Community Service Block Grant Program - 2014
CSBG Contract Documents for Off-Reservation Subcontractors
Reporting Forms:
- NCIDC 715: Subcontract Close-Out Checklist and Certification of Documents Transmitted
- NCIDC 715C: CSBG Close-Out Program Income/Interest Earned Expenditure Report
- NCIDC 715D: CSBG Close-Out Equipment Inventory Schedule
- NCIDC 425-B: Justification for Subcontract Amendment/Modification
- NCIDC 425.ER: CSBG Monthly Expenditure Report
- NCIDC 425.FER: CSBG Final Expenditure Report
Submission Forms:
- Subcontract Agreement Checklist for Submission
- Table of Contents
- Exhibits (zip file) includes:
- Exhibit A: Scope of Work
- Exhibit B: Budget Detail and Payment Provisions
- Exhibit C: General Terms and Conditions
- Exhibit D: Special Terms and Conditions
- Exhibit E: Additional Provisions
- Exhibit F: Definitions
- Exhibit G: Certificate Regarding Lobbying
- CSBG Budget Forms
- 425.S: Contract Budget Summary Form
- 425.1.1: Budget Support—Personnel Costs
- 425.1.2: Budget Support—Non Personnel Costs
- 425.1.3: Other Agency Operating Funds
- CSBG Sample Budget Narrative
- Transmittal No. 37: Definition and Allowability of Direct and Administrative Costs
- NCIDC IR-1: Information Request Form
- Advance Request
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
- 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
The following Federal forms may be downloaded 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
Additional CSBG Documents
- CSD 558 Request for Pre-Approval of Purchase-Lease (doc, 2 pages)
- Breach of Security Management Memo
- CSD Self Assessment Tool
Programmatic Forms
- NCIDC CSBG Client Intake and Registration
- CSD 295: Client Characteristic (instructions included)
- CSD 801: CSBG/NPI Program Report (use for Contract Work Plan, Mid-year Report and the Annual Report), includes instructions
- NPI Guide (from NASCSP.pdf, 80 pages)
- CSD 090: Program Accomplishments and Coordination of Funds
- CSD 425.OR: Other Resources Administered and Generated
- CSD 425.OF: CSBG and Discretionary Funds