Community Service Block Grant Program — 2021

 

CSBG Contract Documents for Off-Reservation Subcontractors
 

Agreement Proposal Documents:

Checklist

 

CSBG CATEGORYFORM #DESCRIPTION
Certification LobbyingSTD FORM LLLCertification Regarding Lobbying/Disclosure of Lobbying Activities


Module 2 CSBG Eligible Entity Expenditures, Capacity, and Resources

Module 3 Community Level

Module 4 Individual and Family Level

 

Module 2
Instructions

Module 3
Instructions
Examples

Module 4
Instructions V2
Additional NPIs

 

 
Federal Funding Accountability and Transparency Act (FFATA)CSD 279\
Contractors Certification ClausesCCC-04/2017Contractors Certification Clauses Form
Contract Budget Forms

425 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

425.1.4 Budget Narrative and example

NCIDC 425 Budget Series
Justification for Contract Amendment/Modification FormNCIDC 425-B
example
Justification for Subcontract Amendment/Modification
Request for Pre-Approval Purchase/LeaseCSD 558 
CSBG Closeout PackageNCIDC 715 SeriesCloseout Interest Earned/Program Income and Equipment Inventory
Closeout/Equipment InventoryCSD 715 DClose-Out Equipment Inventory Schedule
Agency Staff and Board RosterCSD 188 
CSBG Monthly Expenditure ReportNCIDC 425.ER 
CSBG Final Expenditure ReportNCIDC 425.FER 
NCIDC Information Request FormIR-1 
NCIDC Advance RequestAdvance Request 
NCIDC CSBG Client Intake and RegistrationClient Intake and Registration 
CSD Self Assessment ToolSelf Assessment Tool 
Sample ResolutionSample Resolution 

 

Federal Regulations Incorporated into this Agreement, including 45 CFR Part 96, Administration of certain Block Grants to states, including LIHEAP and CSBG, can be found here

 

Resources

 

CSBG Eligibility Guidelines

 

2020 Community Service Block Grant Program