OGR Sub-grantee Risk Assesment Form~8.pdf

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Attached to
FFY21 Child Restraint Distribution Program
Solicitation number
BD-21-1044-EPS11-HWY-60116
Issued by
Massachusetts

About this file

This document is a Risk Assessment Form from the Executive Office of Public Safety and Security Homeland Security Division. The form evaluates the accounting systems, program management practices, and compliance history of grantees to ensure proper stewardship of public funds. Key criteria assessed include the ability to accurately track and report on grant expenditures, maintain supporting documentation, and adhere to reporting requirements. The form also evaluates the overall complexity of the proposed program and funding award amounts to determine if additional oversight is warranted.

The form requires the grantee to provide information on their accounting system, prior experience managing federal grants, and any recent compliance issues. Based on this information, the grantor will assess the grantee's track record and risk profile to determine if additional monitoring or restrictions are necessary. This assessment is a standard requirement for recipients of federal grant funding to ensure funds are properly managed and program goals are achieved.

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Executive Office of Public Safety and Security Homeland Security Division

RISK ASSESMENT

SECTION A: PURPOSE

The programmatic and fiscal responsibility of grantees must be such that the grantee can properly discharge the public trust that accompanies the authority to expend public funds. Adequate accounting and program management systems should meet the following criteria.

1. Accounting records should provide information needed to adequately identify the receipt of funds under each grant awarded and the expenditure of funds for each grant.

2. Entries in accounting records should refer to subsidiary records and/or documentation that support the entry and can be readily located.

3. The accounting system should provide accurate and current financial reporting information.

4. The accounting system should be integrated with an adequate system of internal programmatic controls to safeguard the funds and assets covered, check the accuracy and reliability of accounting data, promote operational efficiency, and encourage adherence to prescribed management policies.

SECTION B: ACCOUNTING SYSTEM

1.Which of the following best describes the accounting system: Manual Aut omat ed Combinat i on

2. Does the accounting system identify the receipt and expenditure of program funds separately for each grant/contract? Yes No

3. Does the accounting system provide for the recording of expenditures for each grant/contract by the Yes No budget cost categories shown in the approved budget?

4. Are time distribution records maintained for an employee when his/her effort can be Yes No identified to a particular cost objective?

5. Does the accounting/financial system include budgetary controls to preclude incurring obligations in excess of:

a. Total funds available for a grant? Yes No

b. Total funds available for a budget cost category (e.g. Personnel, Travel, etc.)? Yes No

6. If Federal grant funds are commingled with organization funds, can the Federal funds and related Yes No costs are readily identified?

SECTION C: PROGRAM MANAGEMENT

1.Is the organization new to managing federal grant funds or has the organization had recent staff turnover that significantly reduces its institutional capacity to effectively manage federal funds? Yes No If yes, please explain: (attach a separate sheet if necessary)

SECTION C: PROGRAM MANAGEMENT CONT.

2. If the organization has recently (past 5 years) or currently receives federal grant funding, has the organization been out-of-compliance with reporting or other requirements?

If yes, please explain: Yes No

SECTION D: For Internal Use Only

1. Does the organization/entity receiving this award have an acceptable track record of managing funds provided by EOPSS?

Briefly explain. Yes No

2. Is the proposed program very complex, is the award above $1million, and/or is the proposed grant-funded activity such that additional risk can be presumed? If yes, please explain. Yes No

3. The suspension and debarment list on the System for Award Management website (https://www.sam.gov/portal/SAM/##11) must be checked for each subgrantees and vendor. Is the subgrantee/vendor eligible to receive federal funding? Yes No

SECTION E: APPLICANT CERTIFICATION

I certify that the above information is complete and correct to the best of my knowledge.

1. Signature

b. Organization Name:

Address:

Telephone Number:

a. Title

1Is the organization new to managing federal grant funds or has the organization had recent staff turnover that significantly reduces its institutional capacity to effectively manage federal funds Yes No If yes please explain attach a separate sheet if necessary:
1 Does the organizationentity receiving this award have an acceptable track record of managing funds provided by EOPSS Briefly explain Yes No:
2 Is the proposed program very complex is the award above 1million andor is the proposed grantfunded activity such that additional risk can be presumed If yes please explain Yes No:
1 Signature:
a Title:
b Organization Name Address Telephone Number:
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