PY ’24 Community Service Block Grant Program
CSBG Contract Documents for Off-Reservation Subcontractors
Agreement Proposal Documents:
Lobbying Certification
Certification Regarding Lobbying/Disclosure of Lobbying Activities
STD FORM LLL
CSBG Annual Report Work Plan
CSD 641
Module 2 CSBG Eligible Entity Expenditures, Capacity, and Resources
Module 2
Instructions
Module 3 Community Level
Module 3
Instructions
Examples
Module 4 Individual and Family Level
Module 4
Instructions V2
Additional NPIs
CSD Module 4 Projections
CSD 641B
Federal Funding Accountability and Transparency Act (FFATA)
CSD 279
Contractors Certification Clauses
Contractors Certification Clauses Form
CCC-307
Contract Budget Forms
NCIDC 425 Budget Series
- 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
Justification for Contract Amendment/Modification Form
Justification for Subcontract Amendment/Modification
NCIDC 425-B
example
Request for Pre-Approval Purchase/Lease
CSD 558
CSBG Closeout Package
Closeout Interest Earned/Program Income and Equipment Inventory
NCIDC 715 Series
Closeout/Equipment Inventory
Close-Out Equipment Inventory Schedule
CSD 715 D
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
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
- 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
- NCIDC Intake Form