Forms and Resources For Your Use

Forms and Reports

Reporting Resources

 

Forms and Reports

Financial Status Reports (FSR) for the period covering July 1- September 30 are due October 14, 2005. Please click here for the Financial Status Report form and instructions .

Financial Status Report Examples

Below are examples of completed FSRs

• Example 1 - Initial Report, New Grantees
• Example 2 - Initial Report, Previously Funded Grantees
• Example 3 - Subsequent Reports, New Grantees
• Example 4 - Subsequent Reports, Previously Funded Grantees
• Example 5 - Funds Received, but No Expenditures This Period
• Example 6 - Expenditures, but No Funds Received
• Example 7 - No Expenditures, No Funds Received
• Example 8 - Final Report
• Financial Status Report Information Memo
• Cost Sharing 101 workshop presentation (June 28, 2005)

Progress Report Form - due date October 14, 2005

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Success Stories Submission Form - due October 14, 2005

Evaluation Survey - due October 14, 2005

Reminder: Success Stories and Evaluations are due semi-annually

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Reporting Time Line

• January 14, 2005 — for October 1, 2004 – December 31, 2004

Reports due:
Financial Status Report
Progress Report

• April 15, 2005 — for January 1, 2005 – March 31, 2005

Reports due:
Financial Status Report
Progress Report
Evaluation Survey
Success Stories

• July 15, 2005 — for April 1, 2005 – June 30, 2005

Reports due:
Financial Status Report
Progress Report

• October 14, 2005 — for July 1, 2005-September 30, 2005

Reports due:
Financial Status Report
Progress Report
Evaluation Survey
Success Stories

Reports are due by 5:00 p.m. on the due date. Faxed or e-mailed reports are acceptable, but the originals MUST also be submitted.

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Resources

Citing NEBHANDS

All publications and references to NEBHANDS funded projects should include the following statement:
“This program is funded by a grant to NEBHANDS (Nebraskans Expanding Behavioral Health Access through Networking Delivery Systems) from the U.S. Department of Health and Human Services, Administration for Children and Families, Office of Community Services."
This language is also provided in the subawardee's Memorandum of Agreement (Section V. Paragraph R) regarding citing of the funding source for NEBHANDS and any subsequent publications and/or references to the project.

Federal Regulation and Guideline Assistance

• Federal Grant Regulations

  Below is a listing of Federal regulations and guidelines that aply to organizations receiving NEBHANDS funds. All organizations that are awarded Federal funds through the Department of Health and Human Services, Compasssion Capital Fund program must comply with these rules.

  • Title 45 Code of Federal Regulations (CFR) Part 74
  • Office of Management and Budget (OMB) Circulars
  • OMB Circular A-110, Uniform Administrative Requirements for Grants and other agreements with Institutions of Higher Education, Hospitals, and other Non Profit Organizations
  • OMB A-133, Audits for States, Local, Governments, and non profit organizations (Non-federal entities that expend $300,000 or more in a year shall be audited annually)
  And the appropriate circular below
  • OMB Circular A-122, "Cost Principles for Non-Profit Organizations”
  • OMB Circular A-21, "Cost Principles for Educational Institutions"
  • OMB Circular A-87, "Cost Principles for State, Local, and Indian Tribal Governments"

• "Guidance to Faith-Based and Community Organizations Partnering with the Federal Government" PDF Document
• Guidance to Partnering Certification Form