Annual Report Form

An annual report must contain all accomplishments and activities utilized to meet the goals/objectives outlined in the Grant Contract Proposal. Each objective must be addressed and the project's measurable impact on traffic safety must be included. All grant contractors must submit an annual report to the NOHS no later than the second Thursday in November of the following fiscal year.

Grant/Mini-Grant Contract Claims for Reimbursement - Templates

The grant contractor is responsible for submitting the Grant Contract Claim for Reimbursement (CR) monthly with a copy of supporting documentation substantiating expenditures associated with the project. The CR request must be completed and submitted to the NOHS on a monthly basis. CRs are due by the 10^th of each month. CRs received after the 10^th of each month may not be reimbursed until the following month.

The mini-grant contractor is responsible for submitting the Mini-Grant Claim for Reimbursement (CR) with a copy of supporting documentation substantiating expenditures associated with each mini-grant contract issued to them. The request(s) must be completed and submitted to the NOHS as reimbursement is needed and/or upon completion of the mini-grant contract. CRs are processed upon receipt of the correct documentation.

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Equipment Inventory Log Form

All equipment purchases must be specifically itemized in the budget proposal. If not included in the original budget proposal, expressed written approval from the NOHS is required prior to any purchase. Competitive bids are required on any equipment purchase in excess of $500.00. Upon receipt of any equipment, an "Equipment Inventory Log" will be completed by the grant contractor and submitted to the NOHS. The grant contractor shall appropriately maintain any equipment purchased under the grant contract. (See the Grant Contract Proposal  Guide and Polices and Procedures for additional information.)

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Federal Documents Covering Highway Safety Grants for State, Local, and Indian Tribal Government - The federal documents/circular guides must be reviewed by each state, local government, and non-profit organization to ensure compliance with federal guidelines and NOHS policies.  The type of circular required by each agency is outlined below:

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Cost Principles for Educational Institutions (OMB Circular A-21) (07/24/07)
2 CFR Part 220

Cost Principles for State, Local, and Indian Tribal Governments (OMB Circular A-87) (07/24/07)
2 CFR Part 225

Cost Principles for Non-Profit Organizations (OMB Circular A-122) (07/24/07)
2 CFR Part 230

Uniform Administrative Requirements For Grants and Cooperative Agreements to State and Local Governments (formerly OMB Circular A-102) (07/24/07)
49 CFR Part 18

Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals, and Other Non-Profit Organizations (OMB Circular A-110) (07/24/07)
49 CFR Part 19

Audits of States, Local Governments, and Non-Profit Organizations (OMB Circular A-133)(06/27/03)
49 CFR Part 90

According to Office of Management and Budget (OMB Circular A-133), contractors that receive $500,000.00 or more in a year in federal funds must provide a copy of their single audit to the NOHS for each federal fiscal year that federal funds were received.  The audit must be submitted by August 1st of the following calendar year.

Contractor	Administrative	Cost Principles	Audit
College/University		2 CFR Part 220	Circular A-133
State, Local, or Tribal Government	2 CFR Part 18	2 CFR Part 225	Circular A-133
Non-Profit Organization		2 CFR Part 230	Circular A-133

 

Grant Contract Proposal Cover Form

Applications submitted to the NOHS must attach the Grant Contract Proposal Cover form with appropriate information and signatures.

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Grant Contract Proposal Guide and Policies and Procedures

The Grant Contract Proposal Guide and Policies and Procedures incorporates the “Policies and Procedures” of the Nebraska Office of Highway Safety. Every state, county, community, law enforcement agency, organization, etc. eligible to receive federal funding through a project or mini-grant contract must read and comply with the guidelines outlined in this document. State, local, and federal rules and regulations also need to be complied with as outlined in the “audit” section, page 2 of the guide.

Nebraska Selective Overtime Enforcement Activity Summary Form

All reimbursement requests for personal services must be substantiated by submitting the completed Personal Services Breakdown form.

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All reimbursement requests for personal services must provided the appropriate information regarding personnel paid by grant funding.  Form must be signed with the Employee/Employee's Signature's and the Preparer's Signature.

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Grant funded education presentations activity summary form to be completed following a presentation.

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Weekly Time Report Form

All reimbursement requests for personal services must be substantiated by submitting a completed Weekly Time Report form with the appropriate signatures.

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