FNS-525 State Administrative Expense Funds Reallocation Report

OMB APPROVED NO. 0584-0067
Expiration Date: 01/31/2026
U.S. DEPARTMENT OF AGRICULTURE - FOOD AND NUTRITION SERVICE

STATE ADMINISTRATIVE EXPENSE FUNDS
REALLOCATION REQUEST REPORT

GRANTEE NAME

See Instructions on Reverse

This information is being collected to assist the Food and Nutrition Service in funding the Child Nutrition Programs. The authority for this collection is provided for in Sections 7 and 10 of the
Child Nutrition Act of 1966, 80 Stat. 888, 889, as amended (42 U.S.C. 1776, 1779). 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 0584-0067. The time required to complete this information collection is estimated to average 2 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, Alexandria, VA 22314 ATTN: PRA (0584-0067). Do not return the completed form to this address.

I. FUNDS REQUESTED

CURRENT FISCAL YEAR:
Is the Grantee requesting reallocated funds?
Yes ☐

No ☐

Total amount of additional funds requested in excess of authorized funding level (in whole dollars):

$
II. JUSTIFICATION FOR FUNDS REQUEST
Anticipated expenses or activities to be funded with reallocated dollars:
Category of Request #1 (check all that apply)
Description of request #1

FD ☐

IT/Software ☐

Amount for request #1
Category of Request #2 (check all that apply)
Description request #2

Amount for request #2
Category of Request #3 (check all that apply)
Description of request #3

FD ☐

IT/Software ☐

Salary/Benefits ☐

Other ☐

$
FD ☐

IT/Software ☐

Salary/Benefits ☐

Other ☐

$
FD ☐

IT/Software ☐

Salary/Benefits ☐

FD ☐

IT/Software ☐

Salary/Benefits ☐

Amount for request #4
Category of Request #5 (check all that apply)
Description of request #5

Other ☐

$

Amount for request #3
Category of Request #4 (check all that apply)
Description of request #4

Salary/Benefits ☐

Other ☐

$

Amount for request #5

$

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Other ☐

III. FNS REGIONAL OFFICE RECOMMENDATIONS
A.

The Regional Office has evaluated the anticipated expenses or activities to be funded with reallocated dollars and has
found them to be allowable costs.
Yes ☐
No ☐

B.

The Regional Office supports the Grantee’s request for reallocated funds, the amount requested, and the anticipated
expenses or activities to be funded with reallocated dollars.
Yes ☐
No ☐

C.

If the answer to either A or B is no, please explain below.

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

Will use the requested reallocation funds only for allowable costs associated with Child Nutrition Programs.

B.

Will obligate and expend such funds by September 30 of the fiscal year in which they are awarded.

V. SIGNATURES

AUTHORIZED STATE OFFICIAL

TITLE

DATE

AUTHORIZED FNS DESIGNEE

TITLE

DATE

FORM FNS-525 (1/23) Previous Editions Obsolete

SBU

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Electronic Form Version Designed in AEM 6.4Version

INSTRUCTIONS FOR FNS-525
All State agencies (SAs) must complete this form.
This must be done even if an SA is not requesting
funds.

associated with the portion of the request described
above. The cost should be in whole dollars only.
Repeat these steps as needed. If additional spaces
are needed, attach additional sheets and contact your
Regional office.

DEFINITIONS
1.

2.

3.

4.
5.

AUTHORIZED FUNDING LEVEL - The
amount of SAE funds available to an SA for
a given fiscal year, including the Current
Fiscal Year Grant, which includes initial
allocation, plus previous year’s carryover,
plus incoming transfers or minus outgoing
transfers.
FOOD DISTRIBUTION - Of, or relating to,
the Food Distribution Program for USDA
Foods for Child Nutrition Programs. Does not
include The Emergency Food Program
(TEFAP), Commodity Supplemental Food
Program (CSFP), or Food Distribution
Programs on Indian Reservations (FDPIR).
INFORMATION
TECHNOLOGY/SOFTWARE - Items of
technology involving the development,
maintenance, and use of computer systems
and networks for the processing and
distribution of data.
SALARY/BENEFITS - Compensation to
employees for services or services in
addition thereto.
OTHER - For the purposes of this form, any
item that is not categorically Food
Distribution, Information
Technology/Software, or Salary/Benefits.

SECTION III - REGIONAL OFFICE
RECOMMENDATION
To be completed by Regional office staff.
A. After reviewing the Grantee’s request for
allowability, check yes if the cost is
allowable or check no if the cost is
unallowable.
B. If the Regional office recommends all of the
Grantee’s requests, check yes. If the
Regional office disagrees with one or more
of the Grantee’s requests, check no.
C. If the answer to either A or B is no, explain
the reason for the reason for the no answer.
Additional relevant comments may also be
included in this space.
SECTION IV - ASSURANCES
A. SAE reallocation funds may only be used for
allowable costs associated with Child
Nutrition Programs, which includes the
National School Lunch Program (7 CFR part
210), the Special Milk Program (7 CFR part
215), the School Breakfast Program (7 CFR
part 220), the Child and Adult Care Food
Program (7 CFR part 226) and the Food
Distribution Program (7 CFR part 250).
B. Because they are prior year funds, SAE
reallocated funds must be obligated and
expended by September 30 of the fiscal year
in which they are awarded.

SECTION I - FUNDS REQUESTED
This is the amount of funds being requested above
the current authorized funding level, which must be
expended by September 30 of the fiscal year in which
they are awarded.

SECTION V - SIGNATURES
All SAs must sign this form. This must be done even if
an SA is not requesting funds. Authorized FNS
Designee may be Regional Administrator, Director, or
Branch Chief.

SECTION II - JUSTIFICATION FOR FUNDS
REQUEST
For each of the individually requested items, check
the category of the request: Food Distribution,
Information Technology/Software, Salary/Benefits, or
Other. In the box to the right of the one labeled
“Description of Request,” provide description of
anticipated activity. In the box to the right of the one
labeled “Amount of Request,” provide the cost

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