Family day care home sponsors

Forms & Resource Center

Family day care home sponsor application, management plan and agreement
Form Name/Description Format Date
NDE 01-012 Family Day Care Home Sponsoring Organization Management Plan
Word 7/2010
Instructions for Uploading Files Adobe pdf 7/2010
NDE 01-017
Page 6
Certificate of Authority (responsible individuals and principals) Adobe pdf 06/21o9
NDE 01-017
Page 7
Organization Representatives Signature Page Adobe pdf 04/2010

Family day care homes sponsors must complete the online portion of the application in the CNP system.
This includes Sponsor Application, Day Care Home Providers, Day Care Home Budget, Day Care Home County Approval, Staff Profile, Supporting Documents

Attachment B Agency Revenue word 9/2000

Attachment C Board of Directors word 9/2000

NS-304-H Agreement, Parts II and III
All sponsors of family day care homes must agree to abide by this agreement.


Provider and household forms and letters
Number Name/Description Format Date
NS-300-H Home Provider Application to Claim Meals Served to Own Children and/or Tier I Determination word 4/2010

NS-301-H Application for Tier I Determination in Tier II Family Day Care Homes word 4/2010

NS-302-H Sample Letter to Providers
income guidelines not included
word 4/2010

NS-303-H Sample Letter to Tier II Households
income guidelines not included
word 4/2010

NS-402-G Current Income Eligibility Guidelines Adobe pdf 7/2014

Sample Sponsor-Provider Agreement word 3/2003
Resources for Family Day Care Home Sponsors
Management Standards for Nebraska Family Day Care Home Sponsors Adobe pdf 11/2006

Nebraska Family Day Care Home Recruitment Policy – adopted by Nebraska sponsors March 1, 1999  html 3/1999

Nebraska Staffing Factors Adobe pdf July 17, 2003

Sample Time Certification worksheet – for use to document time spent in CACFP Adobe pdf

Electronic Funds Transfer Dates  html

Attachment E – (from National School Lunch Program) – Computing Income for Self Employed Persons Adobe pdf
Hearing Officer Resources
Hearing Officer Orientation – adapted from USDA presentations PowerPoint November 2008
Hearing Officer Orientation – slides with script Adobe pdf November 2008
USDA Resources – Financial Management
State Agency Monitoring of Sponsors’ Use of Administrative Funds PowerPoint April 2010
State Agency Monitoring of Sponsors’ Use of Administrative Funds – script Word April 2010
Financial Management Brochures – USDA web site html
USDA Financial Management Instruction 796-2 Adobe pdf
USDA Management Plan Evaluation Guide Adobe pdf
FNS 796-2 – Cost Items Requiring Prior Approval and Specific Prior Written Approval Adobe pdf
Expansion Grant
  Instructions and Application for Start-Up or Expansion Payments for CACFP Sponsoring Organizations Fillable Adobe pdf March 2020
Updated March 5, 2020 2:31pm