attachment b-fy2012 art i application template-final 01 03 12 (2).pdf

NATIONAL SCHOOL LUNCH PROGRAM (NSLP)

OMB Control Number – 0584-0512

ATTACHMENT B

FY 2012 ADMINISTRATIVE REVIEWS AND TRAINING (ART)

Method I GRANTS

Application for Funding for Additional Administrative Reviews

Submit this form along with your completed application package to www.grants.gov on or before March 2, 2012

State agency: _______________________________

Complete the table below to identify the number of school food authorities (SFAs) selected for additional administrative reviews (AARs). For AAR instructions for school year 2011-2012, please refer to FNS Memorandum SP 48-2011, dated September 6, 2011, located at http://www.fns.usda.gov/cnd/Governance/policy.htm.

For SFA(s) listed in the table, use the following criteria to identify the risk factor(s) used for selection.

Establishment of a new Provision base year (NBY);

Verification data with high-level of non-response or response-based terminations (VD);

Elevated claiming percentages (CP); or

Other (O) (requires plan submission to FNS-RO)

Name and Location of SFA

Risk

Factor

Size of SFA: Large

(L) or Small (S) *

Number of

Staff Days

Associated w/review

Number of

Staff

Associated with the review

Funding

Requested

(maximum amount of $3,500 per SFA) **

Targeted Start and

Completion

Dates

* Refer to Administrative Reviews § 210.18 (b)(6) for definitions of SFA size.

** Funding in excess of $3,500 for a review may be approved only if adequate justification is provided.

http://www.fns.usda.gov/cnd/Governance/policy.htm