Form FNS-891 Online FNS-891 Team Nutrition School

Appendix 2: Online FNS-891 Team Nutrition School

Add a Team Nutrition School
https://www.fns.usda.gov/tn/node/add/school

OMB Control Number: 0584-0642
Expiration Date: XX-XX-20XX
OMB BURDEN STATEMENT: The Food and Nutrition Service (FNS) is collecting this information in order to inform
Child Nutrition Programs (CNP) operators about the availability of Team Nutrition resources. This is a voluntary
collection and FNS will use the information to ensure targeted communications with program operators. This
collection does not request personally identifiable information that is subject to the privacy requirements
outlined at 5 U.S.C. §552a(e)3 of the Privacy Act of 1974. 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
0584-0642. The time required to complete this information collection is estimated to average 10 minutes (0.167
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 to: U.S. Department of Agriculture, Food and Nutrition Service, Office of Policy Support,
1320 Braddock Place, 5th Floor, Alexandria, VA 22314. ATTN: PRA (0584-0642). Do not return the completed form
to this address.

Meals Program (Select the USDA’s School Meals Program(s) that your school
participates in (select all that applies))
National School Lunch Program (NSLP)
School Breakfast Program (SBP)
Fresh Fruit & Vegetable Program (FFVP)
Special Milk Program (SMP)
Afterschool Snacks
Seamless Summer Option (SSO)

School Information
School Name
Street Address
Street Address Line 2
City
District
State
Zip Code
School Phone
Total Enrollment
School Website (http://www.example.com)

Appendix 2: Online FNS-891 Team Nutrition School

Add a Team Nutrition School
https://www.fns.usda.gov/tn/node/add/school

Enrollment Date

School Type
Elementary
Middle
High
Charter
RCCI
Other
Grade Levels
Pre-K
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12

Staff Contact Information
Team Nutrition Leader Name
Team Nutrition Leader Email
Team Nutrition Leader Phone
School Principal Name
School Principal Email
Cafeteria Manager Name
Cafeteria Manager Email Address
Wellness Coordinator Name

Appendix 2: Online FNS-891 Team Nutrition School

Add a Team Nutrition School
https://www.fns.usda.gov/tn/node/add/school

Wellness Coordinator Email Address
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