APPENDIX F01.04. SFPS SFA YEAR-END FOLLOW-UP SURVEY SPECIFICATIONS (GROUPS 1A AND 1B)
OMB
Control No: 0584-XXXX Expiration
Date: XX/XX/20XX
This
information is being collected to assist the Food and Nutrition
Service in understanding school food purchasing practices, the
nutritional quality of school meals and snacks, the cost to produce
school meals, and student participation and dietary intakes. This is
a mandatory collection and FNS will use the information to monitor
program operations. This collection does not request any personally
identifiable information under 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-[xxxx].
The time required to complete this information collection is
estimated to average 0.25 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
estimate or any other aspect of this collection of information,
including suggestions for reducing 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-xxxx). Do not return the completed form to this address.
Number of serving days and number of meals served
ALL |
1. Record the number of serving days and the number of student lunches and student breakfasts served/claimed, indicating whether they were full price (paid), reduced price, or free for school year (SY) 2024-2025.
If your district operates the Community Eligibility Provision (CEP) or provisions 2 or 3, or offers free meals for all students, indicate the number of meals claimed in each reimbursement category. Please provide this information for SY 2024-2025.
Meal Type |
SY 2024-2025 |
|
Student Lunches |
|
|
|
Number of serving days* |
|
|
Number of full price (paid) lunches served/claimed |
|
|
Number of reduced price lunches served/claimed |
|
|
Number of free lunches served/claimed |
|
Student Breakfasts |
|
|
|
Number of serving days* |
|
|
Number of full price (paid) breakfasts served/claimed |
|
|
Number of reduced price breakfasts served/claimed |
|
|
Number of free breakfasts served/claimed (include severe need) |
|
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Number of severe need breakfasts served/claimed |
|
*If there are differences in the number of serving days across the district, provide an average.
Nonprogram food sales (i.e., a la carte or competitive foods)
ALL |
2. Did any of the schools in your school district offer nonprogram foods in SY 2024-2025?
Nonprogram foods, which some districts may refer to as a la carte or competitive foods, are those that are priced and sold on an individual item basis rather than as a unit or complete meal. This includes any foods for which your SFA does not receive reimbursement from USDA, including items from a reimbursable meal if sold separately and sales through vending machines or at school stores of foods or beverages purchased through the nonprofit school food service account. Do NOT include Special Milk Program, adult, or visitor meals.
m Yes 1
m No 0 GO TO Q4
NO RESPONSE M
Q2 = 1 |
2a. What was the total dollar amount of revenue from nonprogram (i.e., a la carte or competitive) sales of foods and beverages for SY 2024-2025?
NON PROGRAM FOODS REVENUE
(STRING (NUM))
NO RESPONSE M
Other food program sales
ALL |
3. Some school districts use their facilities to prepare foods for other food programs, or purposes other than breakfasts and lunches for students in their school system. If your school district had other food program sales during SY 2024-2025, are the foods used for any of these other programs included among the quarterly food purchase information you previously submitted?
PROGRAMMER: DISPLAY TEXT BELOW AS HOVER TEXT FOR “OTHER FOOD PRORAMS”:
Other food programs include:
Head Start
Child and Adult Care Food Program
NSLP Afterschool Snack Service
CACFP Afterschool Snack/Supper Program
Summer Food Service Program
Fresh Fruit and Vegetable Program
Other schools or school systems
Disaster Feeding
Seamless Summer Option
School staff meals
School related events (e.g. athletic events, PTA meetings)
Public catering
m Yes 1
m No 0 GO TO Q3
m N/A – School district did not have other food program sales in SY 2024-2025 n GO TO Q3
NO RESPONSE M
Q3=1 |
3a. For those programs included in the food purchase data you submitted, please indicate separately the dollar amount of revenue for (a) those “other food programs” that are reimbursable and (b) those “other food programs” that are non-reimbursable. Please enter the amounts for SY 2024-2025. Then indicate whether these are the actual numbers or your best estimate.
PROGRAMMER: DISPLAY TEXT BELOW AS HOVER TEXT FOR “REIMBURSABLE”:
Reimbursable other food programs include:
Head Start
Child and Adult Care Food Program
NSLP Afterschool Snack Service
CACFP Afterschool Snack/Supper Program
Summer Food Service Program
Fresh Fruit and Vegetable Program
Other schools or school systems
Seamless Summer Option
Disaster Feeding
PROGRAMMER: DISPLAY TEXT BELOW AS HOVER TEXT FOR “NON-REIMBURSABLE”:
Non-reimbursable other food programs include:
School staff meals
School related events (e.g. athletic events, PTA meetings)
Public catering
Other day care
Please do not include revenue from nonprogram (or a la carte) sales of foods and beverages.
Revenues from other food program sales: |
SY 2024-2025 |
Actual |
Estimate |
(a) Reimbursable [hover text] |
|
|
|
(b) Non-reimbursable [hover text] |
|
|
|
Total |
(SUM TWO NUMBERS ABOVE) |
|
|
Total food expenditures
ALL |
4. What were the school district’s total expenditures for food and beverages during SY 2024-2025?
Do NOT include expenditures for any nonfood supplies such as plastic wrap, paper and surface cleaning products. Do include expenditures for processing, transportation, and storage of foods, including USDA Foods and USDA DoD Fresh fruits and vegetables. Please enter the total expenditures for SY 2024-2025. Then indicate whether this is the actual number or your best estimate.
Total expenditures for SY 2024-2025
(RANGE: 1-999,999,999)
Actual number 3
Estimated number 2
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Web Templates Questionnaire Requirements |
Subject | web template |
Author | Mathematica |
File Modified | 0000-00-00 |
File Created | 2024-08-06 |