WiSP - State Plan

Appendix P
Fiscal Year 2025
SFMNP State Plan Guidance

OMB Control Number 0584-0541, Expiration 1/31/2026

1

Senior Farmers’ Market Nutrition Program
Fiscal Year (FY) 2025
Complete State Plan Information for
(State agency name)
The Food and Nutrition Service (FNS) is collecting this information in order to provide fresh, nutritious, unprepared, locally grown fruits and
vegetables through farmers’ markets and roadside stands to low-income seniors, and to expand awareness and use of, and sales at, farmers’
markets and roadside stands through the Senior Farmers’ Market Nutrition Program (SFMNP). This is a mandatory collection and FNS will use
the information to ensure the efficient management of the SFMNP. The collection does not request personally identifiable information under the
Privacy Act of 1974. Responses will be kept private to the extent provided by law and FNS regulations. 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 0584-0541. The time required to complete this
information collection is estimated to average 40 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 (05840541). Do not return the completed form to this address.

2

Senior Farmers’ Market Nutrition Program (SFMNP)
Fiscal Year (FY) 2025 State Plan Guidance
Table of Contents
I. Goals ........................................................................................................................................... 3
II. General Administration............................................................................................................... 4
III. Funding ..................................................................................................................................... 8
IV. Certification............................................................................................................................. 15
V. Food instrument, Farmers’ Market, Roadside Stand, Bulk Purchase, and CSA Program
Management (§ 249.10) ................................................................................................................ 23
VI. Management Evaluations and Reviews .................................................................................. 31
VII. Nutrition Education Requirements ........................................................................................ 33
VIII. Miscellaneous Requirements ................................................................................................ 35
Appendices .................................................................................................................................... 39

3

SENIOR FARMERS' MARKET NUTRITION PROGRAM
State Plan of Operations
Fiscal Year 2025
Please clearly identify any attachments/addenda pages according to the
lettering/numbering system described in the “Appendices” section of this document.
State Agency:
I. Goals
A. Describe the State agency's plans to achieve the three purposes of the SFMNP (§ 249.1), as
follows:
1. To provide resources in the form of fresh, nutritious, unprepared, locally grown fruits,
vegetables, honey and herbs from farmers' markets, roadside stands, and CSA programs
to low-income seniors;

2. To increase the domestic consumption of agricultural commodities by expanding or
aiding in the expansion of domestic farmers' markets, roadside stands, and CSA
programs; and

3. To develop or aid in the development of new and additional farmers' markets, roadside
stands, and CSA programs.

B. Describe how the State agency plans to target the Program to areas with high concentrations
of eligible persons with the greatest access to farmers' markets, roadside stands, and CSA
programs. Be sure to include any special features, such as the use of volunteers and
community resources or specialized management information systems, which the State
agency plans to enhance its operation and administration of the SFMNP (§ 249.4(a)(9)(i)).

C. For a State agency submitting its initial application for funding (i.e., a State agency that did
not operate the SFMNP in FY 2024), please summarize any prior experience with similar
farmers' market projects or programs. The summary should describe:
1. The number of participants served;
2. The scope of the program, (e.g., limited to a city or county, or was it a State agency-wide
program?) and;
3. The source(s) of funding for the program.
Please include any data that was collected concerning the benefits or impact of the

4

program(s).

II. General Administration
(Please note: SFMNP State agencies that received an American Rescue Plan Act (ARPA)
grant should not include ARPA-funded participation or benefit amounts in this section. This
section should reflect program operations with regular FY 2024 and FY 2025 funds. Reporting
requirements for ARPA grants are specified in the grants’ terms and conditions.)
A. This section of the SFMNP State Plan Guidance is to report on general operations.
1. Estimated number of SFMNP participants in FY 2024 (if applicable):
2. Estimated number of SFMNP participants in FY 2025:
3. Proposed months of Program operation (i.e., SFMNP benefit usage by participants):
through
(No later than 11/30)
4. Proposed months of SFMNP food instrument issuance:
than 9/30)

through

(No later

5. Proposed months of SFMNP benefit redemption (submission for payment) by farmers,
farmers’ markets, roadside stands and/or CSAs:
through
6. Proposed months of bulk purchase:

through

7. Are any markets currently/planning to offer incentives (for example, Double Bucks)?
Yes

No

If yes, for which programs?

WIC

SNAP

FMNP

SFMNP

Other:

a. How much is the incentive?
b. How does the market determine who receives the incentive?
c. How is the incentive funded?
8. Do any farmers allow participants to order eligible foods by phone or online for pick-up
and payment at the market?
Yes

No

If yes, please list the farmers or markets or provide a map detailing which offer online
ordering and cite appendix reference.

5

9. Briefly describe the coupon/food instrument system used (e.g., paper coupons, eSolution,
other):
.
If applicable, please reference and attach the appendix/amendment for the State agency’s
eSolution as required under Appendix B of the WIC FMNP and SFMNP FY 2022
Guidance Package | Food and Nutrition Service (usda.gov).

B. Staffing
1. List all SFMNP staff positions below, including both full and part-time positions. Attach
job descriptions for each position. An organizational chart identifying levels of
responsibility can be provided with this list. § 249.4(a)(4) of the Federal SFMNP
regulations requires a detailed budget in the State Plan, including a description of the
Federal and non-Federal funds that will be used to operate the Program. Although use of
non-Federal funds is not required, describing the use of any such funds is helpful for the
State agency and FNS to understand the administrative capabilities of the State agency;
the use of non-Federal funds will not result in the reduction of the Federal grant.
Paid through Federal SFMNP Administrative funds
Position

Full Time

Part Time

Paid through Non-Federal SFMNP funds/sources (specify source)
Position

Full Time

Part Time

C. Will any other State or local government agency(ies), non-profit or for-profit organizations,
or the Extension Service provide services for the SFMNP State agency?
Yes

No

If yes, list the State or local government agency(ies) and/or other organizations.
6

Include a copy of the signed agreement(s) between the SFMNP State agency and
other agencies and/or the non-profit or for-profit organizations delineating the
services to be performed (§ 249.4(i)).
D. Indicate in the space provided the State agency that will be responsible for performing (or
overseeing the local agency or other entity/organization that will perform) each function
listed below (e.g., State Department of Agriculture, State Department of Health, State
Agency on Aging, etc.):
Lead State agency
Certify recipients for the SFMNP
Collect racial/ethnic participation information for the SFMNP
Authorize and train local agencies
Issue SFMNP food instruments to participants
Issue SFMNP food instruments to local agencies
Negotiate contracts with CSA farmers
Negotiate contracts for bulk purchases
Provide nutrition education for the SFMNP
Reconcile SFMNP food instruments
Conduct SFMNP reviews of local agencies
Authorize farmers/farmers' markets/roadside stands/CSA programs
Train farmers/farmers’ markets/roadside stands/CSA programs
Monitor farmers/farmers' markets/roadside stands/CSA programs
If the SFMNP State agency and the partnering State agency(ies) are different, include as
an attachment a copy of each signed agreement between the agencies delineating the
functions to be performed as indicated above. The written agreement(s) should delineate
the responsibilities of each agency, itemize specific work activities, and identify the
responsible designated representative of each agency. Please list attachment.
E. Indicate the basis on which SFMNP benefits will be issued:
Individuals

Households

7

F. Indicate the total federal SFMNP benefit amount for each SFMNP participant: $
.§
249.8 (b) of the federal SFMNP regulations states that the federal SFMNP benefit level
received by each participant, whether a household or individual, may not be less than $20 per
year or more than $50 per year (except for certain State agencies that were legacied into the
SFMNP using a different benefit level).
G. If applicable, indicate the total federal SFMNP benefit amount for each participant for use at
a CSA program (if this benefit amount is different than for use at farmers’ markets or
roadside stands): $
.
(§ 249.8(b) of the federal SFMNP regulations states that such SFMNP participants may
receive a higher benefit level than non-CSA participants, but it may not be more than $50 per
year, except under certain conditions.)
H. If applicable, indicate the total federal SFMNP benefit amount for each participant for use in
a bulk purchase program (if this benefit amount is different than for use at farmers’ markets
or roadside stands): $
.

8

III. Funding
A. Describe in detail the State agency's financial management system that will provide for
accurate, current and complete disclosure of the financial status of the SFMNP. At a
minimum, include the following elements:
1. Procedures to ensure prompt and accurate payment of allowable and allocable costs, and
to ensure that costs claimed are in accordance with the cost principles and standard
provisions of 2 CFR part 200, subpart E, USDA implementing regulations 2 CFR parts
400 and 415, and FNS guidelines and instructions;
2. Procedures for obligating funds, including disbursing funds from the Letter of Credit;
3. Description(s) of how farmers are paid;
4. Claims procedures for overpayments to farmers, farmers' markets, roadside stands, CSAs,
and participants; and
5. Description of the time-reporting system used to distribute employee salaries and related
costs, and procedures and forms for conducting time studies.

B. Describe in detail the State agency's record keeping system per § 249.23 for the SFMNP,
addressing at a minimum the following areas:
1.
2.
3.
4.
5.

Financial operations
Food instrument issuance and redemption
CSA/bulk purchase contracts and payments
SFMNP participation reporting
Tracking staff time and other administrative expenses to ensure that Federal SFMNP
funds are only used for costs which are allowable and allocable for the SFMNP

NOTE: A description of the State agency's financial management system is required earlier
in Section III(A) above. If some of the same information has already been provided
under that section, it is not necessary to duplicate that information. It may either be
provided here or cross-referenced to the relevant section.
If forms have been developed to facilitate any of these functions, an example of each
form, along with a brief explanation should be attached to this document.
C. Federal Funds Request and Budget Worksheets
§ 249.4(a)(4) of the Federal SFMNP regulations require that the State Plan include a detailed
budget, including a description of the Federal and non-Federal funds that will be used to
operate the Program, and assurance that no more than 50 percent of the Federal SFMNP
Food grant will be used for CSA programs, except as stipulated at 7 CFR 249.10(a)(5). The
types of worksheets used to calculate your federal funds are described below.

9

SFMNP FY 2025 Budget Summary:
If using the excel worksheet provided to assist with calculations, please attach a copy of the
worksheet to this section or cite appendix reference.
(Please note: SFMNP State agencies that received an American Rescue Plan Act (ARPA) grant
should not include those funds or related ARPA-funded operations in their FY 2025 Budget
Summary. These worksheets should reflect program operations with regular FY 2024 and FY
2025 funds and with FY 2025 expansion funds, should they become available. Reporting
requirements for ARPA grants are specified in the grants’ terms and conditions.)
I. FY 2025 SFMNP ESTIMATED FEDERAL BUDGET SUMMARY
This worksheet summarizes the Federal food and administrative funds. All State agencies must
complete this worksheet.
II. FY 2025 SFMNP ADMINISTRATIVE BUDGET ESTIMATE
This worksheet summarizes administrative activities and related funding. All State agencies
must complete this worksheet.
III. FY 2025 ESTIMATED SFMNP FEDERAL CASELOAD CALCULATION
This worksheet summarizes participant caseload in relation to funding. All State agencies must
complete this worksheet.
IV. FY 2025 ESTIMATED SFMNP NON-FEDERAL BUDGET SOURCE OF NONFEDERAL FUNDS
This worksheet summarizes non-federal funding used to support the SFMNP. All State agencies
must complete this worksheet.

10

State Agency:

Universal Identifier

WORKSHEET I. FY 2025 SFMNP PROPOSED FEDERAL BUDGET SUMMARY
Note: State agencies that received an American Rescue Plan Act (ARPA) grant should not
include ARPA funds in these calculations. Reporting requirements for ARPA grants are specified
in the grants’ terms and conditions.
1. Total Federal Funds Requested
(Prior Year's Total Federal Grant or Less):

$

2. Plus: Expansion Funds Requested (if any):
(Include expansion funds in calculation of requested
funds)

$

3. Total federal funds requested (line 1 + line 2)

$

4. Less: Federal Administrative Funds at 10% of
Total:

$

5. Federal Foods Funds (minimum 90% of total):

$

11

WORKSHEET II. FY 2025 SFMNP ADMINISTRATIVE BUDGET ESTIMATE
Note: State agencies that received an American Rescue Plan Act (ARPA) grant should not include
ARPA funds in these calculations. Reporting requirements for ARPA grants are specified in the
grants’ terms and conditions.

Certification

$

Food
Instrument
Management

$

%

Market
Management

$

%

Nutrition
Education

$

%

Financial
Management

$

%

Total @
10%

$

%

100%

Certification: Eligibility determinations and outreach services.
Food Instrument Management: Pricing and reconciling/issuing food instruments to recipients, and
instructing recipients on the purpose of the program and their proper use.
Market Management: Authorizing, training, technical assistance, marketing, and monitoring of
farmers/ farmers’ markets/roadside stands.
Nutrition Education: Instructing recipients on the nutritional benefits of fresh, nutritious,
unprepared foods such as fruits and vegetables.
Financial Management: Preparing financial and recipient reports, issuing payments to
farmers/farmers’ markets and costs associated with SFMNP audits.

12

WORKSHEET III. FY 2025 ESTIMATED SFMNP FEDERAL CASELOAD
CALCULATION
Note: State agencies that received an American Rescue Plan Act (ARPA) grant should not
include ARPA funds in these calculations. Reporting requirements for ARPA grants are
specified in the grants’ terms and conditions.
This worksheet determines the number of participants that can be supported with the Federal
funds requested. To ensure that no more than 50 percent of the SFMNP grant has been used for
CSA programs; line 4 must not exceed one half of line 3 on this page. If benefits are not used for
CSA programs, then only the first three steps below apply. Line 9, the Grand Total, includes
non-CSA program caseload and CSA/bulk purchase program caseloads. Line 10 provides the
percentage of the SFMNP food funds grant used only for CSA programs.
State Agency:
1. Federal food funds for food instruments (non-CSA/Bulk purchase)

$

2. Proposed non-CSA food instrument benefit level
(Minimum $20, Maximum $50) (Except for a current State agency that has
legacied in a lower benefit level)

$

3. Total projected food instrument Federal caseload (Total Federal food funds for
food instrument option divided by food instrument benefit level [Line 1 divided
by Line 2]):
4. Available food funds remaining for participants using CSA and/or bulk
purchase programs (total Federal food funds minus federal food funds for food
instrument option (Worksheet I #5 minus Worksheet III #1)
a. CSA
b. Bulk Purchase
5. Proposed total CSA benefit level (May be the same
as for non-CSA participants, or higher, but must be a minimum $20, maximum
$50, and must be the same for all CSA participants, except per § 249.8(b)).

$
$
$

6. Total projected CSA Federal caseload:
(#4a divided by #5)
7. Total projected bulk purchase benefit level

$

8. Total projected bulk purchase caseload: (#4b divided by #7)
9. Grand Total Projected Federal Caseload
Please fill out only one option (continued on next page).
(Line 3) = Food instrument only
OR
13

(Line 3 + Line 6) = Food instrument and CSA
option
(Line 3 + Line 8) = Food instrument and bulk
purchase option
(Line 6) = CSA only
(Line 8) = Bulk purchase only
(Line 3 + Line 6 + Line 8) = All Options

OR
OR
OR
OR

10. Line 4a Worksheet III divided by Line 5 Worksheet I (Federal food funds for
CSA divided by total Federal food funds), multiplied by 100 (this total may not be
more than 50%).

%

14

WORKSHEET IV. FY 2025 ESTIMATED SFMNP NON-FEDERAL BUDGET
SOURCE OF NON-FEDERAL FUNDS
Please list the source and amount of non-Federal funds, if any, which the State agency plans to
use for the SFMNP. § 249.4(a)(4) of the Federal SFMNP regulations requires a detailed budget
in the State Plan, including a description of the Federal and non-Federal funds that will be used
to operate the Program. This information supports whether the State agency will have
sufficient resources to meet caseload and/or administrative goals beyond those supported by
Federal funds.

Type
State agency and Local Funds
Private Funds
Other
Total

Source

Amount
$
$
$
$

Purpose

15

IV. Certification
A. Targeting Benefits
1. As required under § 249.4(a)(9), describe the State agency's plans to target areas with a
high concentration of eligible persons and access to farmers' markets, roadside stands
and/or CSA programs within the broadest possible geographic area. For example, will the
State agency concentrate on serving only a few areas where there are large numbers of
potential participants who have access to farmers' markets, roadside stands and/or CSA
programs, or will it provide State agency-wide coverage?

a. Provide a detailed description of the service area(s), including the number (and
location, if available) of participating markets/roadside stands/CSA/bulk purchase
programs and local agencies (such as Area Agencies on Aging, Senior Centers or
CSFP distribution sites).

b. Estimated number of SFMNP participants per local agency:
Local Agency:

# of Participants:

2. As required under § 249.6(g)(2), when all available program benefits have been allocated
to eligible participants, are local agencies be required to maintain a waiting list of new
applicants likely to be served?
Yes

No

If yes, will which of the following be included on the waiting list?
Name of the applicant
Date placed on waiting list
Address
Participant telephone number
Participant mobile telephone number
Other telephone number
Other:
3. In State agencies where the FMNP also operates, are the SFMNP service areas the same

16

as the FMNP service areas, or closely overlapping, so that the same farmers’ markets and
roadside stands may serve both SFMNP and FMNP participants? If No, please explain.
Yes

No

B. Application Process (§ 249.6)
1. Does the State agency require all local agencies to use a standardized application process
for all persons applying for the SFMNP?
Yes

No

2. The State agency shares
State agency-wide or
at local agency option (check one), a
common application or certification form with (check all that apply):
No other benefit programs
Commodity Supplemental Food Program (CSFP)
Food Distribution Program on Indian Reservations (FDPIR)
Supplemental Nutrition Assistance Program (SNAP)
Aging Services
Supplemental Security Income (SSI)
Reduced price health care program(s)
Other (specify):
3. As required by § 249.6(g), does the State agency have processing standards in place to
notify SFMNP applicants of eligibility, ineligibility, or placement on a waiting list within
15 days from the date of application?
Yes

No

(Attach the State agency’s standardized format for this notification, if applicable.)
4. Applicants for the SFMNP must be notified of their eligibility or ineligibility for benefits,
or of their placement on a waiting list, within 15 days from the date of application. The
15-day period begins when the applicant (check all that apply):
Telephones the local agency to request benefits
Visits the local agency in person
Makes a written request for benefits
Makes an appointment
5. How does the State agency define “reasonable expectations that additional funds may
become available” in order to determine whether to maintain a waiting list?
6. Is each participant or authorized representative informed on how to use farmers’ market
food instruments or their CSA SFMNP benefits, and on the availability of other services,
as set forth in § 249.6(d)(3) of the Federal SFMNP regulations?

17

Yes

No

7. Does the State agency have procedures to ensure that participants are certified only for
the current fiscal year’s period of SFMNP operation?
Yes

No

If yes, please provide a brief description:
8. May a participant designate another person as an authorized representative/proxy to do
the following if the participant is unable to (check all that apply):
Apply for certification?
Shop at farmers’ markets and/or roadside stands?
Pick up eligible foods from CSA/bulk purchase program distribution sites?
9. a. Does the State agency limit the number of proxies that one individual can have (e.g.,
one participant designates three different proxies)?
Yes

No

If yes, how many?
b. Does the State agency limit how many participants may use the same proxy (e.g., one
person is the proxy for 5 participants)?
Yes

No

If yes, how many?
10. If the State agency permits authorized representatives/proxies, are signed statements from
the participant required for this purpose per § 249.6(f) of the federal SFMNP regulations?
Yes

No

11. Attach a copy of the State agency’s written procedures regarding the designation of
authorized representatives/proxies for the SFMNP. Include details on the process of when
the participant signature is obtained (e.g., at time of proxy designation, at another time
during the season) and which signature formats are acceptable (e.g., written, text, email,
other electronic format, etc.).
12. Is certification for SFMNP performed at no cost to the applicant or authorized
representative?
Yes

No

13. Attach a copy of the FY 2025 Certification or Application form that will be used for the
SFMNP.

18

C. Categorical and Residency Eligibility
1. Will only individuals who meet the basic regulatory definition of “senior” (i.e., 60 or
older) in an SFMNP service delivery area be provided SFMNP benefits, or will the State
agency (per § 249.6(a)(1)) also serve special categories of participants?
(Excluding Expansion)

(Including Expansion)

Seniors > 60 years of age
Special categories/groups: (check all that apply):
Higher minimum age
(e.g., 62, 65 – specify in
space provided)
Native Americans
(> 55 years of age)
Disabled*
(*residing in predominantly-elderly housing where congregate nutrition services are
provided)
Lower income level
(Specify in space provided)
Other (specify)
2. For the residency requirement, the State agency uses:
State agency residency
Local agency service area residency

19

D. Income Eligibility (§ 249.6(a)(3))
1. For income eligibility, the State agency uses (check all that apply):
Maximum gross household income of 185% of annual poverty income guidelines
Maximum gross household income of
income guidelines

% (less than 185%) of annual poverty

Participation in Commodity Supplemental Food Program (CSFP)
Participation in Special Nutrition Assistance Program (SNAP)*
(* as long as SNAP income eligibility does not exceed 185% of poverty income
guidelines)
Participation in Food Distribution Programs on Indian Reservations (FDPIR)* (as
long as FDPIR income eligibility does not exceed 185% of poverty income guidelines)
Participation in Supplemental Security Income (SSI)
Member of a family/economic unit participating in the Special Supplemental
Nutrition Program for Women, Infants, and Children (WIC), or on a waiting list for WIC
Member of a family/economic unit participating in FMNP
Participation in another means-tested program for which income eligibility is set at or
below 185% of the poverty income guidelines
2. For the normal income eligibility screening process and determination of household size,
is the household defined by the State agency as a group of related or nonrelated
individuals who are living together as one economic unit.
Yes

No

3. a. For documentation of income eligibility per § 249.6(b), the State agency accepts
(check all that apply):
Signed statement of applicant (if so, attach copy in Appendix V)
Notice of eligibility or its equivalent for participation in or certification for other
programs
Pay stub or other statement of earnings
W-2, tax return, or other tax forms
Other:

(Please describe)

b. If the State agency accepts a signed statement of applicant, provide a detailed

20

explanation or attach the State agency’s policy explaining when the participant signature
is obtained (e.g., at time of application, at another time during the season) and which
signature formats are acceptable (e.g., written, text, email, other electronic format, etc.).

4. The State agency requires State agency-wide, or
at local agency option (check
one), the verification of applicant income information.
No
Yes (check all sources required, as appropriate):
Employer
Public assistance offices
State employment offices (wage match, unemployment)
Social Security Administration
Schools/offices
Other (specify)
E. Participant Rights and Responsibilities
1. If found ineligible, are applicants for SFMNP notified in writing of the reason(s) for
ineligibility and their right to a fair hearing, as required per § 249.6(d)(4)?
Yes

No (Attach the standardized form for this in Appendix T)

2. Is each participant or authorized representative informed during the certification process
of their rights and responsibilities as set forth in § 249.6(d)(1),(2) of the Federal SFMNP
regulations?
Yes

No

3. Is this information provided in a language other than English where a significant number
or proportion of the eligible population needs this information in a language other than
English?
Yes

No

If yes, please list languages other than English:

F. Participant and Applicant Confidentiality
1. Does the State agency share information obtained from applicants for and/or participants
in the SFMNP with any other programs, agencies, law enforcement officials, or any other
organizations or persons?

21

Yes

No

If yes, explain below or attach documentation such as information-sharing agreements,
statements of policies and procedures, legal citations, etc.

2. Per § 249.24 of the federal SFMNP regulations, the State agency restricts the use or
disclosure of information obtained from applicants/participants to:
a. Persons directly connected with the administration or enforcement of SFMNP,
including investigation and prosecution of SFMNP violations by any public authority;
Yes

No

b. Representatives of public organizations under written agreements for
eligibility/outreach purposes regarding other programs, without third party access or
disclosure;
Yes

No

c. The Comptroller General of the United States, General Accounting Office (GAO).
Yes

No

3. Does the State agency permit an applicant and/or participant access to the information
that the applicant and/or participant provided to the Program?
Yes

No

4. Does the State agency prohibit local agencies from requiring the applicant or participant
to sign a written consent or release form or similar document to share confidential
information with another entity or organization during the SFMNP eligibility
determination process, e.g., by completing and separating the certification screening
process from the request for a release to be signed?
Yes

No (if signing a release is a condition of eligibility, please explain)

G. Dual Participation
1. Does the State agency have policies and procedures in place to prevent and detect dual
participation (in more than one service delivery area at the same time) in SFMNP?
Yes (please describe)
No (if no, please explain why not)

22

H. Nondiscrimination
1. State agencies are required to comply with all applicable and pertinent laws and
regulations regarding the assurance of nondiscrimination on the basis of race, color
national origin, age, sex, or disability (§ 249.7). Describe the State agency’s system or
procedures for:
a. Public notification of the Department’s nondiscrimination policy:

;

b. Annual reviews of local agencies to assure nondiscrimination against any of the
protected classes listed above:
.
2. Per § 249.7 of the SFMNP regulations, the State agency ensures that no person will be
denied benefits, or otherwise discriminated against on the grounds of race, color, national
origin, age, sex, or disability.
Yes

No

3. Per § 249.7 of the SFMNP regulations, the State agency (check all that apply):
Notifies the public, participants, and potential participants of the nondiscrimination
policy.
Notifies participants and potential participants of complaint procedures regarding
alleged unlawful discrimination (see Section VIII below regarding the complaint
process).
Reviews and monitors program activities to ensure compliance with
nondiscrimination policies and procedures.

23

V. Food instrument, Farmers’ Market, Roadside Stand, Bulk Purchase, and CSA Program
Management (§ 249.10)
A. Issuing SFMNP food instruments to participants (§ 249.4(11)(i)):
1. Describe the State agency's procedures for ensuring the secure transportation and storage
of food instruments or the eSolution implemented. Include the method used to transport
food instruments from the contractor who produces them to the State agency, and from
the State agency to the local agencies. Include a description of how unissued SFMNP
food instruments are stored, or how secure handling of food instrument stock and
electronic food instrument numbers is ensured, at the State agency, local agency, and/or
local issuing sites. Also include any type of reporting form used to gather data.

2. Describe the food instrument issuance system for participants. Include any reporting form
used to gather data. This description should include automated as well as manual
processes used for issuance of food instruments to SFMNP participants.

3. If the State agency intends to use a bulk purchase option, describe (1) how the State
agency will identify the farmers from whom the eligible fruits and vegetables will be
purchased, (2) the entity(ies), if different from the State agency, that will negotiate and
contract for the purchase of the produce, (3) how the State agency will ensure that the
value of the food provided to each participant falls within the regulatory minimum and
maximum levels, (4) how the State agency will ensure that all SFMNP participants
receive an amount of food that offers an equitable benefit, and (5) how the State or local
agency will distribute the fruits and vegetables to program participants.

4. For CSA programs, describe the system for ensuring that each SFMNP shareholder
receives an equitable amount of eligible foods at each delivery, and that the total value of
the eligible foods provided under the SFMNP falls within the minimum and maximum
federal SFMNP benefit levels. Also, describe the system to ensure receipt by eligible
participants of eligible foods provided through the CSA program. Such a system should
include a written receipt or distribution log, with the participant’s signature (or that of the
eligible participant’s proxy, if proxies are allowed) and the date of each distribution
(please attach a copy of this receipt form or log).

5. Describe the State agency's system for instructing participants on the proper use of
SFMNP food instruments. If this function is performed by the local agency on behalf of
the SFMNP State agency, indicate who issues the food instruments; what materials are
provided during issuance; and who explains the use of the food instruments and
redemption procedures to the participant. For bulk purchase/CSA programs, describe how

24

participants will be instructed on the procedures for delivery and distribution of eligible
foods through the bulk purchase/CSA programs to the participants.

6. Describe the State agency's system for instructing participants on the proper use of
SFMNP eSolution benefits. If this function is performed by the local agency on behalf of
the SFMNP State agency, indicate who issues the benefits; what materials are provided
during issuance; and who explains the use of the benefits and redemption procedures to
the participant.

7. Describe the State agency's coupon replacement policy or include the statement that
SFMNP coupons will not be replaced.

8. Attach a copy of the log or other form used to record food instrument issuance to valid
certified participants (Appendix I).
B. Authorization of farmers and/or farmers’ markets, Community Supported Agriculture (CSA)
programs, and roadside stands.
The State agency is responsible for the fiscal management of, and accountability for,
SFMNP-related activities by farmers and/or farmers’ markets, CSA programs, and roadside
stands. Each State agency may decide whether to authorize farmers individually, farmers’
markets, or both farmers and farmers’ markets, as well as roadside stands and CSA
programs. Only farmers and/or farmers’ markets and roadside stands authorized by the State
agency, as set forth in § 249.10 in the Federal SFMNP regulations, may redeem SFMNP food
instruments; only CSA programs authorized by the State agency may distribute eligible foods
to participants.
1. Describe the general authorization procedures for farmers and/or farmers’ markets,
roadside stands, bulk purchase and CSA programs.

2. List or attach the criteria used to authorize farmers’ markets (Appendix L). Examples of
authorization criteria include: 1) permanent market location; 2) sufficient number of
growers who participate in the market; 3) a wide selection of products; 4) authorized to
redeem SFMNP food instruments; 5) community support from non-SFMNP sales; 6)
produce offered for sale is locally grown; or 7) accessibility to senior service areas.
3. List or attach the criteria used to authorize farmers (Appendix M). Examples of
authorization criteria include: 1) grows a minimum percentage of the produce to be sold
(please specify); 2) owns land within the State agency where produce is grown; 3)

25

certified by the State Agriculture Department, ITO, Cooperative Extension Agent or by a
Farmers’ Market Association within the State agency; 4) authorized to redeem SFMNP
food instruments; 5) offers locally grown produce; or 6) accessible to senior service
areas.

4. List or attach the criteria used to authorize roadside stands (Appendix N).

5. List or attach the criteria used to authorize CSA programs (Appendix X).

6. List or attach the criteria used to select farmers for bulk purchase programs (Appendix
O).

7. Per § 249.2 how does the State agency define “eligible foods”? List or attach a list of the
fruits, vegetables, honey and/or fresh herbs that can be purchased using SFMNP benefits
in Appendix G. (NOTE: For the purposes of the SFMNP, eligible foods mean fresh,
nutritious, unprepared, locally grown fruits, vegetables, honey and herbs).
Eligible foods may not be processed or prepared beyond their natural state except for
usual harvesting and cleaning processes. Maple syrup, cider, nuts, seeds, dried plums
(prunes), dried chilies or tomatoes, eggs, meat, cheese and seafood are examples of
ineligible foods for purposes of the SFMNP. State agencies may also describe eligible
foods as “all fruits, vegetables, honey and herbs locally grown except…”:
8. Per § 249.2, eligible foods are limited to produce grown within State agency borders or
areas in neighboring State agencies adjacent to its borders. How does the State agency
define "locally grown produce" in order to designate SFMNP eligible foods?
Within the State agency borders only
Within the State agency borders and adjacent counties (e.g., one county into the
next State)
Within the county lines
Other (specify)
9. Per § 249.10(a)(2), to what extent does the State agency permit or prohibit the
participation of individuals who are selling produce grown by someone else, in addition
to their own produce? Individuals who exclusively sell produce grown by someone else,
such as wholesale distributors, cannot be authorized to participate in the SFMNP.

26

10. Per § 249.10(a)(10), describe how the State agency will ensure that there is no conflict of
interest between the State or local agency and any participating farmer, farmers’ market,
roadside stand, or CSA program.

11. Indicate the number of farmers’ markets, farmers, and/or roadside stands, and/or
CSA/bulk purchase programs that are expected to be authorized in FY 2025:
Farmers
Farmers’ markets
Roadside stands
Bulk purchase programs
CSA programs
12. Does the State agency require that the Market Manager be bonded?
Yes

No

C. Farmers, Farmers’ Market, Roadside Stand, and/or CSA/Bulk Purchase Agreements
NOTE: Some State agencies administer the SFMNP by executing agreements with
farmers’ market associations that are responsible for managing farmers’ markets. In
such instances, the provisions and requirements outlined in this section related to
farmers’ markets must also be applied to such State agency/farmers’ market
association agreements.
Each State agency shall enter into a written agreement with all participating farmers and/ or
farmers’ markets, roadside stands and/or CSA/bulk purchase programs including sanctions
for non-compliance with SFMNP requirements. Include the SFMNP State agency—
Farmers/Farmers’ Market/Roadside Stand/CSA/Bulk Purchase Agreement in
Appendix P. This agreement as described in § 249.10 must contain at a minimum the
following specifications:
1.

The farmer and/or farmers’ market and roadside stand shall (§ 249.10(b)(1)(i-xii)):
i.
ii.
iii.
iv.
v.

Provide such information as the State agency shall require for its periodic reports
to FNS;
Assure that SFMNP benefits are redeemed only for eligible foods;
Provide eligible foods at the current price or less than the current price charged to
other customers;
Accept SFMNP food instruments within the dates of their validity and submit
food instruments for payment within the allowable time period established by the
State agency;
In accordance with a procedure established by the State agency, mark each
transacted food instrument with a farmer identifier. In those cases where the
agreement is between the State agency and the farmer or roadside stand, each
transacted SFMNP food instrument shall contain a farmer identifier and shall be

27

vi.
vii.
viii.
ix.
x.
xi.
xii.

batched for reimbursement under that identifier. In those cases where the
agreement is between the State agency and the farmers' markets, each transacted
SFMNP food instrument shall contain a farmer identifier and be batched for
reimbursement under a farmers' market identifier;
Accept training on SFMNP procedures and provide training to farmers and any
employees with SFMNP responsibilities on such procedures;
Agree to be monitored for compliance with SFMNP requirements – including
both overt and covert monitoring;
Be accountable for actions of farmers or employees in the provision of foods and
related activities;
Pay the State agency for any food instruments transacted in violation of this
agreement;
Offer SFMNP recipients the same courtesies as other market customers;
Comply with the nondiscrimination provisions of USDA regulations;
Notify the State agency if any farmer or farmers’ market, roadside stand or CSA
ceases operation prior to the end of the authorization period. Provide the State
agency with a regularly updated list of all farmers at the authorized market who
accept SFMNP food instruments in exchange for their produce, and their effective
dates of participation.

2. The farmer and/or farmers’ market and roadside stand shall not (§ 249.10(b)(2)(i-iii)):
i.
ii.
iii.

Collect sales tax on SFMNP food instrument purchases;
Seek restitution from SFMNP recipients for food instruments not paid by the State
agency; and
Issue cash change or credit (including rain checks) in exchange for purchases that
are in an amount less than the value of the SFMNP food instrument(s).

3. Neither the State agency nor the farmer and/or farmers’ market, roadside stand or CSA
have an obligation to renew the agreement. Either the State agency or the farmer and/or
farmers’ market or roadside stand may terminate the agreement for cause after providing
advance written notification. The period of time within which such advance notification
must be provided is to be stipulated by the State agency as part of the standard
agreement.
4. The State agency may deny payment to the farmer and/or farmers’ market or roadside
stand for improperly redeemed SFMNP food instruments, or may establish a claim for
payments already made on improperly redeemed food instruments. The State agency may
disqualify a market and/or a farmer or roadside stand for program abuse with a minimum
of 15 days’ advance written notification.
5. The State agency may disqualify a farmer and/or farmers’ market, roadside stand or CSA
for SFMNP abuse.
6. A farmer and/or farmers’ market or roadside stand that commits fraud or engages in other
illegal activity is liable to prosecution under applicable Federal, State/ITO or local laws.
7. A farmer and/or a farmers’ market, roadside stand or CSA may appeal an action of the

28

State agency denying its application to participate, imposing a sanction, or disqualifying
it from participating in the SFMNP. If a State agency has agreements with farmers'
markets, then a farmer shall appeal such actions to the farmers' market. Expiration of a
contract or agreement shall not be subject to appeal through the SFMNP State agency.
8. Agreements may not exceed 3 years. The farmers and/or farmers' market, roadside stand
and CSA agreements are valid for
years.
9. Agreements with farmers’ markets that do not authorize individual farmers. Those State
agencies that authorize farmers' markets but not individual farmers shall require
authorized farmers' markets to enter into a written agreement with each farmer within the
market that is participating in SFMNP. The State agency must set forth the required terms
for the agreement and provide a sample agreement that may be used. Please attach a copy
of this agreement, if any.
10. Describe or attach other cooperative arrangements in Appendix D that may have been
negotiated, such as with Cooperative Extension Service programs, or with a State
Agriculture Department or ITO, to authorize farmers/farmers’ markets or roadside stands.

D. Annual training for farmers, farmers’ market managers and/or farmers who operate a
roadside stand or CSA program.
State agencies shall conduct annual training for farmers, farmers' market managers, and/or
farmers who operate a CSA program in the SFMNP. The State agency must conduct a onetime, interactive training for all farmers and farmers' market managers who have never
previously participated in the SFMNP per § 249.10(d).
After a farmer’s/farmers' market manager's first year of SFMNP operation, State agencies
have discretion in determining the method used for annual training purposes. At a minimum,
annual training shall include instruction emphasizing:
•
•

Eligible food choices;
Proper SFMNP food instrument redemption procedures, including deadlines for
submission of food instruments for payment, and/or receipt of payment for CSA
programs’ distribution of eligible foods;
• Equitable treatment of SFMNP participants, including the
availability of eligible foods to SFMNP participants that are of the same quality and
cost as those sold to other customers;
• Civil rights compliance and guidelines;
• Guidelines for storing SFMNP food instruments safely; and
• Guidelines for canceling SFMNP food instruments, such as punching holes,
rubber-stamping.
1. Describe the procedures the State agency has in place for the interactive training required
for all farmers and farmers’ market managers who have never previously participated in
the SFMNP. This description should also include the subsequent training methods made

29

available to authorized farmers and farmers’ market managers after the first year’s
interactive training.

E. Food Instrument Benefit Accountability
The food instrument reconciliation process as contained in § 249.10 is intended to assure
accountability by enabling the State agency to reconstruct the "life history" of each food
instrument, from the time it is issued through its final disposition. While State agencies are
not required to extract and show, for each coupon, the participant and the farmer/market
associated with the coupon and record the link (e.g., in the form of a spreadsheet or other
document), State agencies must have the ability to trace redeemed coupons to a valid
recipient and authorized farmer/market.
The State agency is responsible for reconciling validly redeemed food instruments, as well as
lost, stolen, voided, or expired, SFMNP food instruments that do not match issuance records.
The process for reconciling lost and/or stolen food instruments must ensure that farmers
accepting such items in good faith, and through approved procedures, are not unfairly
penalized.
1. Describe the State agency's system for identifying and reconciling SFMNP food
instruments that were redeemed, voided, expired, or reported lost or stolen. Validly
redeemed SFMNP food instruments are those that are issued to a valid SFMNP
participant and redeemed by an authorized farmer, farmers’ market, or roadside stand
within valid dates. They must, at a minimum:
•
•
•
•

Have a valid participant identifier on the issuance log,
Have a unique and sequential serial number;
Be transacted within valid dates; and
Be redeemed by an authorized farmers' market, an authorized farmer operating
under the auspices of the authorized market, or operating a roadside stand.

a. Describe the State agency’s system for ensuring that food instruments are redeemed
only by authorized farmers (including those operating roadside stands), and farmers’
markets for eligible foods.

b. Describe the State agency's system for identifying and disallowing food instruments
that are redeemed or submitted for payment outside valid dates or by unauthorized
farmers or farmers' markets or roadside stands.

2. Food Instrument Benefit Timeframes

30

•
•
•
•

Issuance to participants:
(no later than September 30)
Redemption by participants:
(no later than November 30)
Submission for payment by farmers/farmers' markets:
Payment by the State agency:

All of the functions described above must be completed within a timeframe that allows
the State agency to reconcile food instruments, liquidate all obligations, and submit its
financial and program data reports (i.e., the FNS-683A) to FNS no later than January
30 of each year.
Provide a copy of the SFMNP food instrument in Appendix J.

31

VI. Management Evaluations and Reviews
Indicate in the chart below the total number of local agencies serving SFMNP recipients, the
number of each type of farmers' markets, farmers, roadside stands, and/or CSAs authorized
for this year, and the number of reviews of each type in the chart below.
A. The State agency must ensure that all SFMNP local agencies are reviewed at least once every
two years. § 249.17(c)(1)(i)) requires a minimum of 10 percent or at least one of each type of
authorized outlet (farmer, farmers’ market, roadside stand, CSA) (whichever is greater) to be
monitored each year. For example, if there are five authorized farmers’ markets in a
participating State agency and 40 authorized farmers, the State agency must review a
minimum of one farmers’ market and four farmers. These four farmers may or may not be
participating within the one farmers’ market being monitored.
New Fiscal Year:
Total # of Local Agencies
# of local agencies to be reviewed
Total # of Farmers’ Markets Authorized
# of markets to be reviewed (minimum of 10%)
Total # of Farmers authorized
# of farmers to be reviewed (minimum of 10%)
Total # of Roadside Stands authorized
# of Roadside Stands to be reviewed (minimum of 10%)
Total # of CSAs authorized
# of CSAs to be reviewed (minimum of 10%)
Previous Fiscal Year:
Total # Local Agencies
# of local agencies reviewed
Total # Farmers’ Markets Authorized
# of markets reviewed
Total # Farmers authorized
# of farmers reviewed
Total # Roadside stands authorized
# of Roadside stands reviewed
Total # of CSAs authorized
# of CSAs reviewed
B. Describe the State agency’s criteria for defining a high-risk farmer. Such criteria must
include at a minimum:
1. Proportionately high volume of food instruments within a farmers’ market and within a
State agency;
2. Participant complaints;
3. New farmers, farmers’ markets, and CSA programs in their first year of operation; and
4. In the case of CSA programs, a history of or ongoing inability to provide the full SFMNP
32

benefit to each shareholder as contracted.

C. Describe the State agency’s policies and procedures for determining the type and level of
sanctions to be applied against farmers, farmers’ markets, roadside stands, and CSA
programs that violate federal and/or State agency SFMNP requirements based upon the
severity and nature of the SFMNP violations.

D. Describe the State agency’s plans for reviewing SFMNP practices at local agencies in FY
2025 (§ 249.17(c)(1)(ii)). All local agencies participating in the SFMNP must be reviewed at
least once every two years. Attach a copy of the State agency’s monitoring review instrument
that will be used to review SFMNP local agencies (Appendix U). Briefly summarize findings
and corrective action taken from any reviews conducted in FY 2024:

E. Attach a copy of the State agency’s review instrument that will be used to review farmers,
farmers’ markets, roadside stands, and CSAs (Appendix R).
F. Attach a list of all reviews and findings of farmers, markets, roadside stands and CSA
programs from the previous year.

33

VII. Nutrition Education Requirements
A. Describe in detail, per § 249.9, the State agency’s plan to provide nutrition education to
SFMNP participants and the manner in which it is provided (e.g., in person, mailed materials,
online). If the administering State agency for the SFMNP has entered into an agreement with
another agency to provide nutrition education, attach a copy of that other agency’s nutrition
education plans for SFMNP participants.

B. List or attach the location or settings where nutrition education for SFMNP is provided (e.g.,
local agencies, farmers’ markets, community centers, facilities for the aging, or schools). If
nutrition education is provided remotely (e.g., mailed materials, online), please write N/A.

C. Does the State agency coordinate with other agencies around issues related to nutrition
education and promotion?
No
Yes (If yes, check the applicable partnerships below):
Supplemental Nutrition Assistance Program (SNAP)
Team Nutrition
Area Agencies on Aging
Commodity Supplemental Food Program (CSFP)
Children and Adult Care Food Program (CACFP)
Temporary Assistance for Needy Families Program (TANF)
Food Distribution Program on Indian Reservations (FDPIR)
Other FNS programs (specify):
Expanded Food and Nutrition Education Program (EFNEP) and/or Cooperative
Extension Service
Other USDA programs (Agricultural Marketing Service (AMS), Farm Service
Agency (FSA), etc.)
Other government programs (e.g.5 A Day, etc.)
Non-profit organizations (specify):
For-profit organizations (specify):
Industry (specify):
Professional organizations (specify):
Educational
Institutions
(specify):
Religious
Institutions
(specify):
Other (specify):
D. Describe how nutrition education for SFMNP is coordinated with other nutrition education
programs or services, such as WIC FMNP, SNAP, Extension Service, 5 A Day, or State
agency initiatives.

34

E. Describe the nutrition education materials that have been developed, and describe how they
are used. In addition, describe any new materials that are being developed.

F. Does the State agency plan to develop new participant educational materials containing the
current Dietary Guidelines for Americans, 2020-2025?
Yes

No

If yes, please describe the elements below.
Type of material

Target audience

Project completion date

G. If the State agency intends to collect survey information to assess the effects of the Program
on farmers’ markets and the change in consumption of fresh fruits and vegetables by SFMNP
participants, attach copies of survey forms.

35

VIII. Miscellaneous Requirements
A. Civil Rights
Executive Order (EO) 13988, “Preventing and Combating Discrimination on the Basis of
Gender Identity or Sexual Orientation.” was issued to all Federal Agencies. The EO set out
policies that all persons are entitled to dignity, respect, and equal treatment under the law, no
matter their gender identity or sexual orientation. The EO does not usurp section 17 of 42
U.S.C, as amended, or applicable regulations. However, where appropriate, State agencies
may update their policies and procedures to align with the contents of the EO.
1. Describe per § 249.7(b) the State agency’s procedures for handling complaints of
discrimination on the basis of race, color, national origin, age, sex or disability, including
timeframes for submitting such complaints and for investigating them and responding to
plaintiffs. The State agency’s procedures for handling complaints of discrimination in the
SFMNP should be consistent with established and approved procedures for handling such
complaints related to other assistance programs administered by the State agency. For
example, if one State agency administers both CSFP and the SFMNP, and CSFP-related
allegations of discrimination are to be forwarded to FNS Headquarters for investigation
and resolution, then SFMNP complaints should be handled in the same way. It is not
necessary for the State agency to develop separate, duplicative procedures for the
SFMNP if one already exists in a related program administered by the State agency.

2. Does the State agency per § 249.7(a)(1) use the statement below on all SFMNP brochures
and publications, excluding materials which provide only nutrition education information
without mentioning SFMNP, and such items as caps, buttons, magnets and pens, when
the size or configuration make it impractical?
In accordance with federal civil rights law and U.S. Department of Agriculture
(USDA) civil rights regulations and policies, this institution is prohibited from
discriminating on the basis of race, color, national origin, sex (including gender
identity and sexual orientation), disability, age, or reprisal or retaliation for prior
civil rights activity.
Program information may be made available in languages other than English.
Persons with disabilities who require alternative means of communication to obtain
program information (e.g., Braille, large print, audiotape, American Sign
Language), should contact the responsible state or local agency that administers the
program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact
USDA through the Federal Relay Service at (800) 877-8339.
To file a program discrimination complaint, a Complainant should complete a Form
AD-3027, USDA Program Discrimination Complaint Form which can be obtained
online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20PComplaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by
calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must

36

contain the complainant’s name, address, telephone number, and a written
description of the alleged discriminatory action in sufficient detail to inform the
Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged
civil rights violation. The completed AD-3027 form or letter must be submitted to
USDA by:
1. Mail:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410; or
2. Fax:
(833) 256-1665 or (202) 690-7442; or
3. Email:
program.intake@usda.gov
This institution is an equal opportunity provider.
Yes

No

3. Does the State agency use the statement below, in print size no smaller than the text, in
material too small to permit the full statement?
“This institution is an equal opportunity provider.”
Yes

No

4. Does the State agency use the following statement in radio and television public service
announcements:
“This institution is an equal opportunity provider.”
Yes

No

B. Hearing Procedures and Program Complaints
1. The State agency must provide a fair hearing procedure whereby local agencies,
participants, and farmers/farmers’ markets/roadside stands/CSA programs adversely
affected by certain actions of the State agency may appeal those actions. A local agency
may appeal an action of the State agency disqualifying it from participating in the
SFMNP. A participant may appeal disqualification to receive SFMNP benefits. A
farmer, farmer's market, roadside stand, or farmers’ association may appeal an action of
the State agency denying its application to participate, imposing a sanction, or
disqualifying it from participating in the SFMNP. Expiration of a contract or agreement
shall not be subject to appeal through the SFMNP State agency. The State agency must
also provide procedures for addressing complaints about program operations.
a. Describe the State agency’s procedures for offering, conducting, and rendering final

37

decisions on fair hearings requested by local agencies, participants and
markets/farmers/roadside stands/CSA programs. The opportunity to request a fair
hearing regarding certain adverse actions taken by the State agency must be provided
to all farmers and/or farmers’ markets/roadside stands/CSA programs and participants
against whom such adverse action is taken.

b. Describe the State agency’s procedures for handling program complaints from
participants, non-participants, markets, farmers, roadside stands, and CSA programs.

2. Drug-Free Workplace - Describe the State agency's plans to maintain a drug-free
workplace and otherwise comply with 2 CFR 421.

3. Local Agency Debarment/Suspension – Per 2 CFR 417, the SFMNP State agency has on
file either 1) a current local agency certification in a format established by the State
agency; or, 2) a local agency contract including assurance on debarment/suspension,
which may be satisfied by the local agency debarment/suspension certification provided
for another program if it covers the same period as the SFMNP local agency contract; or,
3) a record showing that the SFMNP State agency had checked the Excluded Parties List
System (EPLS) for each local agency.
Yes

No

4. SF-LLL on File - The SFMNP State agency has on file the current SF-LLL, Disclosure
Form to Report Lobbying, if lobbying occurs with non-federal funds, for each SFMNP
local agency with a sub-grant exceeding $100,000, if any? (This may be satisfied with
local agency lobbying disclosures provided for CSFP or Aging services only if the State
agency – local agency contract covers both CSFP and Aging Services.)
Yes

No

5. SF-LLL Transmission - The SFMNP State agency has provided a copy of any such
disclosures to the FNS Regional Office.
Yes

No

6. Have there been any fair hearings in the previous year?
Yes

No

If yes, how many? Indicate for which program.

38

7. Have there been participant complaints in the previous year?
Yes

No

If yes, how many? Indicate for which program.

39

Appendices
Include all of your appendices here. Please clearly identify any pages according to the lettering
system used in this format.
Required
Please indicate
the fiscal year
of the last
approved
appendix

Please indicate if
a change (Y) or
if no change (N)
has occurred
since the last
applicable
approved
appendix

A.

Administrative forms, including the Federal-State
Agreement Supplemental Nutrition Programs
Agreement (FNS-339; expiration of 6/30/2025) and,
if applicable, the Certification Regarding Lobbying
and the Disclosure of Lobbying Activities (SF-LLL)

B.

Job Descriptions

C.

Copies of signed agreements between the State
agency and another State agency (delineating the
functions to be performed)

D.

Copies of cooperative agreements with other entities
for authorizing and/or training farmers, farmers’
markets, roadside stands, or CSA programs, or for
conducting bulk purchases, if applicable

E.

Supporting documentation for State agency, private,
in-kind, or similar program funding (if applicable)

F.

Instructions to participants, including rights and
responsibilities

G.

List of fruits, vegetables, honey and/or fresh herbs
that are eligible in the Program

H.

Samples of reporting forms for record keeping (if
available)

I.

Copy of the log or other forms used to record and
report food instrument issuance and inventory

J.

Copy of the SFMNP food instrument (coupon, check
40

or eSolution benefit, etc.)
K.

Map outlining service areas and proximity of
farmers’ markets, roadside stands, and/or CSA
programs from the prior year’s operation to SFMNP
local agencies

L.

List of criteria used to authorize farmers’ markets

M.

List of criteria used to authorize farmers

N.

List of criteria used to authorize roadside stands

O.

List of criteria used to authorize farmers for bulk
purchase programs

P.

Copy of prototype agreements for farmers, farmers’
markets, CSAs and bulk purchases (if applicable)

Q.

Training materials for farmers, farmers’ markets,
roadside stands and CSAs (if applicable)

R.

State agency’s monitoring tool(s) to review farmers,
farmers’ markets, roadside stands, and CSA programs
(if applicable)

S.

Sample State agency-wide application/certification
form for interested farmers, farmers’ markets,
roadside stands

T.

Sample notification of client ineligibility

U.

State agency’s monitoring tool to review local
agencies

V.

Copy of SFMNP application and signed statement to
affirm income eligibility

W.

List of criteria for certifying SFMNP participants

X.

List of criteria used to authorize CSA programs (if
applicable)

Y.

List of SFMNP certification/issuance sites

41

Optional
Please indicate
the fiscal year of
the last approved
appendix

Please indicate if
a change (Y) or
if no change (N)
has occurred
since the last
applicable
approved
appendix

1.

State agency training tools for local agencies

2.

Sample proxy form

3.

Examples of nutrition education materials

4.

Copy of form to request an appeal/fair hearing and
procedures

5.

Copy of other agency’s nutrition education plans for
SFMNP participants

Please list any other attachments or appendices:

42