Statewide-Operations/CSBG-info

Community Service Block Grant Program — 2021
CSBG Contract Documents for Off-Reservation Subcontractors

Agreement Proposal Documents:

Checklist

Certification Lobbying
Certification Regarding Lobbying/Disclosure of Lobbying Activities
STD FORM LLL

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

Federal Funding Accountability and Transparency Act (FFATA)
CSD 279

Contractors Certification Clauses
Contractors Certification Clauses Form
CCC-04/2017

Contract Budget Forms
NCIDC 425 Budget Series

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

 

2019 Community Service Block Grant Program