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pdfAppendix G
WIC FMNP State Plan Guidance
OMB Control Number: 0584-0447, Expiration xx/xx/20xx
WIC Farmers’ Market Nutrition Program
Fiscal Year (FY) 2021
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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WIC Farmers’ Market Nutrition Program (FMNP)
Fiscal Year 2021
State Plan Guidance
Table of Contents
Page
General Information
3
Updated State Plan Information
14
State Plan of Operations
22
Section I
Goals
23
Section II
General Administration
24
Section III
Funding
28
Worksheets for Federal Funds Request and Matching
I. FY 2021 FMNP Estimated Federal Budget Summary
II. Administrative Budget Estimate
III. Federal Funds Request and State / Indian
Tribal Organization (ITO) Matching Funds
IV. Federal Food Funds Request Based on a Uniform
Benefit Level
V. Federal Food Funds Request Based on Varying
Benefit Levels
Section IV
Certification
37
Section V
Food Instrument and Market Management
41
Section VI
Management Evaluations and Reviews
48
Section VII
Nutrition Education Requirements
50
Section VIII Miscellaneous Requirements
53
Appendices
56
Request for Expansion Funds
57
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WIC Farmers’ Market Nutrition Program
FY 2021
General Information
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WIC Farmers' Market Nutrition Program (FMNP)
Fiscal Year 2021
State Plan Guidance
Due Date: November 15, 2020
GENERAL INFORMATION
The WIC Farmers’ Market Nutrition Program (FMNP) was established in July 1992, by
the WIC Farmer’s Market Nutrition Act of 1992, Public Law 102-314. The mission of
the FMNP is to provide fresh, unprepared, locally grown fruits, vegetables and herbs
directly to Special Supplemental Nutrition Program for Women, Infants, and Children
(WIC) participants, and to expand the awareness and use of local farmers’ markets.
State agencies currently participating in or those who wish to apply to the FMNP are required
under 7 Code of Federal Regulations (CFR) 248.4 to submit a State Plan to USDA’s Food
and Nutrition Service (FNS). A State Plan defines and describes the manner in which a State
agency intends to implement, operate and administer the FMNP for the following year. State
agencies such as State Health Departments, Departments of Agriculture, Agencies on Aging,
and Indian Tribal Organizations (ITOs) administer the 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 FMNP is operated in accordance with the Program’s
laws and regulations must approve the FMNP State Plan; in addition to signing the FederalState Supplemental Nutrition Programs Agreement (FNS-339), OMB Control Number:
0584-0332 WIC Federal and State Agreement; expiration of 4/30/2022. This Guidance sets
forth the minimum areas that must be addressed in the State Plan.
FMNP STATE PLAN REVIEW AND APPROVAL PROCESS
FNS Regional Office staff will review FMNP State Plans and notify FMNP State agencies of
any problems or areas in need of clarification. FNS will provide notification of approval or
denial of the FMNP State Plan within 30 days of receipt of the Plan. State agencies should
contact their respective FNS Regional Offices for technical assistance; a list of FNS Regional
Offices can be found on pages 11-13.
Approval of a State Plan does not constitute a funding commitment for the FMNP.
FMNP State agency base grants will be announced after State Plans have been submitted,
reviewed, and approved, but no later than 45 days after Fiscal Year (FY) 2021 funding for
the FMNP is appropriated. Final State agency grants will be announced as soon as possible
after all FMNP State agencies’ FY 2020 grants are completely and accurately closed out.
If any of the sections or procedures described in the FMNP 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.
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FORMAT
Where possible, FNS has simplified this descriptive process to allow for yes/no answers,
when appropriate, 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 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 of a more involved narrative describing the information captured
on such records). While use of this format is not mandatory, it is recommended to minimize
the application burden on States. Please identify any attachments or continuation pages
according to the corresponding headings using the Appendices lettering system located
on Page 21 or Page 56 of the State Plan Guidance.
It is highly recommended that State agencies electronically submit State Plans to FNS
Regional Offices.
UPDATED FMNP 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 FMNP for the first time cannot use the Updated State Plan section.
State agencies submitting an initial State Plan for the FMNP must provide a complete and
comprehensive plan. 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.
A budget for the current year’s operation and certifications must be submitted to FNS
each year, regardless of whether the FMNP’s 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 FMNP Estimated Federal Budget Summary;
c. Expansion Request for those State agencies requesting expansion funds;
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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 WIC
clinics; and/or
a new map showing the locations of the new farmers’ markets, roadside stands,
and WIC clinics.
UNIVERSAL IDENTIFIER
The Estimated Federal Budget Summary (page 32) 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 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 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). The Estimated Federal Budget Summary (page 32)
contains the field where the DUNS number must be provided. All State agencies must
complete this section of the State Plan, annually. Please complete the space for the
Universal Identifier on the Federal-State Supplemental Nutrition Programs Agreement (FNS339), 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-dobusiness-fns.
FEDERAL-STATE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM
AGREEMENT (FNS-339)
In addition to the basic 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. It is routinely
submitted along with the State Plan. The Federal-State agreement contains the mandatory
Department-wide provisions addressing 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 (WIC, FMNP, and the Seniors Farmers’ Market
Nutrition Program (SFMNP)). Be sure to check the appropriate box for each program under
item 4 on the first page of the FNS-339, expiration of 4/30/2022.
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS – PRIMARY COVERED TRANSACTIONS
The Federal government uses the nonprocurement, debarment and suspension system to
exclude organizations from federal grants or contracts based on violations of a wide variety
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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 FMNP State agency is not required to provide assurance that it is neither suspended nor
debarred as a condition of receiving its FMNP grant. Departmental regulations at 2 CFR 417
exempt mandatory programs, such as the FMNP, 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.
The debarment/suspension requirements apply to sub-grants at the “lower tier covered
transaction” level, i.e., sub-grants to local agencies, regardless of the amount of the
sub-grant. The FMNP State agency is required to obtain assurance that each of its FMNP
local agencies, and each of its FMNP procurement contractors with total contracts (FMNP
and non-FMNP) expected to meet or exceed $25,000, is neither debarred nor suspended.
The debarment/suspension requirements apply to all State agency sub-grants with local
agencies, which are often referred to as “agreements” or “contracts;” the term “sub-grant”
refers to programmatic activities such as reviewing WIC participant files to determine
recipient eligibility for FMNP, distributing and accounting for FMNP food instruments
(coupons, checks, electronic benefits transfer (EBT) card, etc.), instructing participants on the
proper use of the food instrument, and providing participants with nutrition education and
other program information, because these programmatic activities are characteristic of
program sub-grants. However, these requirements do not apply to a local office of the State
agency which is part of the State agency but 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 FMNP State agency now has three choices on how to obtain the assurance of nondebarment/suspension:
1. 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;
2. Obtain a certification from the local agency or procurement contractor, in a format
established by the FMNP State agency, providing assurance that the local agency or
procurement contractor has not been debarred or suspended; or,
3. Stipulate in the local agency contract or procurement contract that the local agency or
procurement contractor must provide 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.
The debarment/suspension certifications for local agencies with respect to the WIC Program
are sufficient for the FMNP if these certifications cover the period of the FMNP sub-grants.
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Likewise, the WIC State agency – local agency contract may also be used by the FMNP State
agency if this contract covers the period of the FMNP sub-grant and contains the language
noted in #3 above. If there is any doubt about whether a WIC local agency certification or
contract covers the period of the FMNP sub-grant, the State agency should use the SAM
instead of the WIC certification or contractual assurance to determine the
debarment/suspension status of the local agency. A non-WIC FMNP State agency, such as a
State Department of Agriculture, should obtain copies of the local agency certifications or
contracts from the WIC State agency for all WIC local agencies involved with the FMNP.
If the non-WIC FMNP State agency has entered into an agreement with the WIC State
agency to obtain the services of WIC local agencies, the WIC State agency would be a subgrantee of the FMNP State agency. Thus, the FMNP State agency would need to satisfy
itself that the WIC State agency is neither suspended nor debarred via one of the methods
outlined above. However, under such circumstances, the FMNP State agency would not
need to obtain such satisfaction regarding the WIC local agencies because it does not have a
direct relationship with them. Also, under such circumstances, if the WIC State agency has
submitted a debarment certification for another program, then a copy of that debarment
certification could be provided to the FMNP State agency, since the debarment certification
concerns the State agency; generally, instead of a specific grant agreement.
FMNP State agencies are not required to submit copies of the local agency certifications or
contracts or procurement contractor certifications or contracts to the FNS Regional Office as
part of the annual FMNP State Plan submission. However, FMNP State agencies must be
able to make these certifications or contracts available for review during management
evaluations and audits. Alternatively, the FMNP State agency must keep a record showing
that it has consulted the SAM, and present this record upon request during a management
evaluation or audit.
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
The Certification Regarding Drug-Free Workplace Requirements has been abolished.
However, the FMNP 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 that are used
for other programs such as WIC. Furthermore, this requirement does not apply to farmers or
farmers’ markets.
CERTIFICATION REGARDING LOBBYING AND DISCLOSURE FORM TO REPORT
LOBBYING
Pursuant to 7 CFR 417, FMNP funds must not be used for lobbying Congress or Federal
agencies regarding federal grants and contracts. This prohibition applies to FMNP funds
provided in grants, sub-grants, contracts, and sub-contracts, regardless of the amount of
funds. However, the lobbying certification and disclosure requirements are based on
monetary thresholds.
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The Certification Regarding Lobbying is required for State agencies, local agencies, and
procurement contractors requesting or receiving FMNP grants, sub-grants, contracts, or
sub-contracts exceeding $100,000. The grant or sub-grant includes food funds as well as
administrative funds; food funds may not be excluded from the determination of whether a
grant or sub-grant exceeds $100,000. The State agency’s certification should be appended to
the Federal-State agreement; the local agency should provide its certification to the State
agency. If the State agency is using the same Federal-State agreement for both WIC 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.
This requirement does not apply to farmers or farmers’ markets.
The local agency’s certification should be provided to the FMNP State agency; like the local
agency debarment certifications, the State agency needs to keep the local agency lobbying
certifications on file. Likewise, the State agency needs to keep on file the lobbying
certifications of its contractors. Also, as with the Federal-State agreement, if the State
agency, local agency contract covers both WIC and FMNP, then only one local agency
lobbying certification is needed for both programs; otherwise, a separate lobbying
certification must be submitted for each program. Finally, the lobbying certification is not
needed for a local office of the State agency which is part of the State agency but operates
like a local agency; a local office of a State agency is covered by the State agency’s
certification provided to FNS with the Federal-State agreement.
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 an additional form needs to be submitted, the Disclosure Form to Report
Lobbying (Standard Form LLL), for State agencies, local agencies, and procurement
contractors requesting or receiving FMNP grants, sub-grants, contracts, or sub-contracts
exceeding $100,000. State agencies need to submit an SF-LLL on their lobbying to the FNS
Regional Office; local agencies and State agency contractors need to submit an SF-LLL on
their lobbying to the State agency, and then the State agency must submit it to the FNS
Regional Office. Again, as above, FMNP State agencies need only submit one SF-LLL if the
Federal-State Agreement covers both WIC 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.
ADDITIONAL REPORTS AND SUBMISSIONS
In addition to the State Plan, FNS requires FMNP State agencies to submit the following
reports:
a. FMNP Annual Financial and Program Data Report, FNS-683b requires information
regarding annual grant closeout data on FMNP grant obligations and outlays, and
participation data. This data is due to FNS through the Food Program Reporting
System (FPRS) no later than January 30 of each year.
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b. An analysis of completed recipient and/or farmers’ survey forms must be submitted
to FNS, whenever available, but no later than January 30 of each year. State
agencies are encouraged to conduct surveys of recipients and farmers. At a
minimum, the survey shall assess the change in the consumption of fresh fruits and
vegetables by recipients, and the effects of the FMNP on farmers’ markets.
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TECHNICAL ASSISTANCE
FNS Regional Offices
Questions about the development, structure, and/or submission of the FMNP State Plan
should be directed to the appropriate FNS Regional Office of the Supplemental Food
Programs 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 086911598
(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
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
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Southwest
Mountain
Plains
Chief
Supplemental Nutrition
Programs
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
Indiana
Iowa
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
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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
South Dakota
Cherokee River Sioux Tribe
Rosebud Sioux Tribe
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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WIC Farmers’ Market Nutrition Program
FY 2021
Updated State Plan Information
(State agency name)
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WIC FARMERS' MARKET NUTRITION PROGRAM
Updated 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 the appropriate 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:
FMNP Recipient Estimates:
A. Please summarize the previous Fiscal Year results: number of FMNP recipients (those
issued FMNP food instruments (checks, coupons, electronic benefits transfer (EBT)
cards, etc.) served with FMNP Federal and State funds in FY 2020 (previously
participating fiscal year):
B. Please provide estimates for the current (coming) Fiscal Year:
1. Estimated number of FMNP recipients to be served with FMNP federal and State
agency funds in FY 2021:
(Excluding Expansion)
(Including Expansion Request, 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)
Other designation (e.g., only
Priority I pregnant or breastfeeding
women)
Total
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2. Indicate (X) the basis on which FMNP benefits will be issued to eligible recipients:
Individuals
Households
3. The lowest Federal benefit amount that each FMNP recipient/household 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 benefit level a change from last year?
Yes
No
(Please note: Federal regulations at § 248.8(b) state 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.)
4. Do you plan to use non-federal funds to provide FMNP benefits to non-WIC
recipients?
Yes
No; if YES, please describe this caseload; include the name(s) of the
program(s) and the sources of non-federal funds:
5. 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.
6. Proposed months of Program operation:
through
7. Proposed months of FMNP food instrument issuance:
through
8. Proposed months of FMNP benefit usage by participants:
9. Are tokens used at authorized farmers’ markets? Yes
through
No
If Yes, please describe how they are used in the market.
10. Are all participants provided with a receipt? Yes
No
If No, please describe the procedure in more detail.
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11. Are any markets authorized to accept Cash Value Vouchers/Benefits
(CVV’s/CVB’s)?
Yes
No
If Yes: Statewide
or Selected Areas
Please attach a list.
12. Are any farmers authorized to accept Cash Value Vouchers/Benefits (CVV/CVB’s)?
Yes
No
13. Indicate the total number of local agencies serving FMNP recipients, and the numbers
of farmers, farmers’ markets, and/or roadside stands authorized. Also indicate review
activity below:
State Agency:
New Fiscal Year:
Total # of Local Agencies
# of local agencies to be reviewed (all participating agencies
reviewed by State agency staff at least once every two years)
# of local agencies to be reviewed
Total # of Farmers’ Markets Authorized
# of markets to be reviewed (minimum of 10%)
# of Farmers authorized
# of farmers to be reviewed (minimum of 10%)
# of Roadside stands authorized
# of Roadside stands to be reviewed (minimum of 10%)
Previous Fiscal Year:
Total # Local Agencies
# of local agencies reviewed
Total # Farmers’ Markets Authorized
# of markets reviewed
Total # Farmers authorized
# of farmers reviewed
Total # Roadside stands authorized
# of Roadside stands reviewed
14. Briefly summarize key findings and corrective actions taken as the result of local
agency reviews.
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State Agency:
Funding Information:
15. Is the State agency requesting expansion funds?
Yes
No
If yes, attach Expansion Request and list amount here: $
16. Is the State agency applying to use (not more than) 2 percent of its 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.
17. 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 worksheet on pages 33 - 35 per § 248.14(a)(i-ii)
(Please 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: $
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State/ITO and local funds. If available, attach documentation, such as a copy of
appropriations legislation, budget page containing this line item, etc.
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. Include the title of the program, the source of funding and a brief
description of how the program operates. Federal funds provided for SFMNP, any
other FNS program, or any other Federal 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 for the FMNP.
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)
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Reminder to Current FMNP State agencies:
In addition to the Updated State Plan section just completed, the following documents must
also be provided to FNS before the 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, CSA programs, 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), 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, and roadside stands (if applicable)
E. Supporting documentation for State, private, in-kind, or similar program funding (if
applicable)
F. Instructions to recipients, 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, and/or roadside
stands, from the prior year’s operation to WIC clinics
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. Copy of prototype agreements for farmers, farmers’ markets, associations, and
roadside stands (if applicable)
P. Training materials for farmers, farmers’ markets, and roadside stands (if applicable)
Q. State agency’s monitoring tool(s) to review farmers, farmers’ markets, and roadside
stands
R. Sample State-wide application form
S. Sample notification of client ineligibility
T. State agency’s monitoring tool to review local agencies/clinics
Optional
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
Please list any other attachments or appendices:
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S
t
a
t
e
WIC Farmers’ Market Nutrition Program
FY 2021
State Plan of Operations
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WIC FARMERS' MARKET NUTRITION PROGRAM
State Plan of Operations
Fiscal Year 2021
Please identify clearly any attachments/addenda pages according to the
numbering/lettering system used in this format.
State Agency:
I. Goals
A. Describe the State agency's plans to achieve the dual purposes of the FMNP as
follows:
1. To provide resources in the form of fresh, nutritious, unprepared foods (fruits
and 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 who are on a 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 Program 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 specialized management information systems, which the State agency
plans to implement to enhance its operation and administration of 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 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 of participants served;
2. The extent of the program, (e.g., limited to a city, a county, or was it a
statewide or an Indian Tribal Organization (ITO)-wide program?) and
3. The source(s) of funding for the program.
Please include any data concerning the benefits or impact of the program(s).
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II. General Administration
A. This section of the FMNP State Plan Guidance is to report on general operations.
1. Estimated number of FMNP recipients in FY 2020 (if applicable):
2. Estimated number of FMNP recipients for FY 2021:
3. Proposed months of FMNP operations:
through
4. Proposed months of FMNP food instrument issuance:
through
(No
later than 9/30)
5. Proposed months of food instrument redemption by recipients:
through
6. Proposed months of submission for payment by farmers/farmers’ markets/roadside
stands:
through
B. In light of recent changes in technology for both WIC and the Supplemental Nutrition
Assistance Program (SNAP), it is important that State agencies clearly identify how
FMNP benefits are provided to recipients. Since the inception of the Program, 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 FMNP.
1. Are any markets currently accepting benefits using EBT? Yes
If Yes, for which programs?
WIC
SNAP
FMNP
2. Do you anticipate providing FMNP benefits using EBT?
If yes, when?
No
SFMNP
Yes
No
In all markets or in selected areas?
C. Staffing
List all 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.
Paid through Federal FMNP Administrative funds
Position
Full Time
Part Time
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Paid through State/ITO FMNP funds
Paid through other funding source(s) – specify source(s)
D. If the FMNP State agency is not the WIC State agency, what functions will be
performed by State/ITO or local WIC Program staff? Check all that apply.
Certify recipients for the FMNP
Issue FMNP food instruments to local agencies
Issue FMNP food instrument benefits to participants
Instruct recipients on proper use of food instrument
Provide nutrition education for the FMNP
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Reconcile FMNP food instrument
Conduct FMNP reviews of authorized sites
Authorize farmers/farmers' markets/roadside stands
Train farmers/farmers' markets/roadside stands
Monitor farmers/farmers' markets/roadside stands
Manage WIC Cash Value Vouchers/Benefits (CVV’s/CVB’s) issued
to FMNP participants
If the State agency and the partnering agency(ies) are different, include as an
attachment a copy of the signed agreement between the agency(ies) (if different),
clearly stating the functions to be performed as indicated above. The written
agreement 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.
E. Will any other State or local government agency(ies), non-profit or for-profit
organizations, or the Cooperative Extension Service provide services for the FMNP
State agency?
Yes
No
If yes, list the State or local government agency(ies) and/or other organizations.
Include a copy of the signed agreement between the FMNP State agency and the
other agencies and/or non-profit or for-profit organizations, delineating the
services to be performed.
F. Indicate the basis on which program benefits will be issued to recipients:
Individuals
Households
G. The lowest Federal benefit amount that any FMNP recipient will receive 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.
§ 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
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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.
H. Are any markets currently accepting 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
If yes, please attach a list and explain.
No
a. How much is the incentive?
b. How does the market determine who receives the incentive?
c. How is the incentive funded?
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III. Funding
A. Please attach a detailed description of the State agency's financial management
system that will provide for accurate, current and complete disclosure of the financial
status of the FMNP. At a minimum, include the following elements:
1. Procedures to ensure prompt and accurate payment of allowable and allocable
costs, and ensure that costs claimed are in accordance with 2 CFR 225 (Cost
Principles Applicable to Grants and Contracts with State/ITO and Local
Governments) and FNS guidelines and instructions (see § 248.12 of the
Federal FMNP regulations and FMNP Policy Memorandum 2002-1, WIC and
WIC FMNP Cost Allocation);
2. Procedures for obligating funds, including drawing down and disbursing funds
from the Letter of Credit;
3. Descriptions of how farmers are paid, and claims procedures for
overpayments to farmers, farmers' markets, roadside stands, and recipients;
4. Claims procedures for overpayments to farmers, farmers' markets, roadside
stands, and recipients; and
5. A 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 State/ITO Matching Funds Estimation worksheets on pages 33 - 35, per §
248.14(a)(i-ii). (Please note that the 30 percent minimum match requirement
only applies to the total FMNP administrative cost of the program, 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, attach documentation, such as a copy of
appropriations legislation, budget page containing this line item, etc.
Private funds. 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, describe the in-kind
contribution, its value, and include any supporting documentation.
Similar programs. Federal funds provided for SFMNP or any other FNS
program 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(s) and amount(s). (More specific information can be
found in WIC Policy Memorandum #2005-3 Price Adjustments, Collections, Fines,
and Program Income)
C. Is the State agency seeking approval to use up to 2 percent of its total Program
funds for market development or technical assistance to farmers' markets in FY 2021?
Yes
No
NOTE: These funds are only available for 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.
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.
D. Describe in detail the State agency's record keeping system (per § 248.23) for the
FMNP, addressing at a minimum the following areas:
1.
2.
3.
4.
Financial operations
Food instrument issuance and redemption
FMNP participation reporting
Tracking staff time and other administrative expenses to ensure that
federal FMNP funds are only used for costs which are allowable and
allocable for FMNP
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NOTE: A description of the State's financial management system is required in
Section III(A) above. 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 of its intended use, should be attached to this
document.
E. As required under § 248.14(a)(i), there is a matching requirement for State and/or
local funds equal to or not less than 30 percent of the total administrative costs of the
State agency’s FMNP. Detailed below is 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 cost
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 actually
provides).
4. Total Federal funds requested (prior year’s total Federal grant) + State/ITO match
amount = Estimated total Program cost.
F. Federal Funds Request and Budget Worksheets
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I. FY 2021 FMNP ESTIMATED FEDERAL BUDGET SUMMARY
This worksheet summarizes the Federal food and administrative funds requested. 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 for estimating 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% 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:
$
2. Total Federal Funds Requested:
Total Federal Funds Requested,
Food and Administrative
/.81 =
x.19 =
Federal
Administrative
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Funds
3. Federal Administrative Funds:
/.70 =
4. Estimated Total Administrative
Funds:
-
=
Estimated Total
Administrative
Funds, Federal
and State
Federal Administrative Funds:
State Agency's Match for New Fiscal Year.
+
5. State/ITO Matching 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 (women, infants, and children receive 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
X
X
5. Proposed food benefit level:
$
$
$
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
1. 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 clinics.
c.
Estimated number of WIC recipients per clinic:
Clinic
# of Recipients
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, or only certain categories/groups?
All eligible recipients
Specified categories/groups: (check all that apply)
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(Excluding Expansion)
(Including Expansion)
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)
Other designation (e.g. only Priority I
pregnant or breastfeeding women)
4. Participant and Applicant Confidentiality
a. Does the State agency share information obtained from applicants and/or recipients
for FMNP with any other programs, agencies, law enforcement officials,
or any other organizations or persons?
Yes
No
(If “Yes,” explain below or attach documentation such as information-sharing
agreements, statements of policies and procedures, legal citations, etc.)
b. Per § 248.25 of the Federal FMNP regulations, the State agency restricts the use or
disclosure of information obtained from applicants/recipients to:
1. Persons directly connected with the administration or enforcement of
FMNP, including investigation and prosecution of FMNP violations by
any public authority;
Yes
No
2. Representatives of public organizations under written agreements for
eligibility/outreach purposes regarding other programs, without third party
access or disclosure;
Yes
No
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3. The Comptroller General of the United States, General Accounting Office
(GAO).
Yes
No
c. Does the State agency permit an applicant and/or recipient access to the
information which the applicant and/or recipient has provided to the program?
Yes
No
d. Does the State agency permit an applicant or recipient, upon his/her unsolicited
request, to sign a release or similar document allowing the information provided
by the applicant and/or recipient to be shared with other organizations or persons?
Yes
No
5. Dual Participation
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)
6. 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 (§ 248.7). Describe the State agency’s system
or procedures for:
a. Public notification of the nondiscrimination policy;
b. Annual reviews of local agencies/clinics to assure nondiscrimination against any
of the protected classes.
7. Per § 248.7 of the federal FMNP 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
8. Per § 248.7 of the Federal FMNP regulations, the State agency:
Notifies the public, participants, and potential participants of the
nondiscrimination policy.
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Notifies participants and potential participants of complaint procedures regarding
alleged unlawful discrimination? (See Section VIII below regarding the complaint
process.)
Reviews and monitors program activities to ensure compliance with
nondiscrimination policies and procedures.
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V. Food Instrument and Market Management (§ 248.10)
A. Issuing FMNP food instruments to recipients
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
FMNP food instruments are stored, or how secure handling of food instrument
stock and electronic food instrument numbers are 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 recipients. Include any
reporting forms used to gather data. This description should include the
automated processes as well as the manual processes used for issuance of food
instruments to recipients.
3. Describe the State agency's system for instructing recipients on the proper use of
FMNP food instruments. If this function is performed by the WIC local agency
on behalf of the FMNP State agency, indicate who issues the food instruments;
what materials are provided during issuance; and who explains the use of the food
instrument and redemption procedures to the recipient. Please include materials
provided to recipients instructing them on how to use FMNP food instruments and
any list of authorized farmers' markets provided to recipients.
4. Attach a copy of the log or other form used to record food instrument issuance to
valid certified recipients.
B. Authorization of farmers, farmers’ markets, and roadside stands
The State agency is responsible for the fiscal management of and accountability for
FMNP-related activities by farmers, farmers’ markets and roadside stands. Each
State agency may decide whether to authorize farmers individually, farmers’ markets,
or both farmers and farmers’ markets, as well as roadside stands. Only farmers
and/or farmers’ markets and roadside stands authorized by the State agency, as set
forth in § 248.10 in the Federal FMNP regulations, may redeem FMNP food
instruments.
1. Describe the State agency’s general authorization procedures for farmers and/or
farmers’ markets.
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; or 4)
community support from non-FMNP sales.
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3. List or attach the criteria used to authorize farmers. Examples of authorization
criteria include (but are not necessarily limited to): 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 Agriculture
Department, ITO Cooperative Extension Agent or by a Farmers’ Market
Association within the State agency; 4) authorized to redeem SFMNP food
instruments; 5) offers locally grown produce; or 6) accessible to WIC service
areas.
4. Per § 248.2, FNS defines “eligible foods” for the FMNP to mean fresh, nutritious,
unprepared, locally grown fruits, vegetables and herbs. Does the State agency use
a different or 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 FMNP benefits.
Eligible foods may not be processed or prepared beyond their natural state except
for usual harvesting and cleaning processes. Honey, maple syrup, cider, nuts,
seeds, eggs, meat, cheese and seafood are examples of ineligible foods for
purposes of the FMNP. State agencies may also describe eligible foods as “all
fruits, vegetables and herbs locally grown except…”
5. Per § 248.2, FNS defines “locally grown” for the FMNP to mean produce grown
only within State/ITO borders, but may be defined to include areas in neighboring
States/ITOs adjacent to its borders. How does the State agency define "locally
grown produce" in order to designate FMNP eligible foods?
Within the State/ITO borders only
Within the State/ITO borders and adjacent counties (e.g., one county into the
next State)
Within the county lines
Other (specify)
6. Per § 248.10 (a)(2), 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 FMNP.
7. Per § 248.10 (b)(1), under what conditions, if any, does the State agency authorize
roadside stands, i.e., a location in which a single, individual farmer sells his/her
own produce directly to consumers, in contrast to a farmers’ market or a nonprofit
organization that does not grow its own produce, but realizes a profit from such
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sales? Examples of authorization criteria include: 1) recipient access, or 2) lack
of farmers’ markets.
8. Per § 248.10(a)(7), describe how the State agency will ensure that no conflict of
interest exists between the State or local agency and any participating farmer,
farmers’ market or roadside stand.
9. Indicate the number and type of farmers, farmers’ markets, and/or roadside stands
that will be authorized in FY 2021:
Farmers
Farmers’ markets
Roadside stands
10. Does the State agency require that the Market Manager be bonded?
Yes
No
11. Are tokens used at authorized farmers’ markets?
Yes
No
If Yes, please describe how they are used in the market.
12. Are all participants provided with a receipt? Yes
No
If No, please describe the procedure in more detail.
C. Farmers and/or Farmers’ Market Agreements
NOTE: Some State agencies administer the 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, and roadside stands including sanctions for non-compliance
with FMNP requirements. Include the FMNP State agency-Farmers’/Farmers’
Market /Roadside Stand Agreement in the addendum.
This agreement, as described in § 248.10, must contain at a minimum the following
specifications:
1. The farmer and/or farmers’ market and roadside stand shall: (§ 248.10(b)(1)(ixii))
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i. Provide such information as the State agency shall require for its periodic
reports to FNS;
ii. Assure that FMNP food instrument benefits are redeemed only for eligible
foods;
iii. Provide eligible foods at the current price or less than the current price charged
to other customers;
iv. Accept 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;
v. In accordance with a procedure established by the State agency, mark each
transacted food instruments with a farmer identifier. In those cases where the
agreement is between the State agency and the farmer or roadside stand, each
transacted 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 FMNP food instrument shall contain a farmer identifier and be batched
for reimbursement under a farmers' market identifier;
vi. Accept training on FMNP procedures and provide training to farmers and any
employees with FMNP responsibilities on such procedures;
vii. Agree to be monitored for compliance with FMNP requirements – including
both overt and covert monitoring;
viii. Be accountable for actions of farmers or employees in the provision of foods
and related activities;
ix. Pay the State agency for any food instrument benefits transacted in violation of
this agreement;
x. Offer FMNP recipients the same courtesies as other market customers;
xi. Comply with the nondiscrimination provisions of USDA regulations;
xii. Notify the State agency if any farmer or farmers’ market or roadside stand
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 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:
(§ 248.10(b)(2)(i-iii))
i.
ii.
iii.
Collect sales tax on FMNP food instrument purchases;
Seek restitution from FMNP recipients for food instruments not paid
by the State agency; and
Issue cash change or credit (including rain checks) in exchange for
purchases that are in an amount less than the value of the FMNP food
instrument(s).
3. Neither the State agency nor the farmer and/or farmers’ market or roadside stand
have an obligation to renew the agreement. The State agency or the farmer and/or
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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 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 with a minimum of 15 days’ advance written notification.
5. The State agency may disqualify a farmer and/or farmers’ market or roadside
stand for 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 or roadside stand may appeal an action of the
State agency denying its application to participate, imposing a sanction, or
disqualifying it from participating in the 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 FMNP State agency.
8. Agreements may not exceed 3 years. The farmers and/or farmers' market and
roadside stand agreements are valid for
years
9. Describe or attach other cooperative arrangements that may have been negotiated,
such as with Cooperative Extension Service programs, or with a State Agriculture
Department or ITO, to authorize farmers/farmers’ markets or roadside stands.
D. Annual training for farmers, farmers’ markets, roadside stands
State agencies shall conduct annual training for farmers and/or farmers' market
managers in the FMNP. The State agency must conduct a one-time, face-to-face
training for all farmers and farmers' market managers who have never previously
participated in the FMNP per § 248.10(d). Face-to-face training refers to an
interactive format that includes an 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 FMNP operation, State
agencies have discretion in determining the method used for annual training purposes.
At a minimum, annual training shall include instruction emphasizing:
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Eligible food choices;
Proper FMNP food instrument redemption procedures, including
deadlines for submission of food instruments for payment;
Equitable treatment of FMNP recipients, including the
availability of eligible foods to FMNP recipients that are of the same
quality and cost as those sold to other customers;
Civil rights compliance and guidelines;
Guidelines for storing FMNP food instruments safely; and
Guidelines for canceling 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 Benefit Accountability
The food instrument reconciliation process as contained in § 248.10 is intended to
assure accountability by enabling the State agency to reconstruct the "life history" of
each food instrument benefit, 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 FMNP food instrument transactions that do
not match issuance records. The process for reconciling lost and/or stolen food
instruments must ensure that farmers accepting such food instruments in good faith,
and through approved procedures, are not unfairly penalized.
1. Describe or attach the State agency's system for identifying and reconciling
FMNP food instrument transactions that were redeemed, voided, expired, or
reported lost or stolen and not matching issuance records. Validly redeemed
FMNP food instrument transactions are those that are issued to a valid FMNP
recipient and redeemed by an authorized farmer or farmers’ market or roadside
stand within valid dates. They must include a valid recipient identifier based on
the signature on the issuance log, and an unique and sequential serial number; be
transacted within valid dates and; an authorized farmers' market; an authorized
farmer operating under the auspices of the authorized market, or an authorized
roadside stand.
2. Describe the State agency’s system for ensuring that food instrument benefits are
redeemed only by authorized farmers, farmers’ markets, or roadside stands for
eligible foods.
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3. Describe the State agency's system for identifying and disallowing food
instrument transactions that are redeemed or submitted for payment outside valid
dates or by unauthorized farmers or farmers' markets or roadside stands.
4. Food Instrument Timeframes
Issuance to participants
(no later than September 30)
Redemption by recipients:
(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 report (FNS-683b) to FNS no later than January 30 of each year.
Provide a copy of the food instrument to be used in the FMNP in the Appendices Section.
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VI. Management Evaluations and Reviews
A. Describe or attach a description of the State agency's criteria for defining a high-risk
farmer. Such criteria must include at a minimum:
1. Proportionately high volume of food instruments redeemed or EBT transactions
within a farmers’ market or roadside stand and within a State or ITO;
2. Recipient complaints; and
3. New farmers, farmers' markets, and roadside stands in their first year of operation.
B. Describe the State agency's plans (including any compliance purchase activities) for
reviewing authorized farmers/farmers' markets/roadside stands (on-site) in FY 2021.
§ 248.17(c)(1)(i) requires that at least 10 percent of farmers, 10 percent of farmers'
markets, and 10 percent of roadside stands be monitored. For example, if there are
five authorized farmers' markets in a participating State/ITO and 40 authorized
farmers, the State agency shall monitor, at a minimum, one farmers' market and four
farmers. These four farmers may or may not be participating within the one farmers'
market being monitored.
Attach a list of farmers, markets and roadside stands reviewed in FY 2021 along with
the associated findings.
New Fiscal Year:
Total # of Local Agencies
# of local agencies to be reviewed (This is the # of local
agencies not the # of participating clinics.)
Total # of Farmers Markets Authorized
# of markets to be reviewed (minimum of 10%)
Total # of Farmers authorized
# of farmers to be reviewed (minimum of 10%)
Total # of Roadside Stands authorized
# of Roadside Stands to be reviewed (minimum of 10%)
Previous Fiscal Year:
Total # Local Agencies
# of local agencies reviewed
Total # Farmers Markets Authorized
# of markets reviewed
Total # Farmers authorized
# of farmers reviewed
Total # Roadside stands authorized
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C. Describe or attach the State agency's policies and procedures for determining the
type and level of sanctions to be applied against farmers, farmers’ markets, and
roadside stands which violate federal and/or State agency FMNP requirements based
upon the severity and nature of the FMNP violations.
D. Describe the State agency’s plans for reviewing FMNP practices at local agencies in
FY 2021. (§ 248.17(c)(1)(ii)) All local agencies participating in the FMNP must be
reviewed at least once every two years by WIC FMNP State agency staff or WIC
State agency staff. Please attach a copy of the State agency’s FMNP monitoring
tool to review local agencies.
1. Number of local agencies to be reviewed in FY 2021:
2. Number of local agencies reviewed in FY 2020 (if applicable):
3. Briefly summarize findings and corrective action taken from any reviews
conducted in FY 2020:
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VII. Nutrition Education Requirements
A. Describe in detail, per § 248.9, the State agency’s plan to provide nutrition
education to FMNP recipients. If the administering State agency for the FMNP is
not the WIC State agency, and has entered into an agreement for the WIC State
agency to provide nutrition education, attach a copy of the WIC State agency’s
nutrition education plans for FMNP recipients.
It is not mandatory that the FMNP State agency retain sole responsibility for
providing nutrition education to Program recipients. Nor is it intended that the
FMNP State agency duplicate the nutrition education that may be currently
provided by the WIC local agency. The FMNP nutrition education requirement
may be fulfilled directly by the farmers’ 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 FMNP are allowable administrative expenses under FMNP funding (no more
than 17 percent of the total grant). This aspect of the program responds directly to
the Congressional intent in establishing the FMNP as a way to increase recipients’
awareness and use of farmers’ markets.
B. 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.
C. Promote the Dietary Guidelines for Americans (DGAs)
FNS encourages State agencies to create consumer messages from the latest edition
of the Dietary Guidelines for Americans, 2015-2020, 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. The key
guidelines from the 2015-2020 Dietary Guidelines for Americans are designed to
promote food and physical activity choices for a healthy lifestyle, are as follows:
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1) Follow a healthy eating pattern across the lifespan. All food and
beverage choices matter. Choose a healthy eating pattern at an appropriate
calorie level to help achieve and maintain a healthy body weight, support
nutrient adequacy, and reduce the risk of chronic disease.
2) Focus on variety, nutrient density, and amount. To meet nutrient needs
within calorie limits, choose a variety of nutrient-dense foods across and
within all food groups in recommended amounts.
3) Limit calories from added sugars and saturated fats and reduce sodium
intake. Consume an eating pattern low in added sugars, saturated fats, and
sodium. Cut back on foods and beverages higher in these components to
amounts that fit within healthy eating patterns.
4) Shift to healthier food and beverage choices. Choose nutrient-dense foods
and beverages across and within all food groups in place of less healthy
choices. Consider cultural and personal preferences to make these shifts
easier to accomplish and maintain.
5) Support healthy eating patterns for all. Everyone has a role in helping to
create and support healthy eating patterns in multiple settings nationwide,
from home to school to work to communities.
These key guidelines–along with consumer resources available online through the
www.choosemyplate.gov website, such as Myplate, MyWins, BMI calculator and
more are being consistently and prominently promoted in all of the FNS programs
to advance an integrated, behavior- based, comprehensive nutrition education
approach across FNS programs.
D. List or attach the locations or settings where nutrition education for FMNP is
provided (e.g., WIC clinics, farmers’ markets, community centers, child care
facilities, or schools).
E. 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
Commodity Supplemental Food Program (CSFP)
Children and Adult Care Food Program (CACFP)
Food Distribution Program on Indian Reservations (FDPIR)
WIC
Other FNS programs (specify):
Temporary Assistance for Needy Families Program (TANF)
Expanded Food and Nutrition Education Program (EFNEP) and/or
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Cooperative Extension Service
Other government programs (e.g., Head Start, 5 A Day, etc., specify):
Non-profit organizations (specify):
For-profit organizations (specify):
Industry (specify):
Professional organizations (specify):
Educational Institutions (specify):
Religious Institutions (specify):
Other (specify:
F. Describe how nutrition education for FMNP is coordinated with other nutrition
education programs or services, such as WIC, SNAP, Extension Service, 5 A Day,
or State/ITO initiatives.
G. 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.
H. Does the State agency plan to develop new recipient educational materials
containing the new Dietary Guidelines for Americans messages? Yes
No
If yes, please describe the elements below.
Type of material
Target audience
Project completion date
I. If the State agency intends to collect survey information to assess the effects of the
Program on farmers’ markets and roadside stands and the change in consumption of
fresh fruits and vegetables by FMNP recipients, attach copies of survey forms.
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VIII. Miscellaneous Requirements
A. Civil Rights
1. Describe, per § 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 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 WIC Program-related allegations of discrimination
are to be forwarded to FNS Headquarters for investigation and resolution, then
FMNP complaints should be handled in the same way. It is not necessary for
the State agency to develop separate, duplicative procedures for the FMNP if
such procedures already exist in a related Program administered by the State
agency.
2. Does the State agency, per § 248.7(a)(1), use the following statement on all
FMNP brochures and publications, excluding materials which provide only
nutrition education information without mentioning 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
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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:
(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)
(3)
fax: (202) 690-7442; or
email: [email protected]
This institution is an equal opportunity provider.
Yes
No
3. Does the State agency use the following statement, in print size no smaller
than the text, in material to small to permit the full statement:
“This institution is an equal opportunity provider.”
Yes
No
4. Does the State agency use the following statement in radio and television
public service announcements:
“This institution is an equal opportunity provider.”
Yes
No
B. Hearing Procedures and Program Complaints:
1. The State agency shall provide a fair hearing procedure whereby local agencies,
recipients, farmers/farmers' markets and farmers’ associations 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
FMNP. A recipient may appeal disqualification/suspension of 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 FMNP. Expiration of a
contract or agreement, and determination of ineligibility to receive WIC benefits
(and therefore to receive FMNP food instruments) shall not be subject to appeal
through the FMNP State agency. The State agency shall also provide procedures
for addressing complaints about program operations.
a. Describe or attach the State agency's procedures for offering, conducting, and
rendering final decisions on fair hearings requested by local agencies, recipients,
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farmers’ markets/farmers and farmers’ associations. 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 and recipients against whom such
adverse action is taken.
b. Describe or attach the State agency's procedures for handling program complaints
from recipients, non-recipients, markets, farmers and farmers’ associations.
2. Drug Free Workplace. Describe or attach the State agency's plans to maintain a
drug-free workplace and otherwise comply with 2 CFR 421. Per 2 CFR 421, the
State agency must identify all of its known State agency workplaces where work
under the Federal FMNP grant will be performed; please attach a list of these
workplace addresses.
3. Local Agency Debarment/Suspension – Per 2 CFR 417, the FMNP State agency
has on file either 1) a current certification in a format established by the State
agency; or, 2) a local agency contract, or procurement contract equal to or
exceeding $25,000, including assurance on debarment /suspension, which may be
satisfied by the local agency debarment /suspension certification provided for WIC
if it covers the same period as the FMNP local agency contract; or, 3) a record
showing that the FMNP State agency had checked the Excluded Parties List
System (EPLS) for each local agency?
Yes
No
4. SF-LLL on File - The FMNP State agency has on file the current SF-LLL,
Disclosure Form to Report Lobbying, if lobbying occurs with non-federal funds, for
each FMNP local agency and procurement contractor with a sub-grant or subcontract exceeding $100,000, if any? (This may be satisfied with local agency
lobbying disclosures provided for WIC only if the State agency – local agency
contract covers both WIC and FMNP.)
Yes
No
5. SF-LLL Transmission - The FMNP State agency has provided a copy of any such
disclosures to the FNS Regional Office?
Yes
No
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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 Appendices
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, and roadside stands (if applicable)
E. Supporting documentation for State, private, in-kind, or similar program funding (if
applicable)
F. Instructions to recipients, 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, and/or roadside
stands, from the prior year’s operation to WIC clinics
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. Copy of prototype agreements for farmers, farmers’ markets, associations, and
roadside stands (if applicable)
P. Training materials for farmers, farmer’s markets, and roadside stands (if applicable)
Q. State agency’s monitoring tool(s) to review farmers, farmers’ markets, and roadside
stands
R. Sample State-wide application form
S. Sample notification of ineligibility
T. State agency’s monitoring tool to review local agencies/clinics
Optional
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
Please list any other attachments or appendices:
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WIC Farmers’ Market Nutrition Program
FY 2021
Request for Expansion Funds
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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 Federal base grant, the expansion request should be
consistent with expanding benefits to more recipients, 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 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 Worksheet III, pages 33-35, the total amount of the State/ITO match required
for the base grant amount and expansion funds is: $
.
Describe the source(s) and amounts for the matching 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
supporting documentation. Attach additional sheets as needed.
6.
Number of additional recipients above the previous year’s level 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' market, roadside stands, and WIC clinic sites the State
agency anticipates authorizing:
New farmers’ market sites. (Please attach a list of all new addresses.)
New roadside stand locations. (Please attach a list of all new locations.)
New farmers. (Please attach a list of all new addresses)
New 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 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.
59
| File Type | application/pdf |
| File Title | FY10 Complete Fillable FMNP SPG |
| Author | USDA |
| File Modified | 2021-05-25 |
| File Created | 2020-10-19 |