State and Local Burden - SA, SFA/LEA/Schools

7 CFR Part 210 National School Lunch Program

OMB: 0584-0006

IC ID: 2879

Documents and Forms

Document Name Document Type
Attachment N1. Off-site Assessment Tool.pdf Other-Attachment N1 Off-site Assessment Tool
Attachment N2. On-site Assessment Tool.pdf Other-Attachment N2 On-site Assessment Tool
Attachment N3. Site Selection Worksheet.pdf Other-Attachment N3 Site Selection Worksheet
Attachment N4.Statistical Sample Generator.pdf Other-Attachment N4 Statistical Sample Generator
Attachment N5. Meal Compliance Risk Assessment Tool.pdf Other-Attachment N5 Meal Compliance Risk Assessment Tool
Attachment N6. Dietary Specifications Assessment Tool.pdf Other-Attachment N6 Dietary Specifications Assessment Tool
Attachment N7. Nutrient Analysis and Validation Checklist.pdf Other-Attachment N7 Nutrient Analysis and Validation Checklist
Attachment N8. Nutrient Analysis Protocols.pdf Other-Attachment N8 Nutrient Analysis Protocols
Attachment N9. Resource Management Comprehensive Review Form.pdf Other-Attachment N9 Resource Management Comprehensive Review Form
Attachment N10. Resource Management Risk Indicator Tool.pdf Other-Attachment N10 Resource Management Risk Indicator Tool
Attachment N11. Fiscal Action Workbook.xlsx Other-Attachment N11 Fiscal Action Workbook
Attachment N12. Non-reimbursable Meal Allocation Form.pdf Other-Attachment N12 Non-reimbursable Meal Allocation Form
Attachment N13. School Data and Meal Pattern Error Form (S-1).pdf Other-Attachment N13 School Data and Meal Pattern Error Form (S-1)
Attachment N14. Other Meal Claim Errors (S-2).pdf Other-Attachment N14 Other Meal Claim Errors (S-2)
Attachment N15. Eligibility and Certification and Benefit Issuance Error Worksheet.pdf Other-Attachment N15 Eligibility Certification and Benefit Issuance Error Worksheet (SFA-1)
Attachment N16. Other Eligibility Certification and Benefit Issuance Errors Worksheet (SFA-2).pdf Other-Attachment N16 Other Eligibility Certification and Benefit Issuance Errors Worksheet (SFA-2)
Attachment N17. SFA Data Summary Form (SFA-3).pdf Other-Attachment N17 SFA Data Summary Form (SFA-3)
Attachment N18. Special Provisions Non-Base Year and CEP Claiming Percentage Funding Level Summary Form SFA-1A.pdf Other-Attachment N18 Special Provisions Non-Base Year and CEP Claiming Percentage/Funding Level Summary Form (SFA-1A)
Attachment N19. Community Eligibility Provision ISP and Claiming Percentage Validation Worksheet (SFA-2A).pdf Other-Attachment N19 Community Eligibility Provision ISP and Claiming Percentage Validation Worksheet (SFA-2A)
Attachment N20. Seamless Summer Option School Data and Meal Pattern Error Form (SSO S-1).pdf Other-Attachment N20 Seamless Summer Option School Data and Meal Pattern Error Form (SSO S-1)
Attachment N21. Seamless Summer Option Eligibility Certification Form (SSO S-2).pdf Other-Attachment N21 Seamless Summer Option Eligibility Certification Form (SSO S-2)
Attachment N22. Supplemental Seamless Summer Option Administrative Review Form.pdf Other-Attachment N22 Supplemental Seamless Summer Option Administrative Review Form
Attachment N23. Supplemental Afterschool Snacks Administrative Review Form.pdf Other-Attachment N23 Supplemental Afterschool Snacks Administrative Review Form
Attachment N24. Supplemental Special Milk Program Administrative Review Form.pdf Other-Attachment N24 Supplemental Special Milk Program Administrative Review Form
Attachment N25. Infant and Pre-K Meal Pattern On-Site Validation Checklist.pdf Other-Attachment N25 Infant and Pre-K Meal Pattern On-Site Validation Checklist
Attachment C. Form FNS-640 Administrative Review Data Report.pdf Attachment C Form FNS-640 Administrative Review Data Report (OMB# 0584-0594) IC Document
Attachment D. Food Programs Reporting System (FPRS) Home Screen with OMB Information and Public Burden Statement.pdf Attachment D OMB# 0584-0594 Food Programs Reporting System (FPRS) Home Screen with OMB Information and Public Burden Statement IC Document
Attachment E. FNS-10 Report of School Operations.pdf Attachment E Form FNS-10 Report of School Operations (OMB# 0584-0594) IC Document
Attachment F. FNS-13 Annual Report of State Revenue Matching.pdf Attachment F Form FNS-13 Annual Report of State Revenue Matching (OMB# 0584-0594) IC Document
Attachment G. FNS-828 School Food Authority Paid Lunch Price Report.pdf Attachment G Form FNS-828 School Food Authority Paid Lunch Price Report (OMB# 0584-0594) IC Document
Attachment H. FNS-777 Financial Status Report.pdf Attachment H Form FNS-777 Financial Status Report (OMB# 0584-0594) IC Document
Attachment M. Administrative Review Guidance Manual 2018_2019.pdf Attachment M Administrative Review Manual IC Document

Information Collection (IC) Details