Total @
10%
$
%
100%
Certification: Eligibility determinations and outreach services.
Food Instrument Management: Pricing and reconciling/issuing food instruments to recipients, and
instructing recipients on the purpose of the program and their proper use.
Market Management: Authorizing, training, technical assistance, marketing, and monitoring of
farmers/ farmers’ markets/roadside stands.
Nutrition Education: Instructing recipients on the nutritional benefits of fresh, nutritious,
unprepared foods such as fruits and vegetables.
Financial Management: Preparing financial and recipient reports, issuing payments to
farmers/farmers’ markets and costs associated with FMNP audits.
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III. FY 2021 ESTIMATED SFMNP FEDERAL CASELOAD CALCULATION
This worksheet determines the number of participants that can be supported with the Federal
funds requested. To ensure that no more than 50 percent of the SFMNP grant has been used for
CSA programs; line 4 must not exceed one half of line 3 on this page. If benefits are not used for
CSA programs, then only the first three steps below apply. Line 9, the Grand Total, includes nonCSA program caseload and CSA/bulk purchase program caseloads. Line 10 provides the
percentage of the SFMNP food funds grant used only for CSA programs.
State Agency:
1. Available Federal food funds for food instruments (non-CSA/Bulk purchase)
$
2. (Divided by) Proposed total non-CSA food instrument benefit level
(Minimum $20, Maximum $50) (Except for a current SA that has grandfathered
in a lower benefit level)
$
3. Total projected food instrument Federal caseload:
4. Available food funds remaining for participants using
CSA and/or bulk purchase programs
$
5. (Divided by) Proposed total CSA benefit level (May be the same
as for non-CSA participants, or higher, but must be a minimum $20, maximum
$50, and must be the same for all CSA Participants, except per § 249.8(b)).
$
6. Total projected CSA Federal caseload
7. (Divided by) Total projected bulk purchase benefit level
$
8. Total projected bulk purchase caseload
9. Grand Total Projected Federal Caseload
(Line 3) = w/o CSA or bulk purchase
(Line 3 + Line 6) = with CSA option
(Line 3 + Line 8) = with bulk purchase option
(Line 6) = CSA only
(Line 8) = Bulk purchase only
(Line 3 + Line 6 + Line 8) = With all options
OR
OR
OR
OR
OR
10. Line 4, Worksheet II, divided by Line 3, Worksheet I
(Federal Food funds) multiplied by 100 (this total may not be more than 50
percent)
$
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IV. FY 2021 ESTIMATED SFMNP NON-FEDERAL BUDGET SOURCE OF NONFEDERAL FUNDS
Please list the source and amount of non-Federal funds, if any, which the State agency plans to
use for the SFMNP. § 249.4(a)(4) of the Federal SFMNP regulations requires a detailed budget
in the State Plan, including a description of the Federal and non-Federal funds that will be used to
operate the program. This information supports whether the State agency will have sufficient
resources to meet caseload and/or administrative goals beyond those supported by Federal funds.
Type
Source
Amount
State and Local Funds
$
Private Funds
$
Other
$
Total
$
Purpose
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FMNP:
I. FY 2021 FMNP ESTIMATED FEDERAL BUDGET SUMMARY
This worksheet summarizes the Federal food and administrative funds. All State agencies must
complete this worksheet.
II. ADMINISTRATIVE BUDGET ESTIMATE
This worksheet summarizes administrative activities and related funding. All State agencies
must complete this worksheet.
III. FEDERAL FUNDS REQUEST AND STATE/ITO MATCHING FUNDS ESTIMATION
This worksheet estimates either the amount of Federal funds based on the State/ITO match
amount available, or the State/ITO match amount and total program funds based on the amount
of Federal food funds requested. All State agencies must complete either Part A or Part B of
this worksheet as applicable.
IV. FEDERAL FOOD FUNDS REQUEST BASED ON A UNIFORM BENEFIT LEVEL
This worksheet estimates the number of recipients that can be supported with the Federal funds
requested, when each category of recipient (i.e., women, infants, and children) will receive the
same benefit level. All state agencies must complete either this worksheet or worksheet V,
below.
V. FEDERAL FOOD FUNDS REQUEST BASED ON VARYING BENEFIT LEVELS
This worksheet estimates the number of recipients that can be supported with the Federal funds
requested, when one or more of the recipient categories (women, infants and children) will
receive a benefit level different from the other categories. All state agencies must complete
either this worksheet or worksheet IV, above.
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State Agency:
Universal Identifier
I. FY 2021 FMNP ESTIMATED FEDERAL BUDGET SUMMARY
$
1. Total Federal funds requested
(Prior Year's Total Federal Grant or Less):
$
2. Plus: Expansion funds requested (if any):
$
(Include expansion funds in calculation of requested funds)
3. Less: Federal administrative funds at 17% of total:
$
4. Less: Market development/technical assistance funds
(up to 2% of total):
5. Federal foods funds:
a. 83% (total without market development funds request):
$
$
OR
$
b. 81% (total with market development funds request):
II. FY 2021 FMNP ADMINISTRATIVE BUDGET ESTIMATE
Use Table B. if requesting use of 2% market development funds.
Table A.
Food Instrument
Management
$
Market
Management
$
%
Table B.
Food Instrument
Management
$
$
%
Market
Management
$
%
Nutrition
Education
$
%
Nutrition
Education
$
%
Financial
Management
$
%
Financial
Management
$
%
Total @ 17%
100%
Total @ 19%
$
%
100%
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Food Instrument Management: Pricing and reconciling/issuing food instruments to recipients, and
instructing recipients on the purpose of the program and their proper use.
Market Management: Authorizing, training, technical assistance, marketing, and monitoring of
farmers/ farmers’ markets/roadside stands.
Nutrition Education: Instructing recipients on the nutritional benefits of fresh, nutritious,
unprepared foods such as fruits and vegetables.
Financial Management: Preparing financial and recipient reports, issuing payments to
farmers/farmers’ markets and costs associated with FMNP audits.
III. FY 2021 FMNP FEDERAL FUNDS REQUEST AND STATE/ITO MATCHING FUNDS
ESTIMATION
Part A of this worksheet should be completed by a State agency that knows exactly the amount of
State/ITO funds available to meet the matching requirement, and wants to estimate the level of Federal
funds the State/ITO matching funds can support.
Part B of this worksheet should be completed by a State agency that wishes to estimate its match amount
and total program funds based on the amount of Federal food funds requested.
For State agencies requesting the extra 2 percent administrative rate for market development or technical
assistance to promote such development in disadvantaged areas or remote rural areas, use the calculations
based on 19 percent to determine your (A) estimated total federal funds or (B) estimated total program
funds.
A. To estimate the federal administrative funds based on the matching amount:
17% rate:
1. Matching Funds:
$
2. Total Administrative Funds:
=
/ .30 =
Total Administrative Funds
-
Matching Funds
Federal Administrative Funds
/ .17 =
3. Federal Administrative Funds:
$
Total
Federal
Funds
A. To estimate the federal administrative funds based on the matching amount:
19% rate:
1. Matching Funds:
$
/ .30 =
Total Administrative Funds
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2. Total Administrative Funds:
=
-
Matching Funds
Federal Administrative Funds
/ .19 =
3. Federal Administrative Funds:
Total
Federal
Funds
$
B. To estimate the matching and administrative amounts based on the federal food funds
requested:
17% rate:
1. Prior Year's
Food Grant:
$
Total Federal Funds Requested,
Food and Administrative
/.83 =
x.17 =
Federal
Administrative
Funds
3. Federal Administrative Funds:
/.70 =
Estimated Total
Administrative
Funds, Federal
and State
4. Estimated Total Administrative
Funds:
-
2. Total Federal Funds Requested:
=
Federal Administrative Funds:
State Agency's Match for New Fiscal Year.
+
5. State/ITO Matching Funds:
Total Federal Funds
=
$
Estimated Total Program Funds
B. To estimate the matching and administrative amounts based on the federal food funds
requested:
19% rate:
1. Prior Year's
Food Grant:
$
/.81 =
Total Federal Funds Requested,
Food and Administrative
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x.19 =
Federal
Administrative
Funds
3. Federal Administrative Funds:
/.70 =
Estimated Total
Administrative
Funds, Federal
and State
4. Estimated Total Administrative
Funds:
-
2. Total Federal Funds Requested:
=
State Agency's Match for New Fiscal Year.
+
5. State/ITO Matching Funds:
$
Federal Administrative Funds:
=
Total Federal Funds
Estimated Total Program Funds
IV. FY 2021 FMNP FEDERAL FOOD FUND REQUEST BASED ON A UNIFORM
BENEFIT LEVEL
This worksheet estimates the number of recipients that can be supported with the Federal funds
requested, when each category of recipient (i.e., women, infants, and children) will receive the
same benefit level:
1. Total Federal Funds Requested (Prior Year's Total Federal Grant or Less):
2. Percent of Total Federal Funds
Available for Food:
3. Available Food Funds:
x .83
$
Divided by
4. Proposed Federal Food Benefit Level
Minimum $10; Maximum $30
$
$
or
x. 81
$
Divided by
$
5. Total Projected Federal
Caseload:
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V. FY 2021 FMNP FEDERAL FOOD FUNDS REQUEST BASED ON VARYING
BENEFIT LEVELS
This worksheet estimates the number of recipients that can be supported with the Federal funds
requested, when one or more of the recipient categories (woman, infants and children receives a
benefit level different from the other categories:
1. Total Federal funds requested (prior year's total Federal grant or less):
2. Percent of total Federal funds
available for food:
x .83
3. Available food funds:
$
or
$
x. 81
$
CATEGORY I
(specify)
CATEGORY II
(specify)
CATEGORY III
(specify)
4. Number of proposed program
recipients by category
X
5. Proposed food benefit level:
X
$
$
X
$
6. Total per category =
7. Add together the total of Lines 6, which must be equal to or be less than the total available
Federal food funds in line 3:
Grand
CATEGORY I
CATEGORY II
CATEGORY III
Total
$
+
$
+
$
=
$
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IV. Certification
A. Targeting Benefits
SFMNP:
1. As required under § 249.4(a)(9), describe the State agency's plans to target areas with a
high concentration of eligible persons and access to farmers' markets, roadside stands
and/or CSA programs within the broadest possible geographic area. For example, will
the State/ITO concentrate on serving only a few areas where there are large numbers of
potential participants who have access to farmers' markets, roadside stands and/or CSA
programs, or will it provide State/ITO-wide coverage?
a. Provide a detailed description of the service area(s), including the number (and
location, if available) of participating markets/roadside stands/CSA/bulk purchase
programs and local agencies (such as Area Agencies on Aging, Senior Centers or
CSFP distribution sites).
b. Estimated number of SFMNP participants per local agency:
Local Agency:
# of Participants:
2. a. As required under § 249.6(g)(2), when all available program benefits have been
allocated to eligible participants, are local agencies required to maintain a waiting list
of new applicants likely to be served?
Yes
No
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If yes, will which of the following be included on the waiting list?
Name of the applicant
Date placed on waiting list
Address
Participant telephone number
Participant mobile telephone number
Other telephone number
Other:
3. In States where the WIC Farmers’ Market Nutrition Program (FMNP) operates in the
same service areas as FMNP, or closely overlapping, so that the same farmers’ markets
and roadside stands may serve both SFMNP and FMNP recipients? If No, please
explain.
Yes
No
FMNP:
1. As required under § 248.4(a)(9), describe the State agency’s plans to target areas with a
high concentration of eligible persons and access to farmers’ markets within the
broadest possible geographic area. For example, will the State/ITO concentrate on
serving only a few areas where there are large numbers of WIC recipients who have
access to farmers’ markets, or will it provide State/ITO-wide coverage?
a. Provide a detailed description of the service area(s), including the number and
addresses of participating markets, roadside stands, and WIC clinics.
b. Attach a map outlining the service area(s) and proximity of markets and roadside
stands to WIC local agencies or clinics.
c. Estimated number of WIC recipients per local agency/clinic:
Clinic
# of Recipients
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2. Intended FMNP recipients:
(Excluding Expansion)
(Including Expansion)
WIC recipients only
WIC applicants on
waiting lists only
Both
3. Will all WIC recipients in an FMNP service delivery area be issued FMNP food
instruments, checks or EBT cards or only certain categories/groups?
All eligible recipients
Specific categories/groups (check all that apply):
(Excluding Expansion)
(Including Expansion)
Pregnant women
Breastfeeding women
Postpartum women
Infants (over 4 months)
Children
(If sub-categories of children,
e.g., ages 1-2 years old and
3-4 years old, are defined
by the State agency, please
indicate accordingly.)
Other designation
(e.g., only Priority I
pregnant or breastfeeding
women)
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B. Application Process (SFMNP Only) (§ 249.6)
1. The State agency requires all local agencies to use a standardized application process
for all persons applying for the SFMNP.
Yes
No
2. The State agency shares
statewide or
at local agency option (check
one), a common application or certification form with (check all that apply):
No other benefit programs
Commodity Supplemental Food Program (CSFP)
Food Distribution Program on Indian Reservations (FDPIR)
Supplemental Nutrition Assistance Program (SNAP)
Aging Services
Supplemental Security Income (SSI)
Reduced price health care program(s)
Other (specify)
3. § 249.6(g) Does the State agency have processing standards in place to notify SFMNP
applicants of eligibility, ineligibility, or placement on a waiting list within 15 days from
the date of application?
Yes
No
4. How does the State agency define “reasonable expectations that additional funds may
become available” in order to determine whether to maintain a waiting list?
5. Is each participant or authorized representative informed on how to use farmers’ market
food instruments or his/her CSA SFMNP benefits, and on the availability of other
services, as set forth in § 249.6(d)(3) of the Federal SFMNP regulations?
Yes
No
6. Does the State agency have procedures to ensure that participants are certified only for
the current fiscal year’s period of SFMNP operation?
Yes
No
If yes, please provide a brief description:
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7. May a participant designate another person as an authorized representative/proxy to do
the following if the participant is unable to (check all that apply):
Apply for certification?
Shop at farmers’ markets and/or roadside stands?
Pick up eligible foods from CSA program or bulk purchase distribution sites?
8. a. Does the State agency limit the number of proxies that one individual can have (e.g.,
one participant may designate three different proxies)?
Yes
No
If yes, how many?
b. Does the State agency limit how many participants may use the same proxy? (e.g., one
person is the proxy for 5 participants)?
Yes
No If yes, how many?
9. If the State agency permits authorized representatives/proxies, are signed statements from
the participant required for this purpose per § 249.6(f) of the federal SFMNP
regulations?
Yes
No
10. Attach a copy of the State agency’s written procedures regarding the designation of
authorized representatives/proxies for the SFMNP, if available.
11. Is certification for SFMNP performed at no cost to the applicant or authorized
representative?
Yes
No
12. Attach a copy of the FY 2021 Certification or Application form that will be used for the
SFMNP (Appendix AA).
C. Categorical and Residency Eligibility (SFMNP only)
1. Will only individuals who meet the basic regulatory definition of “senior” (i.e., 60 or
older) in an SFMNP service delivery area be provided SFMNP benefits, or will the State
agency (per § 249.6(a)(1)) also serve special categories of participants?
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(Excluding Expansion)
(Including Expansion)
Seniors > 60 years of age
Special categories/groups: (check all that apply):
Higher minimum age
(e.g., 62, 65 – specify in
space provided)
Native Americans
(> 55 years old)
Disabled*
(*residing in predominantly-elderly housing where congregate nutrition services are
provided)
Lower income level
(Specify in space provided)
Other (specify)
2. For the residency requirement, the State agency uses:
State/ITO residency
Local agency service area residency
D. Income Eligibility (SFMNP only) (§ 249.6(a)(3))
1. For income eligibility, the State agency uses:
Maximum gross household income of 185% of annual poverty income guidelines
Maximum gross household income of
income guidelines
% (less than 185%) of annual poverty
Participation in Commodity Supplemental Food Program (CSFP)
Participation in Supplemental Nutrition Assistance Program (SNAP) *
(* as long as SNAP income eligibility does not exceed 185% of poverty)
Participation in Food Distribution Programs on Indian Reservations (FDPIR)*
(* as long as FDPIR income eligibility does not exceed 185% of poverty)
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Participation in Supplemental Security Income (SSI)
Participation in another means-tested program for which income eligibility is set at or
below 185% of the poverty income guidelines
2. For the normal income eligibility screening process and determination of household size,
is the household defined by the State agency as a group of related or nonrelated
individuals who are living together as one economic unit?
Yes
No
3. For documentation of income eligibility per § 249.6(3), the State agency accepts (check
all that apply):
Signed statement of applicant (if so, attach copy in Appendices section)
Notice of eligibility or its equivalent for participation in or certification for other
programs
Pay stub or other statement of earnings
W-2, tax return, or other tax forms
Other:
(Please describe)
4. The State agency requires
State-wide, or
verification of applicant income information.
at local agency option (check one), the
No
Yes (check all sources required, as appropriate):
Employer
Public assistance offices
State employment offices (wage match, unemployment)
Social Security Administration
School districts/offices
Collateral contacts
Other (specify):
E. Participant Rights and Responsibilities (SFMNP only)
1. If found ineligible, are applicants for SFMNP notified in writing of the reason(s) for
ineligibility and the right to a fair hearing.
Yes
No (Attach the standardized format for this, if any.)
2. Is each participant or authorized representative informed during the certification process of
his/her rights and responsibilities as set forth in § 249.6(d)(1)(2) of the federal SFMNP
regulations?
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Yes
No
3. Is this information provided in a language other than English where a significant number or
proportion of the eligible population needs this information in a language other than English?
Yes
No
If so, list other languages this information is provided in:
F. Participant and Applicant Confidentiality
1. Does the State agency share information obtained from applicants and/or participants for
SFMNP/FMNP with any other programs, agencies, law enforcement officials, or any other
organizations or persons?
Yes
No
(If “Yes,” explain below and attach documentation such as information-sharing agreements,
statements of policies and procedures, legal citations, etc.)
2. Per § 249.24 of the federal SFMNP regulations and § 248.24 of the federal FMNP
regulations, the State agency restricts the use or disclosure of information obtained from
applicants/participants to:
a. Persons directly connected with the administration or enforcement of SFMNP/FMNP,
including investigation and prosecution of SFMNP/FMNP violations by any public
authority;
Yes
No
b. Representatives of public organizations under written agreements for
eligibility/outreach purposes regarding other programs, without third party access or
disclosure;
Yes
No
c. The Comptroller General of the United States, General Accounting Office (GAO).
Yes
No
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3. Does the State agency permit an applicant and/or participant access to the information
which the applicant and/or participant has provided to the program?
Yes
No
4. Does the State agency permit an applicant or participant, upon his/her unsolicited request,
to sign a release or similar document allowing the information provided by the applicant
and/or participant to be shared with other organizations or persons?
Yes
No
5. Does the State agency prohibit local agencies from requiring the applicant or participant
to sign a written consent or release form or similar document to share confidential
information with another entity or organization during the SFMNP eligibility determination
process, e.g., by completing and separating the certification screening process from the
request for a release to be signed?
Yes
No (if signing a release is a condition of eligibility, please explain)
G. Dual Participation
1. Does the State agency have policies and procedures in place to prevent and detect dual
participation (participation of program recipients in more than one service delivery area at
the same time) in SFMNP?
Yes (please describe)
No (if no, please explain why not)
2. Does the State agency have policies and procedures in place to prevent and detect dual
participation (participation of program recipients in more than one service delivery area at
the same time) in FMNP?
Yes (please describe)
No (if no, please explain why not)
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V. Food Instrument, Farmers’ Market, Roadside Stand, Bulk Purchase, and CSA
Program Management
A. Issuing benefits to participants: § 249.4(11)(i)
1. Describe the State agency's procedures for ensuring the secure transportation and
storage of food instruments. Include the method used to transport food instruments from
the contractor who produces them to the State agency, and from the State agency to the
local agencies. Include a description of how unissued SFMNP/FMNP food instruments are
stored, or how secure handling of check stock and electronic check numbers is ensured, at
the State agency, local agency, and/or local issuing sites. Also include any type of
reporting form used to gather data.
2. Describe the food instrument issuance system for participants. Include any reporting
forms used to gather data. This description should include automated as well as manual
processes used for issuance of food instruments to SFMNP/FMNP participants.
3. If the State agency intends to use a bulk purchase option in the SFMNP, describe (1)
how the State agency will identify the farmers from whom the eligible fruits and
vegetables will be purchased, (2) the entity/ies (if different from the State agency) that will
negotiate and contract for the purchase of the produce, (3) how the State agency will
ensure that the value of the food provided to each participant falls within the regulatory
minimum and maximum levels, (4) how the State agency will ensure that all SFMNP
participants receive an amount of food that offers an equitable benefit, and distribute the
fruits and vegetables to program participants.
4. For CSA programs, describe the system for ensuring that each SFMNP shareholder
receives an equitable amount of eligible foods at each delivery, and that the total value of
the eligible foods provided under the SFMNP falls within the minimum and maximum
Federal SFMNP benefit levels. Also, describe the system to ensure receipt by eligible
participants of eligible foods provided through the CSA program. Such a system should
include a written receipt or distribution log, with the participant’s signature (or that of the
eligible participant’s proxy, if proxies are allowed) and the date of each distribution.
(please attach a copy of this receipt form or log).
5. Describe the State agency's system for instructing participants on the proper use of
FMNP food instruments. If this function is performed by the local agency on behalf of the
State agency, indicate who issues the food instruments; what materials are provided during
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issuance; and who explains the use of the food instruments and redemption procedures to
the participant. For CSA programs, describe how participants will be instructed on the
procedures for delivery and distribution of eligible foods through the /bulk purchase/CSA
programs to the participants.
6. Describe the State agency's system for instructing participants on the proper use of
SFMNP food instruments. If this function is performed by the local agency on behalf of
the SFMNP State agency, indicate who issues the cards; what materials are provided
during issuance; and who explains the use of the cards and redemption procedures to the
participant.
Attach a copy of the log or other form used to record food instruments to valid certified
participants (Appendix J)
B. Authorization of farmers and/or farmers’ markets, roadside stands, and CSA programs.
The State agency is responsible for the fiscal management of and accountability for,
SFMNP/FMNP-related activities for farmers and/or farmers’ markets, roadside stands, and
(in the SFMNP) bulk purchase and CSA programs. Each State agency may decide
whether to authorize farmers individually, farmers’ markets, or both farmers and farmers’
markets, as well as roadside stands and CSA programs. Only farmers and/or farmers’
markets and roadside stands authorized by the State agency may redeem SFMNP (§
249.10) /FMNP (§ 248.10) food instruments; only CSA programs authorized by the
SFMNP State agency may distribute eligible food to participants.
1. Describe the State agency’s general authorization procedures for farmers and/or
farmers’ markets, roadside stands, bulk purchase and CSA programs.
2. List or attach the criteria used to authorize farmers’ markets. Examples of authorization
criteria include: 1) permanent market location; 2) sufficient number of growers who
participate in the market; 3) a wide selection of products; 4) authorized to redeem
SFMNP/FMNP food instruments; 5) community support from non-SFMNP or FMNP
sales; 6) produce offered for sale is locally grown; or 7) accessibility to senior service
areas or WIC local agencies/clinics (Appendix L).
3. List or attach the criteria used to authorize farmers. Examples of authorization criteria
include: 1) grows a minimum percentage of the produce to be sold (please specify); 2)
owns land within the State/ITO where produce is grown; 3) certified by the State
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Agriculture Department, ITO, Cooperative Extension Agent or by a Farmers’ Market
Association within the State/ITO; 4) authorized to redeem SFMNP/FMNP food
instruments; 5) offers locally-grown produce; or 6) accessible to senior service areas or
WIC local agencies/clinics (Appendix M).
4. List or attach the criteria used to authorize roadside stands (Appendix N).
5. List or attach the criteria used to authorize CSA programs (Appendix X).
6. List or attach the criteria used to select farmers for bulk purchase programs (Appendix
O).
7. FNS defines” eligible foods” to mean fresh, nutritious, unprepared, locally grown fruits,
vegetables and herbs. Does the State agency use a different of more restrictive definition
for “eligible foods”?
Yes
No
List or attach a list of the fruits, vegetables, and/or fresh herbs that may be purchased using
SFMNP (§ 249.2) /FMNP (§ 248.2) benefits.
(NOTE: Honey is also an eligible food under the SFMNP, at the State agency’s
discretion. FMNP eligible foods do not include honey.)
Eligible foods may not be processed or prepared beyond their natural state except for usual
harvesting and cleaning processes. Maple syrup, cider, nuts, seeds, dried plums (prunes),
dried chilies or tomatoes, eggs, meat, cheese and seafood are examples of ineligible foods
for purposes of both the SFMNP and the FMNP. State agencies may also describe eligible
foods as “all fruits, vegetables, honey (SFMNP only) and herbs locally grown except…”)
8. Per SFMNP (§ 249.2) /FMNP (§ 248.2), FNS defines “locally grown” to mean produce
grown within State/ITO borders or areas in neighboring States/ITOs adjacent to its
borders. How does the State agency define "locally grown produce" in order to designate
eligible foods?
Within the State/ITO borders only
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Within the State/ITO borders and adjacent counties (e.g., one county into the next
State)
Within the county lines
Other (please specify)
9. To what extent does the State agency permit or prohibit the participation of individuals
who are selling produce grown by someone else, in addition to their own produce?
Individuals who exclusively sell produce grown by someone else, such as wholesale
distributors, cannot be authorized to participate in the SFMNP (§ 249.10 (a)(2)), or the
FMNP (§ 248.10 (a)(2)).
10. Describe how the State agency will ensure that there is no conflict of interest between
the State or local agency and any participating farmer, farmers’ market, roadside stand, or
CSA program. (§ 249.10 (a)(10), § 248.10 (a)(7))
11. Indicate the number of farmers’ markets, farmers, and/or roadside stands, and/or CSA
programs that are expected to be authorized in FY 2021:
Farmers’ markets
Farmers
Roadside stands
Bulk purchase programs
CSA programs
12. Does the State agency require that the Market Manager be bonded?
Yes
No
13. Are tokens used at authorized farmers’ markets?
Yes
No
If Yes, please describe how they are used in the market.
14. Are all participants provided with a receipt?
Yes
No
If No, please describe the procedure in more detail.
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C. Farmers and/or Farmers’ Market and/or Roadside Stand Agreements and/or CSA/
Bulk Purchase Agreements
NOTE: Some State agencies administer the SFMNP/FMNP by executing
agreements with farmers’ market associations that are responsible for managing
farmers’ markets. In such instances, the provisions and requirements outlined in
this section related to farmers’ markets must also be applied to such State
agency/farmers’ market association agreements.
Each State agency shall enter into a written agreement with all participating farmers and/
or farmers’ markets, roadside stands and/or CSA/ bulk purchase programs including
sanctions for non-compliance with SFMNP requirements. Include the SFMNP/FMNP
State agency-Farmers’/Farmers’ Market/ Roadside Stand/CSA/Bulk Purchase
Agreements in the Appendix.
This agreement as described in § 249.10 for SFMNP and in § 248.10 for FMNP must
contain at a minimum the following specifications.
1.
The farmer and/or farmers’ market and roadside stand shall: (§ 249.10(b)(1)(i-xii) (§
248.10(b)(1)(i-xii))
i.
ii.
iii.
iv.
v.
vi.
vii.
viii.
Provide such information as the State agency shall require for its
periodic reports to FNS;
Assure that SFMNP/FMNP food instruments are redeemed only for
eligible foods;
Provide eligible foods at the current price or less than the current price
charged to other customers;
Accept SFMNP/FMNP food instruments within the dates of their
validity and submit food instruments for payment within the allowable
time period established by the State agency;
In accordance with a procedure established by the State agency, mark
each transacted food instrument with a farmer identifier. In those
cases where the agreement is between the State agency and the farmer
or roadside stand, each transacted SFMNP/FMNP food instrument
shall contain a farmer identifier and shall be batched for
reimbursement under that identifier. In those cases where the
agreement is between the State agency/ITO and the farmers' markets,
each transacted SFMNP/FMNP food instrument shall contain a farmer
identifier and be batched for reimbursement under a farmers' market
identifier;
Accept training on SFMNP/FMNP procedures and provide training to
farmers and any employees with SFMNP/FMNP responsibilities on
such procedures;
Agree to be monitored for compliance with SFMNP/FMNP
requirements – including both overt and covert monitoring;
Be accountable for actions of farmers or employees in the provision of
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ix.
x.
xi.
xii.
foods and related activities;
Pay the State agency for any food instruments transacted in violation
of this agreement;
Offer SFMNP/FMNP recipients the same courtesies as other market
customers;
Comply with the nondiscrimination provisions of USDA regulations;
and
Notify the State agency if any farmer or farmers’ market, roadside
stand or CSA ceases operation prior to the end of the authorization
period. Provide the State agency with a regularly updated list of all
farmers at the authorized market who accept SFMNP/FMNP food
instruments in exchange for their produce, and their effective dates of
participation.
2. The farmer and/or farmer’s market and roadside stand shall not:
§ 249.10(b)(2)(i-iii), § 248.10(b)(2)(i-iii)
i.
Collect sales tax on SFMNP/FMNP food instrument purchases;
ii.
Seek restitution from SFMNP/FMNP recipients for food instruments
not paid by the State agency: and
iii.
Issue cash change or credit (including rain checks) in exchange for
purchases that are in an amount less than the value of the
SFMNP/FMNP food instrument(s).
3. Neither the State agency nor the farmer and/or farmers’ market, roadside stand or
CSA has an obligation to renew the agreement. The State agency or the farmer
and/or farmers’ market or roadside stand may terminate the agreement for cause after
providing advance written notification. The period of time within which such
advance notification must be provided is to be stipulated by the State agency as part
of the standard agreement.
4. The State agency may deny payment to the farmer and/or farmers’ market or roadside
stand for improperly redeemed SFMNP/FMNP food instruments or may establish a
claim for payments already made on improperly redeemed food instruments. The
State agency may disqualify a market and/or a farmer or roadside stand for program
abuse.
Note: Under § 249.16(a)(1)(iii),(b) and § 248.16(c)(1), the State agency shall provide
a hearing procedure whereby parties adversely affected by certain actions of the State
agency may appeal those actions. The State agency shall at a minimum provide the
affected party with a “Written notification of the adverse action, the cause(s) for the
action, including the effective date of the action including the State agency’s
determination of whether the action shall be postponed under paragraph (c) of this
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section if it is appealed, and the opportunity for a hearing. Such notification shall be
provided within a reasonable timeframe established by the State agency and in
advance of the effective date of the action.”
5. The State agency may disqualify a farmer and/or farmers’ market, roadside stand or
CSA for SFMNP/FMNP abuse.
6. A farmer and/or farmers’ market or roadside stand that commits fraud or engages in
other illegal activity is liable to prosecution under applicable Federal, State/ITO or
local laws.
7. A farmer and/or a farmer's market, roadside stand or CSA may appeal an action of the
State agency denying its application to participate, imposing a sanction, or
disqualifying it from participating in the SFMNP/FMNP. If a State agency has
agreements with farmers' markets, then a farmer shall appeal such actions to the
farmers' market. Expiration of a contract or agreement shall not be subject to appeal
through the SFMNP/FMNP State agency.
8. Agreements may not exceed 3 years. The farmers and/or farmers' market and/or
roadside stand and/or CSA program agreements are valid for
years
9. Describe other partnerships/arrangements that may have been negotiated by the
SFMNP/FMNP State agency, such as with Cooperative Extension Service programs,
or a State Agriculture Department, State Department of Aging, or ITO to authorize
farmers/farmers markets/roadside stands/CSA programs.
D. Annual training for farmers, farmers’ market managers and/or farmers who operate a
roadside stand or CSA program.
State agencies shall conduct annual training for farmers, farmers' market
managers, and/or farmers who operate a CSA program in the SFMNP/FMNP. The
State agency must also conduct a one-time, face-to-face training for all farmers and
farmers' market managers who have never previously participated in the SFMNP
or FMNP (§ 249.10(d)) /FMNP (§ 248.10(d)). Face-to-face training refers to an
interactive format that includes opportunity for questions and answers, which may
include video conferencing as well as actual face-to-face training sessions.
After a farmer/farmers' market manager's first year of SFMNP/FMNP operation, State
agencies have discretion in determining the method used for annual training purposes. At
a minimum, annual training shall include instruction emphasizing:
Eligible food choices;
Proper SFMNP/FMNP food instrument redemption procedures, including
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deadlines for submission of food instruments for payment, and/or receipt of
payment for CSA programs’ distribution of eligible foods;
Equitable treatment of SFMNP/FMNP participants, including the availability of
eligible foods to SFMNP/FMNP participants that are of the same quality and cost
as those sold to other customers;
Civil rights compliance and guidelines;
Guidelines for storing SFMNP/FMNP food instruments safely; and
Guidelines for cancelling SFMNP/FMNP food instruments, such as punching
holes or rubber-stamping.
Describe the procedures the State agency has in place for the face-to-face training
required for all farmers and farmers’ market managers who have never previously
participated in the FMNP. This description should also include the subsequent training
methods made available to authorized farmers and farmers’ market managers after the
first year’s face-to face training.
E. Food Instrument Accountability
The food instrument reconciliation process as contained in § 249.10(h) and in § 248.10(h)
is intended to assure accountability by enabling the State agency to reconstruct the "life
history" of each food instrument, from the time it is issued through its final disposition.
The State agency is responsible for reconciling validly redeemed food instruments, as
well as lost, stolen, voided, expired, or SFMNP/FMNP food instruments that do not
match issuance records. The process for reconciling lost and/or stolen food instruments
must ensure that farmers accepting such instruments in good faith, and through approved
procedures, are not unfairly penalized.
1. Describe the State agency's system for identifying and reconciling SFMNP/FMNP
food instruments that were redeemed, voided, expired, or reported lost or stolen.
Validly redeemed SFMNP/FMNP food instruments are those that are issued to a valid
SFMNP/FMNP participant and redeemed by an authorized farmer, farmers’ market,
or roadside stand within valid dates. They must, at a minimum:
Have a valid participant identifier from the signature on the issuance log,
Have a unique and sequential serial number;
Be transacted within valid dates; and
Be redeemed by an authorized farmers' market, an authorized farmer
operating under the auspices of the authorized market, or operating a roadside
stand.
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2. Describe the State agency’s system for ensuring that food instruments are redeemed
only by authorized farmers (including those operating roadside stands), and farmers’
markets for eligible foods.
3. Describe the State agency's system for identifying and disallowing food instruments
that are redeemed or submitted for payment outside valid dates or by unauthorized
farmers or farmers' markets.
4. Food Instrument Timeframes
Issuance to participants
(no later than September 30)
Redemption by participants:
(no later than November 30)
Submission for payment by farmers/farmers' markets:
Payment by the State agency:
All of the functions described above must be completed within a timeframe that allows
the State agency to reconcile food instruments, liquidate obligations, and submit its
financial and program data reports (i.e., the FNS-683A for SFMNP & FNS-683B for
FMNP) to FNS through FPRS no later than January 30 of each year.
Provide a copy of the food instrument to be used in the SFMNP/FMNP in the Appendices
section.
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VI. Management Evaluations and Reviews
Indicate in the chart below the total number of local agencies serving SFMNP/FMNP
recipients, the number of each type of farmers' markets, farmers, roadside stands, and/or CSAs
authorized for this year, and the number of reviews of each type in the chart below.
A. The State agency must ensure that authorized farmers/farmers' markets/roadside stands (onsite)/CSA’s are reviewed. A minimum of 10 percent or at least one of each type of authorized
outlet (farmer, farmers’ market, roadside stand, CSA) (whichever is greater) must be
monitored each year. For example, if there are five authorized farmers’ markets in a
participating State agency and 40 authorized farmers, the State agency must review a
minimum of one farmers’ market and four farmers. These four farmers may or may not be
participating within the one farmers’ market being monitored.
New Fiscal Year:
Total # Local Agencies Participating
# of local agencies to be reviewed
(These is the # of local agencies not
the # of participating clinics.)
Total # Farmers Markets Authorized
# to be reviewed (min 10%)
Total # Farmers authorized
# to be reviewed (min 10%)
Total # Roadside stands authorized
# to be reviewed (min 10%)
Total # of CSAs
# to be reviewed (min 10%)
FMNP
SFMNP
Previous Fiscal Year:
Total # Local Agencies Participating
# of local agencies reviewed
Total # Farmers Markets Authorized
# of markets reviewed
Total # Farmers authorized
# of farmers reviewed
Total # Roadside stands authorized
# Roadside stands reviewed
Total # of CSAs
# of CSAs reviewed
FMNP
SFMNP
B. Describe the State agency’s criteria for defining a high-risk farmer. Such criteria must
include at a minimum:
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1. Proportionately high volume of food instruments redeemed within a farmers’ market
and within a State/ITO;
2. Participant complaints;
3. New farmers, farmers’ markets, and CSA programs in their first year of operation; and
4. In the case of CSA programs, a history of or ongoing inability to provide the full
SFMNP benefit to each shareholder as contracted.
C. Sanctions
Describe the State agency’s policies and procedures for determining the type and level of
sanctions to be applied against farmers, farmers’ markets, roadside stands, and CSA
programs that violate Federal and/or State agency SFMNP/FMNP requirements based
upon the severity and nature of the SFMNP/FMNP violations.
D. Describe the State agency’s plans for reviewing SFMNP (§ 249.17(c)(1)(ii)) and FMNP
(§248.17(c)(1)(ii)) practices at local agencies in FY 2021. All local agencies must be
reviewed at least once every two years by State agency staff. Attach a copy of the State
agency’s review instrument that will be used to review farmers, farmers’ markets, roadside
stands, bulk purchases and CSAs (Appendix R).
E. Attach a list of all reviews and findings of farmers, markets, roadside stands and CSA
programs from the previous year (Appendix Z).
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VII. Nutrition Education Requirements
A. List or attach the locations or settings where nutrition education for SFMNP/FMNP is
provided (e.g., local agencies, farmers’ markets, community centers, facilities for the aging,
schools, etc).
1. Does the State agency coordinate with other agencies around issues related to
nutrition education and promotion?
No
Yes (If yes, check the applicable partnerships below):
Supplemental Nutrition Assistance Program (SNAP)
Team Nutrition
Area Agencies on Aging
Commodity Supplemental Food Program (CSFP)
Children and Adult Care Food Program (CACFP)
Temporary Assistance for Needy Families Program (TANF)
Food Distribution Program on Indian Reservations (FDPIR)
Other FNS programs (specify):
Expanded Food and Nutrition Education Program (EFNEP) and/or Cooperative
Extension Service
Other USDA programs (Agricultural Marketing Service (AMS), Farm Service
Agency (FSA), etc.)
Other government programs (e.g., 5 A Day, Head Start, etc.)
Non-profit organizations (specify):
For-profit organizations (specify):
Industry (specify):
Professional organizations (specify):
Educational Institutions (specify):
Religious Institutions (specify):
Other (specify):
2. Describe how nutrition education for SFMNP/FMNP is coordinated with other
nutrition education programs or services, such as WIC, SNAP, Extension Service, 5
A Day, or State/ITO initiatives.
3. Describe the nutrition education materials developed by the State agency and how
they are used. In addition, describe any new materials the State agency plans to
develop.
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4. Does the State agency plan to develop new participant educational materials
containing the current Dietary Guidelines for Americans?
Yes
No
If yes, please describe the elements below.
Type of material
Target audience
Project completion date
5. If the State agency intends to collect survey information to assess the effects of the
Program on farmers’ markets and the change in consumption of fresh fruits and
vegetables by SFMNP/FMNP participants, attach copies of survey forms.
B. Describe in detail the State agency’s plans to provide nutrition education to SFMNP (§
249.9) and FMNP(§ 248.9)) participants. If the administering State agency for the
SFMNP/FMNP has entered into an agreement with another agency to provide nutrition
education, attach a copy of that other agency’s nutrition education plans for SFMNP/FMNP
participants (Appendix 7).
Guidelines:
Responsibility
It is not mandatory that the SFMNP/FMNP State agency retain sole responsibility
for providing nutrition education to Program recipients. Nor is it intended that the
S/FMNP State agency duplicate the nutrition education that may be currently
provided by the other agencies. The S/FMNP nutrition education requirement may
be fulfilled directly by the farmer’s markets or another branch of the State
Department of Agriculture or ITO, or under agreement with the local WIC agency,
area colleges and universities, the Expanded Food and Nutrition Education Program
(EFNEP), the Cooperative Extension Service, and/or any number of other entities
having the capability to address the particular nutritional benefits of fruits and
vegetables that can be obtained at farmers’ markets. Any costs associated with the
provision of nutrition education by an entity other than the administering agency of
the S/FMNP are allowable administrative expenses under S/FMNP funding. This
aspect of the program responds directly to the Congressional intent in establishing
the S/FMNP as a way to increase recipients’ awareness and use of farmers’
markets.
1.
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2. Encourage Partnerships
FNS believes that the effectiveness of nutrition education can be greatly enhanced
through collaboration with others interested in promoting health and nutrition in
low-income populations. Therefore, FNS strongly encourages collaboration and
coordination of efforts with State/ITO-wide public and private partners to enhance
both the outreach and efficacy of the nutrition education efforts. FNS encourages
such collaboration to facilitate development of long-term, coordinated nutrition
education plans and sustainable infrastructures, foster an integrated approach to
nutrition education across programs in the State or ITO, capitalize on promotional
opportunities, coordinate and pool resources for material development, duplication,
and dissemination, and ensure development of science-based messages that are
consistent with the U.S. Dietary Guidelines for Americans, My Plate, and other
Federal guidance.
3. Promote the Dietary Guidelines
To create a base of messages that may be reinforced across FNS programs, FNS
encourages State agencies to incorporate the messages contained in the latest
edition of the U.S. Dietary Guidelines for Americans into their nutrition education
plans. It is expected that nutrition education messages will logically be tailored to
address the most urgent nutrition education needs of constituents. However, as
opportunities arise, FNS strongly encourages State agencies to convey at a
minimum four key messages through WIC and other FNS programs so that program
recipients have repeated exposure to these messages. The messages, all designed to
promote food and physical activity choices for a healthy lifestyle, are as follows:
Balancing Calories
● Enjoy your food, but eat less.
● Avoid oversized portions.
Foods to Increase
● Make half your plate fruits and vegetables.
● Make at least half your grains whole grains.
● Switch to fat-free or low-fat (1%) milk.
Foods to Reduce
● Compare sodium in foods like soup, bread, and frozen meals ― and choose the
foods with lower numbers.
● Drink water instead of sugary drinks.
Increase physical activity and reduce time spent in sedentary behaviors
These messages - derived from the Dietary Guidelines - are being consistently and
prominently promoted in all of the FNS programs to advance an integrated,
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behavior- based, comprehensive nutrition education approach across FNS
programs. Using these four core messages, nutrition education program
administrators across the many FNS programs can collaborate and work jointly
around these common themes for their nutrition education interventions, for
example to pool resources to develop materials jointly, conduct social marketing
campaigns, and reinforce educational messages.
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VIII. Miscellaneous Requirements
A. Civil Rights
1. Describe per SFMNP (§ 249.7(b)/FMNP (§ 248.7(b)) the State agency’s procedures
for handling complaints of discrimination on the basis of race, color, national origin, age,
sex or disability, including timeframes for submitting such complaints and for
investigating them and responding to plaintiffs. The State agency’s procedures for
handling complaints of discrimination in the SFMNP/FMNP should be consistent with
established and approved procedures for handling such complaints related to other
assistance programs administered by the State agency. For example, if CSFP-related
allegations of discrimination are to be forwarded to FNS Headquarters for investigation
and resolution, then SFMNP/FMNP complaints should be handled in the same way. It is
not necessary for the State agency to develop separate, duplicative procedures for the
SFMNP/FMNP if such procedures already exist in a related Program administered by the
State agency.
2. Does the State agency use the current non-discrimination statement below on all
SFMNP and FMNP brochures and publications, excluding materials that provide only
nutrition education information without mentioning the SFMNP/FMNP, and such
items as caps, buttons, magnets, and pens, when the size or configuration make it
impractical?
In accordance with Federal civil rights law and U.S. Department of Agriculture
(USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and
employees, and institutions participating in or administering USDA programs
are prohibited from discriminating based on race, color, national origin, sex,
disability, age, or reprisal or retaliation for prior civil rights activity in any
program or activity conducted or funded by USDA.
Persons with disabilities who require alternative means of communication for
program information (e.g. Braille, large print, audiotape, American Sign
Language, etc.), should contact the Agency (State or local) where they applied
for benefits. Individuals who are deaf, hard of hearing or have speech disabilities
may contact USDA through the Federal Relay Service at (800) 877-8339.
Additionally, program information may be made available in languages other
than English.
To file a program complaint of discrimination, complete the USDA Program
Discrimination Complaint Form, (AD-3027) found online at:
http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office,
or write a letter addressed to USDA and provide in the letter all of the
information requested in the form. To request a copy of the complaint form, call
(866) 632-9992. Submit your completed form or letter to USDA by:
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(1) mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;
(2) fax: (202) 690-7442; or
(3) email: [email protected]
This institution is an equal opportunity provider
FMNP (§ 248.7(a)(1)) Yes
No
SFMNP (§ 249.7(a)(1)) Yes
No
3. If the size of the material is too small to include the full statement, does the State
agency include the following statement(s) in print in the same size as the text?
“This institution is an equal opportunity provider.”
FMNP (§ 248.7(a)(1)) Yes
No
SFMNP (§ 249.7(a)(1)) Yes
No
If yes, what is the statement/s used?
4. Does the State agency use the following statement in radio and television public
service announcements?
“This institution is an equal opportunity provider.”
FMNP (§ 248.7(a)(1)) Yes
B.
No
SFMNP (§ 249.7(a)(1)) Yes
No
Hearing Procedures and Program Complaints
1. The State agency must provide a fair hearing procedure whereby local agencies,
participants, and farmers/farmers’ markets/roadside stands/CSA programs adversely
affected by certain actions of the State agency may appeal those actions. A local agency
may appeal an action of the State agency disqualifying it from participating in the
SFMNP/FMNP. A participant may appeal disqualification of SFMNP/FMNP benefits.
A farmer, farmer’s market, roadside stand or farmers’ association may appeal an action
of the State agency denying its application to participate, imposing a sanction, or
disqualifying it from participating in the SFMNP/FMNP. If a State agency has
agreements with farmers’ markets, then a farmer may appeal such actions to the farmers’
market or farmers’ association. Expiration of a contract or agreement shall not be subject
to appeal through the SFMNP/FMNP State agency. The State agency must also provide
procedures for addressing complaints about program operations.
a. Describe the State agency’s procedures for offering, conducting, and rendering
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final decisions on fair hearings requested by local agencies, participants, and
markets/farmers/roadside stands/CSA programs. The opportunity to request a
fair hearing regarding certain adverse actions taken by the State agency must be
provided to all farmers and/or farmers’ markets/roadside stands/CSA programs
and participants against whom such adverse action is taken.
b. Describe the State agency’s procedures for handling program complaints from
participants, non-participants, markets, farmers, roadside stands, bulk purchase,
and CSA programs.
2. Drug Free Workplace - Describe the State agency's plans to maintain a drug-free
workplace and otherwise comply with 2 CFR 421.
3. Local Agency Debarment/Suspension – Per 2 CFR 417. Does the State agency have on
file either 1) a current local agency certification in a format established by the State agency;
or, 2) a local agency contract including assurance on debarment/suspension, which may be
satisfied by the local agency debarment/suspension certification provided for another
program if it covers the same period as the SFMNP/FMNP local agency contract; or, 3) a
record showing that the SFMNP/FMNP State agency had checked the Excluded Parties List
System (EPLS) for each local agency?
Yes
No
4. SF-LLL on File - Does the State agency have on file the current SF-LLL, Disclosure
Form to Report Lobbying, if lobbying occurs with non-federal funds, for each SFMNP local
agency with a sub-grant exceeding $100,000, if any? (This may be satisfied with local
agency lobbying disclosures provided for CSFP or Aging services only if the State agency –
local agency contract covers both CSFP and Aging Services or in the case of WIC only if
the State agency – local agency contract covers both WIC and FMNP)
Yes
No
5. SF-LLL Transmission – Has the State agency provided a copy of any such disclosures to
the FNS Regional Office?
Yes
No
6. Have there been any fair hearings in the previous year? Yes
No
If yes, how many? Indicate for which program.
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7. Have there been participant complaints in the previous year? Yes
No
If yes, how many? Indicate for which program.
C. Nondiscrimination
State agencies are required to comply with all applicable and pertinent laws and
regulations regarding the assurance of nondiscrimination on the basis of race, color,
national origin, age, sex, or disability(§ 249.7, § 248.7). Describe the State agencies system
or procedures for:
1. Racial/ethnic participation data collection:
a. If the State agency is relying on racial/ethnic data that has already been collected
through the participant’s participation in another program by which s/he is
deemed automatically income eligible to participate in the SFMNP (e.g., SNAP,
(CSFP, SSI, etc.), identify the program as well as the agency that administers that
program, if different from the SFMNP State agency:
b. If the State agency will be collecting the racial/ethnic data from SFMNP
participants, a copy of the form that will be used to collect and record such data
should be attached.
c. Describe the State agency’s procedure(s) for providing the racial/ethnic data
collected on all SFMNP participants in the event that such data is requested by
FNS.
2. Does the State agency provide annual reviews of local agencies/clinics to assure
nondiscrimination against any of the protected classes listed above (SFMNP only).
Yes
No
3. Per § 249.7 of the federal SFMNP regulations, the State agency ensures that no person will
be denied benefits, or otherwise discriminated against on the grounds of race, color, national
origin, age, sex, or disability.
Yes
No
4. Per § 249.7 of the Federal SFMNP regulations, how does the State agency:
a. Notify the public, participants, and potential participants of the nondiscrimination
policy?
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b. Notify participants and potential participants of complaint procedures regarding
alleged unlawful discrimination? (See Section VIII below regarding the complaint
process.)
c. Review and monitor program activities to ensure compliance with nondiscrimination
policies and procedures?
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Appendices
Include all of your appendices here. Please identify clearly any pages according to the lettering
system used in this format.
Required
A. Federal-State Supplemental Nutrition Programs Agreement (FNS-339), expiration of
4/30/2022
B. Job Descriptions
C. Copies of signed agreements between the State agency and another State agency
(delineating the functions to be performed)
D. Copies of cooperative agreements with other entities for authorizing and/or training
farmers, farmers’ markets, roadside stands, or CSA programs, or for conducting bulk
purchases, if applicable
E. Supporting documentation for State, private, in-kind, or similar program funding (if
applicable)
F. Instructions to participants, including rights and responsibilities
G. List of fruits, vegetables and/or fresh herbs that are eligible in the program
H. Samples of reporting forms for record keeping (if available)
I. Copy of the log or other forms used to record and report food instrument issuance and
inventory
J. Copy of the SFMNP/FMNP food instrument (coupon or check or electronic benefits
transfer (EBT) card, etc.)
K. Map outlining service areas and proximity of farmers’ markets, roadside stands, and/or
CSA programs from the prior year’s operation to SFMNP local agencies
L. List of criteria used to authorize farmers’ markets
M. List of criteria used to authorize farmers
N. List of criteria used to authorize roadside stands
O. List of criteria used to authorize farmers for bulk purchase programs.
P. Copy of prototype agreements for farmers, markets, CSAs and bulk purchases (if
applicable)
Q. Training materials for farmers, markets, roadside stands and CSAs (if applicable)
R. State agency’s monitoring tool(s) to review farmers, farmers’ markets, roadside stands,
and CSA programs (if applicable)
S. Sample State-wide application form for FMNP and SFMNP
T. Sample notification of ineligibility
U. State agency’s monitoring tool to review local agencies/clinics
V. Copy of SFMNP affidavit to affirm income eligibility
W. List of criteria for certifying SFMNP participants
X. List of criteria used to authorize CSA programs (if applicable)
Y. List of SFMNP certification/issuance sites
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As applicable (SFMNP or any forms/materials used in the FMNP that are different from
what is used in the WIC Program)
1. State agency training tools for local agencies
2. Sample proxy form
3. Examples of nutrition education materials
4. Copy of form to request an appeal/fair hearing and procedures
6. Form to collect and record racial/ethnic data
7. Copy of other agency’s nutrition education plans for SFMNP/FMNP participants
Please list any other attachments or appendices:
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Seniors Farmers’ Market Nutrition Program
And
Farmers’ Market Nutrition Program
Consolidated State Plan
FY 2021
Request for Expansion Funds
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Seniors Farmers' Market Nutrition Program
Request for Expansion
Fiscal Year 2021
This section should be completed only if a State agency operated a federally-funded
SFMNP in fiscal year (FY) 2020. If a State agency is requesting an increase in federal funds
above its base grant, the expansion request should be consistent with expanding benefits to more
participants or by enhancing current benefits, or a combination of both, and increasing the
consumption of agricultural commodities by expanding, developing, or aiding in the
development and expansion of farmers’ markets, roadside stands, and community supported
agriculture (CSA) programs. Generally, to be eligible for expansion funds, a State agency must
1) have utilized at least 80 percent of its prior year food grant, and 2) provide
documentation supporting the expansion request. A State agency that did not spend at least
80 percent of its prior year food grant may still be eligible for expansion funds if, in the
judgment of FNS, a good cause existed for the lower expenditure rate (§ 249.14(e)(1)(2)).
Contingent upon the availability of funds and the justifications provided to FNS, expansion
requests will be granted as early in the fiscal year as possible.
1. Base Grant amount for FY 2021 (this is your final FY 2020 grant amount):
$
.
2. Amount of expansion funds requested for FY 2021 (additional Federal funds above the
amount in item number 1): $
.
3. Estimated amount and percent of federal SFMNP food funds spent by the State agency
during FY 2020: $
and the percentage:
%.
4. Briefly describe the reason(s) for requesting funds to expand the SFMNP, including any
supporting documentation. Attach additional sheets as needed.
5. Number of additional participants above the previous year’s level the State agency hopes
to serve with the expansion funds:
6. Number of additional farmers' market sites, roadside stands, CSA programs, and local
agencies (e.g., Area Agencies on Aging or CSFP) the State agency anticipates
authorizing:
New farmers’ market sites.
New roadside stand locations.
New CSA programs.
New local agencies.
New bulk purchase programs
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7. If the State agency intends to increase the benefit level with expansion funds, what will
the benefit level be after expansion?
For participants at markets and roadside stands
For participants in CSA programs
For participants in bulk purchase programs
8. Describe the State agency's administrative capacity to manage the requested increase in
SFMNP caseload effectively.
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WIC Farmers’ Market Nutrition Program
Request for Expansion
Fiscal Year 2021
This section should be completed only if a State agency operated a Federally-funded WIC
Farmers’ Market Nutrition Program in fiscal year (FY) 2020. If a State agency is requesting an
increase in Federal funds above its base Federal grant, the expansion request should be consistent
with expanding benefits to more recipients, or by enhancing current benefits, or a combination of
both, and expanding the awareness and use of farmers’ markets. Expansion funds are subject
to the 30 percent administrative funding match requirement. Generally, to be eligible for
expansion funds, a State agency must 1) have utilized at least 80 percent of its prior year food
grant, and 2) provide documentation supporting the expansion request. A State agency that
did not spend at least 80 percent of its prior year food grant may still be eligible for expansion
funds if, in the judgment of FNS, a good cause existed for the lower expenditure rate (§ 248.14
(e)(1)(2) .
Contingent upon the availability of funds and the justifications provided to FNS, expansion
requests will be granted as early in the fiscal year as possible.
1. Base grant amount for FY 2021 (this is your final FY 2020 grant amount):
$
2. Amount of expansion funds requested for FY 2021 (additional Federal funds above the
amount in item number 1: $
3. Using the Worksheet provided on pages 41-43, the total amount of the State agency’s
match required for the base grant amount and expansion funds is: $
.
Describe the source(s) and amounts for the match funds to support the expansion request.
4. Estimated amount and percentage of Federal FMNP food funds spent by the State
agency during FY 2020: $
and
%.
5. Briefly describe the reason(s) for requesting funds to expand the FMNP, including any
supporting documentation. Attach additional sheets as needed.
6. Number of additional recipients above the previous year’s level that the State agency
hopes to serve (by category) with the expansion funds:
Pregnant women
Breastfeeding women
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Postpartum women
Infants (over 4 months of age)
Children
Total
7. Number of additional farmers’ markets, roadside stands, and/or local agency/clinic sites
the State agency anticipates authorizing:
New farmers’ market sites (Please attach a list of all new addresses.)
New farmers (Please attach a list of all new addresses.)
New roadside stand locations (Please attach a list of all new locations.)
New local agencies/clinics (Please attach a list of all new addresses.)
Please attach a list and map showing all of the new and continuing farmers’ markets,
roadside stands, and WIC clinics.
8. If the State agency intends to increase the benefit level with expansion funds, the new
benefit level after expansion will be $
9. If the State agency uses varying benefit amounts, please list all of the new benefit levels,
indicating the recipient categories affected.
10. Describe the State agency’s administrative capacity to manage effectively the requested
increase in FMNP caseload.
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| File Type | application/pdf |
| File Title | Senior Farmers’ |
| Author | yeek |
| File Modified | 2021-05-25 |
| File Created | 2020-10-19 |