Summer Feeding Administration & Forms

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USDA SFSP Reference Materials/Sample Forms and TDA SFSP Forms

USDA’s SFSP Administrative Guidance for Sponsors (AGS) has a section titled Reference Materials where USDA has provided documents that can be used by contracting entities (sponsors) and sites. In addition, the USDA SFSP Sponsor Monitor’s Guide and the Nutrition Guide also have sample forms that can be used. You can find the USDA SFSP handbooks at http://www.fns.usda.gov/sfsp/handbooks. Forms provided by TDA for use in SFSP are available in the table below.

NOTE: If you need a USDA form/attachment that was previously posted in the table below, send an email request to FNDPolicy@TexasAgriculture.gov. In the subject of the email, list the full name of the form/attachment requested.

SFSP Forms

Form Name

Form Number

Form
Download

Instructions
Download

Program Name

1 2

Page size:

select

35 items in 2 pages

2013-2014 PEIMS School Data

PEIMS

SFSP

2014-2015 PEIMS School Data

PEIMS

SFSP

2015-2016 PEIMS School Data

PEIMS

SFSP

2016-2017 School Data

SCHOOL DATA

SFSP

2017-2018 School Data

SCHOOL DATA

SFSP

2018 - 2019 School Data

SCHOOL DATA

SFSP

2019 - 2020 School Data

SCHOOL DATA

SFSP

Addendum - Option to Renew IFB and Contract for Purchased Meals SFSP

IFB - RENEW SFSP

SFSP

Addendum - Option to Renew IFB and Contract for Purchased Meals SFSP & At-Risk

IFB - RENEW SFSP & AT-RISK

SFSP

Additional Assurances for Camps and Other Enrollment Programs that Charge Separately for Meals; Collection of Payment Options for Programs that Charge Separately for Meals

H1506-A

SFSP

Application for Texas Identification Number

AP-152

SFSP

Certificate of Authority for External Users

FND-101

SFSP

Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts

H2048

SFSP

Certification Regarding Federal Lobbying

H2049

SFSP

Child Nutrition Programs Waiver Request

SFSP

Daily Menu Production Worksheet

SFSP

Direct Deposit Authorization

74-176

SFSP

Disclosure of Lobbying Activities

SFSP

Disclosure of Lobbying Activities Continuation Sheet

SFSP

F&N Complaint Form

SFSP

SFSP Reimbursement Rates

The following reimbursement rates are effective January 1, 2020, through December 31, 2020.

Reimbursement Rates for Operating Costs

Breakfast	Lunch/Supper	Snacks
$2.16	$3.76	$0.87

Administrative Rates - Rural or Self-Prep Sites*

Breakfast	Lunch/Supper	Snacks
$0.2150	$0.3925	$0.1075

* All contracting entities (sponsors) of sites that prepare or assemble their own meals, either at the SFSP site or at a central facility/kitchen, and for contracting entities (sponsors) of sites located in rural areas.

Administrative Rates - All other types of Sites (Vended, Urban Sites)**

Breakfast	Lunch/Supper	Snacks
$0.1700	$0.3275	$0.0850

** All contracting entities (sponsors) of all other types of sites, such as vended or urban sites.

Reimbursement Rates - Rural or Self-Prep Sites (Administrative and Operating Combined)

Breakfast	Lunch/Supper	Snacks
$2.3750	$4.1525	$0.9775

Reimbursement Rates - All other types of Sites (Vended, Urban Sites) (Administrative & Operating Combined)

Breakfast	Lunch/Supper	Snacks
$2.3300	$4.0875	$0.9550

SSO Reimbursement Rates

National School Lunch Program (NSLP) and School Breakfast Program (SBP) reimbursement rates apply in the Seamless Summer Option (SSO).

The NSLP rates are available here.
The SBP rates are available here.

Assistance available in English and Spanish. Please call 877-TEX-MEAL (877-839-6325) for help.

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Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

Mail:

U.S. Department of Agriculture

Office of the Assistant Secretary for Civil Rights

1400 Independence Avenue, SW

Washington, D.C. 20250-9410

Fax: (202) 690-7442; or

Email: program.intake@usda.gov.

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