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Road to SMI Success Manual - Region 10 Education Service Center

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Appendix U<br />

Checklist of Documents Needed for an <strong>SMI</strong> Review (continued)<br />

School Name:<br />

Period of Analysis:<br />

Source Documents Complete Additional Data Needed<br />

Nutrition/food component information for commercially<br />

processed food items<br />

Nutrition Facts label or equivalent information from manufacturer<br />

Child Nutrition (CN) labels and/or Product Formulation Statements<br />

if using a food-based menu planning approach<br />

Prin<strong>to</strong>ut of nutrient analysis for review week of menus and recipes<br />

(required for NSMP/ANSMP)<br />

Indication that re-analysis is warranted<br />

❑ Yes<br />

❑ No<br />

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