Community Service Block Grant Program — 2017
CSBG Contract Documents for Off-Reservation Subcontractors
Agreement Proposal Documents:
| CSBG Category | Form # | Description |
|---|---|---|
| Certification Lobbying | STD FORM LLL | Certification Regarding Lobbying/Disclosure of Lobbying Activities |
CSBG Program Accomplishments and Coordination of Funds CSBG Fiscal Data—Operating Funds CSBG Fiscal Data—Other Resource | ||
| Federal Funding Accountability and Transparency Act (FFATA) | CSD 279 | |
| CSBG Programmatic Data—Client Characteristics Report | CSD 295-CCR | |
| Contractors Certification Clauses | CCC-307 | Contractors Certification Clauses Form |
| Contract Budget Forms | 425.S Contract Budget Summary Form and instructions 425.1.1 Budget Support—Personnel Costs and instructions 425.1.2 Budget Support—Non Personnel Costs and instructions 425.1.3 Other Agency Operating Funds and instructions | NCIDC 425 Budget Series |
| Justification for Contract Amendment/Modification Form | NCIDC 425-B example | Justification for Subcontract Amendment/Modification |
| Request for Pre-Approval Purchase/Lease | CSD 558 | |
| CSBG Closeout Package | CSD 715 Series | Closeout Interest Earned/Program Income and Equipment Inventory |
| Closeout/Equipment Inventory | CSD 715 D | Close-Out Equipment Inventory Schedule |
| CSD 801W and 801 Forms | CSBG NPI Workplan/Programs Report | |
| Agency Staff and Board Roster | CSD 188 | |
| CSBG Monthly Expenditure Report | NCIDC 425.ER | |
| CSBG Final Expenditure Report | NCIDC 425.FER | |
| NCIDC Information Request Form | IR-1 | |
| NCIDC Advance Request | Advance Request | |
| NCIDC CSBG Client Intake and Registration | Client Intake and Registration | |
| CSD Self Assessment Tool | Self Assessment Tool | |
| Sample Resolution | Sample Resolution |
Federal Regulations Incorporated into this Agreement here
• Federal Regulation, 45 CFR Part 16 – Procedures of the Departmental Grant Appeals Board
• Federal Regulation, 45 CFR Part 30 – Claims Collection
• Federal Regulation, 45 CFR, Part 74 codification of OMB Circular A-11
• Federal Regulation, 45 CFR Part 76 – Debarment and Suspension from Eligibility for Financial Assistance (Nonprocurement)
• Federal Regulation, 45 CFR Part 80 - Nondiscrimination Under Programs Receiving Federal Assistance through the Department of Health and Human Services, Effectuation of Title VI of the Civil Rights Act of 1964
• Federal Regulation, 45 CFR Part 81 - Practice and Procedure for Hearings Under Part 80 of this Title
• Federal Regulation, 45 CFR Part 84 - Nondiscrimination on the Basis of Handicap in Programs and Activities Receiving Federal Financial Assistance
• Federal Regulation, 45 CFR Part 86 – Nondiscrimination on the Basis of Sex in Education Programs and Activities Receiving or Benefiting from Federal Financial Assistance
• Federal Regulation, 45 CFR Part 87 – Equal Treatment for Faith-Based Organizations
• Federal Regulation, 45 CFR Part 91 – Nondiscrimination on the Basis of Age in HHS Programs or Activities Receiving Federal Financial Assistance
• Federal Regulation, 45 CFR Part 93 – New Restrictions on Lobbying
• Federal Regulation, 45 CFR Part 96 – Block Grants
• Federal Regulation, 45 CFR Part 97 – Consolidation of Grants to the Insular Areas
• Federal Regulation, 45 CFR Part 100 – Intergovernmental Review of Department of Health and Human Services Programs and Activities
Resources
- Contract Certification Clauses (.doc)
- Federal Statute, CSBG Act, 42 U.S.C. Section 9901 and following
- California Government Code Section 12725 through 12790
- California Code of Regulations Section 100601 (.pdf) and following
- Federal Statute, Single Audit Act, 31 U.S.C. Section 7301 and following
- Office of Management and Budget Circular A-133 & appendices and supplements
- Office of Management and Budget Circular A-122
- Standards for Security Categorization of Federal Information and Information Systems
- CSD Supplemental Audit Guide (.pdf)
- Federal per diem and lodging rates
- HHS Poverty Guidelines for CSBG
- Supplemental Audit Guide
- Eligible Activities
- Management Memo: Safeguarding Against and Responsing to a Breach of Security Involving Personal Information
- Pro-Children Act of 1994
- Public Law 105-285
- CSBG Household Eligibility Guidance