Form FNS-525 State Administrative Expense Funds Reallocation Report

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OMB APPROVED NO. 0584-0067
Expiration Date: XX/XX/XXXX
GRANTEE NAME

U.S. DEPARTMENT OF AGRICULTURE - FOOD AND NUTRITION SERVICE

STATE ADMINISTRATIVE EXPENSE FUNDS
REALLOCATION REPORT
See Instructions on Reverse
According to the Paperwork Reduction Act of 1995, no persons are 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 0584-0067. The time required to complete this information
collection is estimated to average 12.5 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.

CURRENT STATUS OF SAE FUNDS (to be completed by regional office)
CURRENT FISCAL YEAR
AUTHORIZED FUNDING LEVEL

$

I. USE OF AUTHORIZED FUNDING LEVEL

DOLLAR AMOUNT

A. Estimate of funds to be obligated by September 30 of the current fiscal year.

$

B. Funds from the Current Fiscal Year Grant to be carried over for obligation and

$

TOTAL DOLLARS

expenditure during the next fiscal year.

II. TO INCREASE THE AUTHORIZED FUNDING LEVEL (Justification Required)
$

TOTAL AMOUNT OF ADDITIONAL FUNDS REQUESTED IN EXCESS OF AUTHORIZED FUNDING LEVEL
(MUST EQUAL A + B)

$

A. Amount of these funds to be obligated by September 30 of the current
fiscal year.
B. Amount of these funds to be carried over for obligation and expenditure

$

during the next fiscal year.

III. TO DECREASE THE AUTHORIZED FUNDING LEVEL
$

TOTAL AMOUNT OF FUNDS TO BE RETURNED TO FNS (MUST EQUAL A + B)

A. Funds from the Current Fiscal Year Grant to be returned.

$

B. Funds from the Preceding Fiscal Year Grant to be returned.

$

IV. ASSURANCES
BY SIGNING BELOW, I (THE AUTHROIZED STATE OFFICIAL) ATTEST THAT THE STATE AGENCY:

A. Will need the total amount of additional funds indicated under Section II (Total Dollars) for the Current Fiscal Year Grant.
B. Authorizes release and hereby releases from its Current Fiscal Year Grant the amount entered on Line III, A and from its
Preceding Fiscal Year Grant the amount entered on Line III, B making such funds available to FNS for reallocation to
other State agencies.

V. SIGNATURES
AUTHORIZED STATE OFFICIAL

TITLE

DATE

REGIONAL ADMINISTRATOR OR DESIGNATED FNS OFFICIAL

FORM FNS-525 (10-12) Previous Editions Obsolete

DATE

SBU

Electronic Form Version Designed in Adobe 10.0 Version

INSTRUCTIONS FOR FNS-525
(All Items Are Self-Explanatory Unless Noted Below)
All State agencies (SAs) must complete this form. This must
be done even if an SA is not requesting or returning funds.

SECTION II - TO INCREASE THE AUTHORIZED FUNDING
LEVEL

DEFINITIONS (For purposes of this report)

Before any request for additional funds can be considered,
an explanation for the planned use of carryover funds is
necessary. Any carryover funds for the current fiscal year
an SA anticipates having must be earmarked for an essential
one-time only activity. Requests from SAs will be considered
for funding only to the extent that anticipated carryover funds
are insufficient to cover essential one-time only activities.

1. AUTHORIZED FUNDING LEVEL - The amount of SAE
funds available to an SA for a given fiscal year, including
the Current Fiscal Year Grant plus previous fiscal year's
carryover funds.
2. CARRYOVER FUNDS - SAE funds which are available to
the SA for obligation and expenditure during the second
year of the grant.
3. CURRENT FISCAL YEAR GRANT - SAE grant available for
the current and next fiscal years, and expiring September
30 of the next fiscal year.
4. PRECEDING FISCAL YEAR GRANT - SAE grant available
for the preceding and current fiscal years, and expiring
September 30 of the current fiscal year.
5. OBLIGATION - This includes outlays and unliquidated
obligations as reported on line "K" of the FNS-777 report.
CURRENT STATUS OF SAE FUNDS
Review the information completed by the regional office for
accuracy. Please contact the regional office if there is any
discrepancy.
SECTION I - USE OF AUTHORIZED FUNDING LEVEL
Please note: Under Current Status of SAE Funds, the
Authorized Funding Level should equal the sum of I, A and
I, B and III. If these amounts are not equal, please provide
an explanation for the difference.
Enter the best estimate of the amount of the Authorized
Funding Level (under Current Status of SAE Funds) which
will be obligated by September 30 of the current fiscal year.

A written justification is required for each activity for which
funds are requested. Only requests from an SA for one-time
only activities that can be demonstrated to be essential to the
administration of its program(s) will be considered for funding. The justification included with the request for reallocation funds must include the following:
1. Description of the use of funds - objectives and
activities planned.
2. If more than one item is being requested, rank the
items in descending order of priority.
3. Description of how the Child Nutrition Programs will
be adversely affected if an SA does not receive
reallocation funds.
4. For projects - a) time period during which project is
to be completed; b) the methods to be used in
evaluating the project; and c) the results to be
obtained.
5. Itemized costs of activity, including (as applicable):
a) salaries and fringe benefits, b) travel expenses,
c) office equipment, d) training and education,
e) general administrative costs (specify), f) other
costs (specify and explain), g) total direct costs,
h) total indirect costs, and i) total costs.
6. Sources of funding for activity, including (as
applicable): a) local contribution, b) State contribution, and c) total amount of SAE request.
SECTION IV - ASSURANCES
A. Applicable only to those SAs requesting SAE funds.
B. Applicable only to those SAs returning SAE funds.
SECTION V - SIGNATURES
All SAs must sign this form. This must be done even if an
SA is not requesting or returning funds.