Appendix A-CP

Appendix A-CP.docx

The Evaluation of Demonstrations of NSLP/SBP Direct Certification of Children Receiving Medicaid Benefits

Appendix A-CP

OMB: 0584-0586

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APPENDIX A

CERTIFICATION AND PARTICIPATION DATA REQUEST


Evaluation of Demonstrations of

NSLP/SBP Direct Certification of

Children Receiving Medicaid Benefits


(OMB No.: 0584-Xxxx
Expiration Date: xx/xx/20xx)










Project Officer: Allison Magness

Office: U.S. Department of Agriculture

Food and Nutrition Service

3101 Park Center Dr., Rm. 1014

Alexandria, VA 22302


Telephone: 703-305-2098

FAX: 703-305-2576


Email: Allison.Magness@fns.usda.gov

CONTENTS



APPENDIX A.1: CERTIFICATION AND PARTICIPATION DATA REQUEST 3

APPENDIX A.2: CERTIFICATION AND PARTICIPATION DATA REQUEST Cover email 8

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorRobert S. Akin
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File Created2021-01-29

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