Federal Block Grants - Excel

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Federal Block Grants - Excel Powered By Docstoc
					           (Insert Name) Block Grant Management Plan for SFY 2007
                                 Overview and General Requirements

A. Goal or Purpose of Block Grant (as defined by federal funding agency)




B. Projected Federal Block Grant Funds Available
   Block Grant Fund Carryforward, SFY05
   Block Grant Fund Carryforward, SFY06 (Projected)
   Federal Funds Available, 4th Qtr FFY06 (July 06 - Sept 06)
   Federal Funds Available, First 3 Quarters FFY07 (Oct 06 - June 07)
   Additional Funds to be Transferred In from other Block Grants
                           Total Projected Federal Block Grant Funds Available, SFY07




C. Federal Block Grant Financial Requirements
   (Briefly describe any federal financial requirements, including caps on administrative expenses or required
   maintenance of effort funding. Federal and State match requirements will be addressed on the proposed
   allocations table.)




D. Financial Audit Standards Assurance Statement
   A state agency that receives state and federal funds and then disburses those funds to a grantee:
   • Must notify each grantee, at the time the grant is made, of the purpose of the grant and of the reporting
   requirements established in N.C.G.S. 143-6.2 and 09 NCAC 03M.0102-.0802. This notification is to be
   made annually and in writing. (This is accomplished through the contract process.)
   • Is not authorized to disburse funds to grantees that are not in compliance with the reporting requirements
   for funds received during the prior fiscal year.
   • Must also provide each grantee with the accounting forms and other reporting formats that have been
   prescribed by the Office of the State Auditor (OSA) and/or mandated by legislation. The OSA forms and
   instructions can be downloaded at http://www.ncauditor.net/NonProfitSite/forms.aspx
   • Must develop compliance supplements that provide suggested audit procedures to independent auditors
   performing audits. This information is provided to the Local Government Commission within the Department
   of State Treasurer and published at http://www.treasurer.state.nc.us/SLG/frslg.htm
                                                  (Insert Name) Block Grant Management Plan
                                                            SFY07 Funding Request
                                                                             Required State   Required Local   Explanation of Difference Compared to
Item #                         Title                      Requested SFY06
                                                                                Match            Match                   SFY06 Allocation

Local Program Expenditures (grouped by division, allocated by program)
   Division Name
  1    Program Name
  2    Program Name
  3    Program Name
   Division Name
  4    Program Name
  5    Program Name

DHHS Program Expenditures (grouped by division, allocated by program)
   Division Name
  6    Program Name
  7    Program Name

Local Administration (grouped by division, allocated by local entity type)
   Division Name
  8    Local Entity Type (e.g. County DSSs)
       Local Entity Type (e.g. Community Action
  9
       Agencies)

DHHS Administration (by division)
  10     Division Name
  11     Division Name
  12     Division Name

Transfers to other State Agencies (by agency name)
         Transfer to Department Name - Program/Activity
  13
         Name
         Transfer to Department Name - Program/Activity
  14
         Name
Transfers to other Block Grants (by division, block grant and program name)
   Division Name
  15 Transfer to BG Name for Program Name

TOTAL                                                                  $0
                                                                                            (Insert Name) Block Grant Management Plan
                                                                                            Prior Year Appropriations and Expenditures
                                                                                              (Item Numbering Corresponds to SFY 07 Proposed Allocation #)


  SFY 07                                                                                                                                                                                     Projected
                                                                         Appropriated             Expended               Appropriated            Expended            Appropriated                                  Requested
Alloc. Item                      Funded Activities                                                                                                                                          Expenditures                               Difference
                                                                            SFY04                  SFY04                    SFY05                 SFY05                 SFY06                                        SFY07
    #(s)                                                                                                                                                                                       SFY06
Division Name
     #     Allocation Line Item (as named in appropriations bill)
     #     Allocation Line Item (as named in appropriations bill)
     #     Allocation Line Item (as named in appropriations bill)
Division Name
     #     Allocation Line Item (as named in appropriations bill)
     #     Allocation Line Item (as named in appropriations bill)
     #     Allocation Line Item (as named in appropriations bill)
Division Name
     #     Allocation Line Item (as named in appropriations bill)
     #     Allocation Line Item (as named in appropriations bill)
     #     Allocation Line Item (as named in appropriations bill)
Central Management & Support
    #      Allocation Line Item (as named in appropriations bill)
Departmental Administration
    #     Allocation Line Item (as named in appropriations bill)
Transfer to Other State Agencies
    #       Allocation Line Item (as named in appropriations bill)
Transfer to Other Block Grants
    #       Allocation Line Item (as named in appropriations bill)


                                       TOTAL                         $                  -     $                 -    $                  -   $                -   $                  -   $                  -   $               -   $                -
              (Insert Name) Block Grant Management Plan
               Coversheet for Program Summary Reports



Attached herein are Program Summary Reports for all of the locally and State
administered programs supported by this block grant. Those programs include:

                                                                    Supervised/
                           Program
                                                                  Administered By




Note to Divisions: Program Summary Reports do not need to be attached when the
Block Grant Management Plan is submitted to the Department, but please be sure that
all Programs listed above are represented in the Program Management Database.
              Detail of Non-Programmatic (Insert Name) Block Grant Funding Requests, SFY07

                                             Requested   Description of Proposed Use of Funds, Including Notes on Changes from
Item #                  Title
                                              Amount                               SFY06 Allocation

Local Administration
  #    (Copy and paste SFY07 request here)
  #    (Copy and paste SFY07 request here)
  #    (Copy and paste SFY07 request here)


DHHS Administration
  #  (Copy and paste SFY07 request here)
  #  (Copy and paste SFY07 request here)
  #  (Copy and paste SFY07 request here)
  #  (Copy and paste SFY07 request here)

Transfers to other State Agencies
  #    (Copy and paste SFY07 request here)
  #    (Copy and paste SFY07 request here)
  #    (Copy and paste SFY07 request here)

Transfers to other Block Grants
  #    (Copy and paste SFY07 request here)
  #    (Copy and paste SFY07 request here)
  #    (Copy and paste SFY07 request here)
      New DHHS Positions to be Established with (Insert Name) Block Grant Funds, SFY07


   To Be
Supported
                                 Position   No. of          Salary                      Total Salary   Pos Eff
by SFY 07      Division/Office                       FTEs            Salary for 1 FTE
                                  Title      Pos.           Grade                        & Fringe       Date
Alloc. Item
    #(s)

				
DOCUMENT INFO
Description: Federal Block Grants document sample