Community Service Block Grant Program — 2015


CSBG Contract Documents for Off-Reservation Subcontractors

Agreement Proposal Documents:


NCIDC 425 Budget Series

425 Budget Forms
425.S Contract Budget Summary Form and 
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
425.1.4 Budget Narrative and example

CSBG/NPI 801 Workplan and NPI Guide
Certification Regarding Lobbying/Disclosure of Lobbying Activities
Advance Request
NCIDC IR-1 Information Request Form

Reporting Forms:

Monthly Reports:
NCIDC 425.ER: CSBG Monthly Expenditure Report

Bi-Annual and Annual Reports:
CSD 295: Client Characteristic (instructions included)
• CSD 295-CCR Instructions: Completing the CSD 295 Client Characteristic Report
CSD 425.OR: Other Resources Administered and Generated
• Instructions
CSD 425.OF: CSBG and Discretionary Funds
• Instructions
CSD 090: Program Accomplishments and Coordination of Funds

Closeout Reports:
NCIDC 715: Subcontract Close-Out Checklist and Certification of Documents Transmitted
NCIDC 715C: CSBG Close-Out Program Income/Interest Earned Expenditure Report
• Instructions
NCIDC 715D: CSBG Close-Out Equipment Inventory Schedule
NCIDC 425.FER: CSBG Final Expenditure Report

Additional Documents:
NCIDC CSBG Client Intake and Registration
CSD 558 Request for Pre-Approval of Purchase-Lease (doc, 2 pages)
NCIDC 425-B: Justification for Subcontract Amendment/Modification and example
CSD Self Assessment Tool


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