Division of Aging and Adult Services Financial Management Self Assessment Region: ________ Instructions: This is a listing of each subrecipient of the AAA for the current fiscal year. Determine the appropriate response to each Part A: Current Year Preliminary Monitoring & Audit Indicators for question for all subrecipients. Part A is due to the Division of Aging and Adult Services by December 2, 2009 via email to Fiscal Year Ending June 30, 2010 email@example.com. Save this document as XFISCALPARTA.xls, X = Regional designation (i.e. A, B, C, etc) 5. Indicate (X) the type of financial report or audit 1. Check (x) for 4. Indicate (Yes or No) if on-site visit is 2. Indicate ANTICIPATED by the subrecipient 6. Indicate (X) if subrecipient is: grants/contracts FY2009- planned for fiscal year 2009-2010: 7. Indicate (Yes or 3. Enter level for the current fiscal year (see NCGS 143-6.2): 2010: (Yes or No) No) were service(s) of risk (i.e. Whether discontinued at the low, Federal end of the prior moderate, or Awards Were year? (Fiscal Year high) Receipts Receipts of Schedule of Yellow Used to 2008-2009) Completed Completed Cover Audit For Program For Fiscal For Unit Sworn of >$25,000 or Receipts & A-133 Book Non-profit (non- Subrecipient Name DOA-732 DOA-732A Costs Verification Verification Verification Statement <$25,000 more Expenditures Audit Audit Governmental governmental) For-Profit Instructions for Completing Part A Preliminary Monitoring & Audit Indicator for Fiscal Year Ending June 30, 2010 The purpose of the Financial Management Self Assessment is to determine and document 1) the completion of the 732 and 732a by subrecipients, 2) document the level of risk assigned to a subrecipient by the Area Agency on Aging and 3) list the type of reviews and audits anticipated for the current fiscal year. The chart is to be completed for the current fiscal year. This report is due to the Division of Aging and Adult Services on or before December 2, 2009 via email to Kim Jacobs, Lead Monitor, at firstname.lastname@example.org. Save this document as XFISCALPARTA.XLS, X = Regional designation (i.e. A, B, C, etc.) Specific Instructions are as follows: 1. Indicate my marking (X) if the DOA-732 (Cost Computation Worksheet) and DOA-732a (Labor Distribution) was submitted. 2. Indicate (yes or no) whether federal awards were used to cover audit costs. 3. Following the policy established by the AAA, list the level of "risk" (low, moderate or high) assigned to each subrecipient. The level of risk should be determined based on the review of the Internal Control Questionnaire, prior year's monitoring reports, staff turnover, prior year's audits and general knowledge of the agency. 4. Determine (yes or no) if an on-site visit is planned for the current fiscal year for three areas: 1) Program Verification, 2) Fiscal Verification and 3) Unit Verification. The risk assigned to a subrecipient determines the frequency of on-site visits. 5. Based on knowledge of the agency, indicate (X) the type of financial report (Sworn Statement, Receipt of less than $25,000, Receipt of more than $25,000 and/or the Schedule of Receipts and Expenditures) and/or the type of audit (A-133, Yellow Book Audit) which is ANTICIPATED from the subrecipient for the current fiscal year. See DAAS Administrative Letter 06-2 for a detailed description of the audit threshold amounts as defined by OMB Circular A-133 and North Carolina General Statute 143-6.2. In addition, see DAAS Administrative Letter 09-20 for information pertaining to revisions to the AAA Policies and Procedures Manual (Section 308) and subrecipient fiscal and programmatic monitoring requirements. DAAS Administrative Letters can be found at http://www.dhhs.state.nc.us/aging/admltrs/admltrs.htm 6. Indicate (X) the type of subrecipent (governmental, non-profit/non-governmental, or for-profit). 7. Indicate (yes or no) if service(s) were discontinued at the end of the prior fiscal year.
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