APPENDIX B
STATE COST SURVEY TRACKING LOGS AND INSTRUCTIONS
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 B.1: COST SURVEY TRACKING LOG (CHILD NUTRITION AGENCY VERSION) 3
APPENDIX B.2: COST SURVEY TRACKING LOG (MEDICAID AGENCY VERSION) 12
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | DPatterson |
| File Modified | 0000-00-00 |
| File Created | 2021-01-28 |