Illinois Grant Accountability and Transparency Act Programmatic Risk Assessment Questionnaire

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Illinois Grant Accountability and Transparency Act Programmatic Risk Assessment Questionnaire In response to the requirements of 2 CFR 200.205, the awarding agency is required to review the programmatic risk posed by applicants. Four risk categories are assessed through this questionnaire: 1. Quality of management systems and ability to meet the management standards; 2. History of performance; 3. Reports and findings from audits performed under Subpart F Audit Requirements of this part or the reports and findings of any other available audit; and 4. The applicant's ability to effectively implement statutory, regulatory, or other requirements imposed on awardees. 1. Quality of management systems and ability to meet the management standards 1.1. Do you have written policies and procedures that guide program delivery on the topics of: a. Quality assurance b. Outcome tracking and reporting mechanisms c. Relevant documentation of services/goods delivered d. Staff performance management policies and procedures e. Personnel policies and procedures that include conflict of interest statements f. Complaint/grievance resolution policies and procedures g. Governing body policies and procedures that include conflict of interest statements h. Safeguarding funds, property and other assets against loss from unauthorized use or disposition i. Management of grant term extensions, where applicable 1.2. Do you have internal controls that govern program delivery on the topics of: a. Quality assurance reporting b. Appropriate (to industry) supervision of staff c. Unit costs analysis and management d. Accreditation/licensing compliance program 1.3. Does the organization have written standards of conduct covering real or perceived conflict of interest related to actions of employees engaged in the selection, award or administration of contracts supported by grant awards? Page 1 of 8

1.4. How many years of experience does the project leader have managing the scope of services required under this program? More than five years One to five years Less than one year 1.5. Does the organization have a time and effort system that: a. Records all time worked, including time not charged to awards? b. Is signed-off by the employee and a supervisor? c. Includes an approved methodology? Question is not applicable because grants are based on a set rate or per unit of service. (GO TO QUESTION 1.6) 1.6. Does the organization have controls for invoicing grants paid based on a rate or unit of service? 1.7. Does the organization apply the same standard for match requirements as it does for expenses? 1.8. To what extent are you able to produce periodic grant status reports to inform stakeholders about program outcomes? Reports are an established part of grant management procedures We re developing reports as part of grant management procedures We do not currently have established reports as part of grant management 2. History of performance (The applicant's record in managing grant awards, if it is a prior recipient of awards, including timeliness of compliance with applicable reporting requirements, conformance to the terms and conditions of previous awards, and if applicable, the extent to which any previously awarded amounts will be expended prior to future awards) 2.1. How many years of experience does your organization have with grants of comparable scope and/or capacity? More than five years One to five years Less than one year No experience (GO TO QUESTION 4.1) Page 2 of 8

2.2. If your organization has experience with grants of comparable scope and/or capacity, provide a brief description of similar project goals and outcomes; specify the applicable year. The response must not exceed the available space. 2.3. During your last two fiscal years, how frequently has your organization submitted project performance reports on time? Always Reported late up to three times Reported late four or more times Not applicable not a requirement of awards previously received 2.4. Have there been any significant changes in your organization in the last fiscal year related to: a. Leadership change(s) b. Significant program / grant initiative(s) c. Structural changes d. Fiscal changes e. Statutory or regulatory requirements f. Other Page 3 of 8

2.5. Provide a brief explanation for all YES responses to question 2.4. The response must not exceed the available space. 2.6. Does the organization utilize a sub-grantee/sub-recipient / sub-award to manage, administer or complete a project? (IF "NO", GO TO QUESTION 2.10) 2.7. What responsibilities does the sub-grantee/sub-recipient/sub-award perform? a. Participant eligibility determination b. Performance reporting c. Program delivery functions d. Financial reporting e. Other 2.8. What percentage of grant funds does the organization pass on to sub-grantees/sub-recipients/subawards? Less than 10% 10-20% More than 20% 2.9. Does your organization have an implemented policy for sub-grantee monitoring? If NO, go to 2.10. If YES, does it include: On-site review Review of prior monitoring Desk /quantitative review Page 4 of 8

2.10. Do you obtain prior written approval from the funding agency when: a. The scope or objective of the program changes b. Key personnel specified in the application change c. The approved project director disengages for more than 3 months or reduces 25% of time devoted to the project Question is not applicable because organization has not been subject to these requirements. 2.11. Does your organization have performance measurements that tie to financial data? 3. Reports and findings from audits performed under Subpart F Audit Requirements of this part or the reports and findings of any other available audit 3.1. During the last two fiscal years, has your organization been out of compliance with programmatic terms and conditions of awards? Organization has not been audited; Go to Question 3.6 No occurrences of non-compliance; Go to Question 3.6 One to three occurrences of non-compliance Four or more occurrences of non-compliance 3.2. If your organization had at least one occurrence of non-compliance with programmatic terms and conditions, summarize each occurrence. The response must not exceed the available space. Page 5 of 8

3.3. Have corrective actions been implemented within the specified timeframe? 3.4. Provide explanation for any corrective actions that were not implemented within the timeframe specified and for any corrective actions that remain open. The response must not exceed the available space. 3.5. Have there been conflict of interest-related findings within the last two fiscal years? a. If NO, go to question 3.6. b. If YES, specify the conflict of interest-related finding and your response to the finding. Text response 3.6. Has your organization been subject to conditional approvals due to program issues? a. If NO, to go question 4.1. b. If YES, specify the terms of the special condition and whether or not the special condition is still applicable. The response must not exceed the available space. Page 6 of 8

4. The applicant's ability to effectively implement statutory, regulatory, or other requirements imposed on awardees. 4.1. To what extent does your organization have policies to ensure programmatic expenses are reasonable, necessary and prudent (allowable)? Policies are implemented and followed Policies are not fully implemented The organization does not currently have these types of policies 4.2. To what extent does your organization have policies to ensure programmatic activities are allowable? Policies are implemented and followed Policies are not fully implemented The organization does not currently have these types of policies 4.3. To what extent is your organization able to comply with all statutory requirements of this program? Fully able to comply with all statutory requirements With the following exception(s), the organization is able to comply: (The response must not exceed the available space.) 4.4. Has the organization been out of compliance with any statutory, regulatory or other requirements of grant funding within the last two fiscal years? If YES, provide explanation. The response must not exceed the available space. Page 7 of 8

Programmatic Risk Assessment Certification On behalf of the applicant entity, I attest that the statements included herein are true, complete and accurate to the best of my knowledge. All occurrences of non-compliance with programmatic requirements have been disclosed. Authorized Representative Signature Date Page 8 of 8